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CASE REPORT
Year : 2016  |  Volume : 30  |  Issue : 1  |  Page : 61-66

MRI in Coccydynia


Pain Clinic in Charge- Jupiter, Bethany Hospitals, Thane, Program Committee Chairperson- AMC, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Kritika Doshi
104, Rohini, Tarangan-II, Behind Korum Mall, Thane - 400 606, Mumbai, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-5333.173482

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Patients who are diagnosed clinically as Coccygodynia often do not get satisfactory relief. The clinical diagnosis is based on various hypotheses that have been proposed to explain the pain of coccydynia - including coccygeal spicules, pain from the pericoccygeal soft tissues, pelvic floor muscle spasm, referred pain from lumbar pathology, arachnoiditis of the lower sacral nerve roots, local posttraumatic lesions, somatization, etc. The diagnosis is difficult and the pathophysiology is poorly understood. Till recently, use of dynamic X-rays and MRI imaging was not considered to diagnose this condition. The author would like to report three patients who presented to the pain clinic with refractory coccygeal pain and underwent dynamic coccyx X-rays and MRI as part of their evaluation. All these patients had positive findings on MRI. These patients were treated satisfactorily as a result of the added diagnostic value of MRI.


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