Management of persistent coccydynia with transrectal manipulation: Results of a combined procedure

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dc.authorid0000-0003-1259-6668
dc.authorid0000-0001-7068-2033
dc.authorid0000-0002-1310-068X
dc.authorid0000-0002-4843-5121
dc.authorid0000-0002-8053-2239
dc.contributor.authorŞeker, Ali
dc.contributor.authorSarıkaya, İlker Abdullah
dc.contributor.authorKorkmaz, Özgür
dc.contributor.authorYalçın, Sercan
dc.contributor.authorMalkoç, Melih
dc.contributor.authorBülbül, Ahmet Murat
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:50:41Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:50:41Z
dc.date.issued2018
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.descriptionWOS: 000431533600030
dc.descriptionPubMed ID: 29234884
dc.description.abstractWe compared the results of manual therapy combined with steroid injection with single steroid injection in the treatment of persistent coccydynia. Combined therapy was performed in 21 patients (Group 1) and steroid injection in 23 patients (Group 2). We compared two groups and investigated the combined therapy group in details. Patients were classified according to the underlying cause, BMI, anatomic type of coccyx and duration of symptoms (<6 or 6 months). Mean age was 30.5 years at the time of procedures. Mean followup time was 27.8 months. VAS scores were decreased in both groups but combined therapy group had much more better results. Complete pain relief was achieved in 61.9% of patients in Group 1 whereas it was only 17.4% in Group 2. In 23.8% of Group 1, the VAS score was significantly decreased but the feeling of uncomfortability persisted. This was 73.9% in Group 2. We had no relapse in Group 1 but in Group 2 the relapse rate was 56.5%. Underlying cause, body mass index, anatomic type of coccyx and duration of symptoms had no effect on results. Manual therapy combined with steroid injection would be an alternative method in case of persistent coccydynia. It is a safe and easy option before surgical treatment.
dc.identifier.citationŞeker, A., Sarıkaya, İ., Korkmaz, Ö., Yalçın, S., Malkoç, M. ve Bülbül, A. (2018). Management of persistent coccydynia with transrectal manipulation: Results of a combined procedure. European Spine Journal, 27(5), 1166-1171. https://dx.doi.org/10.1007/s00586-017-5399-6
dc.identifier.doi10.1007/s00586-017-5399-6
dc.identifier.endpage1171
dc.identifier.issn0940-6719
dc.identifier.issn1432-0932
dc.identifier.issue5
dc.identifier.scopusqualityQ1
dc.identifier.startpage1166
dc.identifier.urihttps://dx.doi.org/10.1007/s00586-017-5399-6
dc.identifier.urihttps://hdl.handle.net/20.500.12511/2047
dc.identifier.volume27
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofEuropean Spine Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCoccydynia
dc.subjectManipulation
dc.subjectSteroid Injection
dc.titleManagement of persistent coccydynia with transrectal manipulation: Results of a combined procedure
dc.typeArticle

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