ReviewCurrent pain and headache reports2018
A Review of Current Treatment Options for Coccygodynia.
Review in Current pain and headache reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07427212 (Comparison of Fluoroscopy-Guided Ganglion Impar and Ultrasound-Guided Coccygeal Nerve Radiofrequency Ablation in Patients With Chronic Coccydynia), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Comparison of Fluoroscopy-Guided Ganglion Impar and Ultrasound-Guided Coccygeal Nerve Radiofrequency Ablation in Patients With Chronic Coccydynia: A Prospective Randomized Study
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Coccygectomy for refractory coccygodynia: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Pooled it
- Ultrasound-guided 5% dextrose neural prolotherapy injection for perforating cutaneous nerve entrapment in chronic coccydynia: a randomized placebo-controlled double-blind trial.Irish journal of medical science · 2026Article
- Mechanical diagnosis and therapy in chronic postpartum isolated coccygeal pain: a case report.The Journal of the Canadian Chiropractic Association · 2026Article
- Conservative Treatment of Anteriorly Angulated Post-traumatic Coccydynia: A Case Report.Cureus · 2026Article
- Radial Extracorporeal Shockwave Therapy for the Treatment of Chronic Refractory Coccygodynia.Journal of medical cases · 2025Article
- Management of coccygodynia: talking points from a systematic review of recent clinical trials.Annals of joint · 2025Review
- A description and outcome evaluation of sacrococcygeal joint radiofrequency neurotomy for treatment of chronic coccydynia - A dorsal approach.Interventional pain medicine · 2024Article
- The mini-open procedure with a modified figure of eight for managing sacrococcygeal fracture-dislocation: A case report and literature review.International journal of surgery case reports · 2024Article
- Assessment of Ganglion Impar Block Effect on Treatment Results of Coccydynia: A Cross-Sectional Study.Anesthesiology and pain medicine · 2024Article
- Coccygeal Disc Disease as a Possible Cause of Coccygodynia.Acta medica academica · 2023Article
- Radial extracorporeal shockwave therapy (rESWT) for coccydynia: a prospective study of 14 patients.Annals of medicine and surgery (2012) · 2023Article
- Rare complication of ganglion impar blockade with the transsacrococcygeal approach: A case of rectal perforation.Turkish journal of physical medicine and rehabilitation · 2023Article
- Ultrasound-Guided vs. Blind Coccygeal Corticosteroid Injections for Chronic Coccydynia: A Randomized, Clinical Trial.The archives of bone and joint surgery · 2022Article
- Bipolar radiofrequency ablation of the anococcygeal nerve for the treatment of chronic coccydynia: A case report.Interventional pain medicine · 2022Article
- Retrospective Evaluation of Patients Underwent Ganglion Impar Pulsed Radiofrequency due to Coccydynia.Sisli Etfal Hastanesi tip bulteni · 2022Article
- Comparison of treatment outcomes in chronic coccygodynia patients treated with ganglion impar blockadeThe Korean journal of pain · 2022Article
- A novel radiological classification for displaced os coccyx: the Benditz-König classification.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022Article
- Interventional Radiofrequency Treatment for the Sympathetic Nervous System: A Review Article.Pain and therapy · 2021Review
- Coccygectomy for coccygodynia: a cohort study with a long-term follow-up of up to 29 years.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Article
- The effect of injection therapy and operation of coccydynia on the schooling and physical activity of adolescent patients.Orthopedic reviews · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose of reviewCoccygodynia is pain within the coccyx area. The diagnosis is made clinically with symptoms of pain in the coccyx region and worsening pain in sitting position. The initial treatment is conservative therapy. For patients who do not respond to conservative therapies, there are further interventions available. This includes local injection of local anesthetics and steroids, neurolysis of sacral nerve roots, caudal epidural block, pulse radiofrequency (PRF), intra-rectal massage and manipulation, ganglion impar block, levator ani massage and stretching, coccyx manipulation, and coccygectomy. The purpose of this review is to evaluate the efficacies of these interventions in the treatment of coccygodynia. RECENT
findingsLiterature search was performed with the keywords including coccygodynia, treatment, and coccygectomy, on PubMed and Google Scholar between August 2012 and August 2017. Thirteen studies with patients age 18 and over who underwent treatments for coccygodynia were selected for analysis. These treatments include conservative therapies (physical therapy and capsaicin patch), interventional techniques (local injections with steroids and local anesthetic, pulsed radiofrequency ablation of ganglion impar, extracorporeal shock wave therapy), and surgical techniques (complete and partial coccygectomies). The results from these studies demonstrated that most patients had significant pain relief with these techniques. Our literature review demonstrated various interventions including coccygectomy can be effective in the treatment of coccygodynia refractory to conservative therapies. There is a growing body of clinical evidence to support that coccygectomy is an effective treatment for patients with debilitating pain who had failed interventional therapies. Further randomized control studies should be conducted to examine duration of pain relief after coccygectomy and associated surgical complications.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.