Resumo
Definición
Anamnesis y examen
Principales factores de diagnóstico
- dor coccígea
- sensibilidade à palpação coccígea
- espasmo da musculatura do assoalho pélvico
- alívio dos sintomas após a injeção de corticosteroides
Otros factores de diagnóstico
- defesa
Factores de riesgo
- sexo feminino
- história de trauma do cóccix
- obesidade
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- radiografia sacrococcígea lateral
- radiografias sacrococcígeas laterais dinâmicas
Pruebas diagnósticas que deben considerarse
- RNM do sacro e do cóccix
- tomografia computadorizada (TC) da coluna lombossacral
- contagem leucocitária
- velocidade de hemossedimentação
Algoritmo de tratamiento
novo diagnóstico: doença aguda ou crônica
sintomas ≥2 meses e manejo do quadro agudo malsucedido
Colaboradores
Autores
Rudolph J. Schrot, MD, MAS, FAANS
Neurosurgeon
Sutter Medical Group
Sacramento
CA
Divulgaciones
RJS has been an expert witness for personal injury defense, is a primary investigator on two industry sponsored studies, and has given medical lectures.
Revisores por pares
Patrick M. Foye, MD
Professor and Director of the Coccyx Pain Center
Rutgers New Jersey Medical School
Newark
NJ
Disclosures
PMF is the author of references cited in this topic.
Birender Balain, MBBS, FRCS, FRCS (Tr and Orth)
Specialist Registrar
Robert Jones and Agnes Hunt Orthopaedic and District Hospital
Oswestry
UK
Disclosures
BB is the author of some studies referenced in this topic.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
Skalski MR, Matcuk GR, Patel DB, et al. Imaging coccygeal trauma and coccydynia. Radiographics. 2020 Jul-Aug;40(4):1090-106.Full text Abstract
Fogel GR, Cunningham PY, Esses, SL. Coccygodynia: evaluation and management. J Am Acad Orthop Surg. 2004;12:49-54. Abstract
Wray CC, Easom S, Hoskinson J. Coccydynia. Aetiology and treatment. J Bone Joint Surg (Br). 1991;73-B:335-338.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Espondilose lombar/hérnia de disco
- Proctalgia fugaz
- Síndrome do músculo elevador do ânus
More DifferentialsPatient information
Dorsalgia: perguntas a fazer ao seu médico
Dorsalgia (coluna lombar)
More Patient information
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