Great Educational Session on Pregnancy & Childbirth by Ashley Brichter @birthsmarter @beyondbasicspt

Yesterday I attended a great educational session on #Pregnancy & #Childbirth by Ashley Brichter

Ashley is a Certified Cooperative Childbirth Educator, a birth and postpartum doula, and a pelvic health and body-alignment enthusiast. 

The talk included discussion of how the position of the coccyx (tailbone) can create problems during childbirth (labor and delivery).

For an online article by Ashley on optimal pelvic positioning for giving birth, read here: http://overwhelmingmoments.com/blog/2019/1/21/questioning-childbirth-status-quo-part-one-common-labor-positions

You can find Ashley here: @birthsmarter in NYC.

The talk was given here: @beyondbasicspt in NYC.

Photos:

Ashley Brichter (after her Lecture on Pregnancy and Childbirth) with Patrick Foye, MD

Ashley Brichter (after her Lecture on Pregnancy and Childbirth) with Patrick Foye, MD

Ashley Brichter Lectured on Pregnancy and Childbirth

Ashley Brichter Lectured on Pregnancy and Childbirth

Pelvic Health 101, Lectures for 2019, Beyond Basics Physical Therapy, NYC

Pelvic Health 101, Lectures for 2019, Beyond Basics Physical Therapy, NYC


GET THE BOOK: To get your copy of the book “Tailbone Pain Relief Now!” go to: www.TailboneBook.com  or go to Amazon.

COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com

- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.

Kabooti Cushion, for Coccyx Pain, Tailbone Pain, Coccydynia

Kabooti Cushion, for Coccyx Pain, Tailbone Pain, Coccydynia
  • Many of my patients with coccyx pain (tailbone pain, coccydynia) ask me what cushion is best to decrease their pain while sitting.
  • There is no perfect answer for all patients.
  • There are many different cushions to consider or try.
  • Recently, I was in a store that sells the Kabooti cushion, which a number of my patients have used and found helpful.
  • So, I did this short video about the cushion.
  • This is not an official endorsement or advertisement, but rather just an educational discussion about this cushion.
Here is the Video:

Here is the video link: https://www.youtube.com/watch?v=z3JIsrmXz0o

Photos related to this videos:
Kabooti cushion, for Coccyx Pain, Tailbone Pain

Kabooti cushion, for Coccyx Pain, Tailbone Pain

Kabooti cushion, Dr. Foye,, for Coccyx Pain, Tailbone Pain

Kabooti cushion, Dr. Foye,, for Coccyx Pain, Tailbone Pain


GET THE BOOK: To get your copy of the book “Tailbone Pain Relief Now!” go to: www.TailboneBook.com  or go to Amazon.

COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com

- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.

Toilet Seat Cushion for Tailbone Pain, Coccyx Pain, Coccydynia, Pudendal Nerve Pain, Pudendal Neuralgia.

Toilet Seat Cushion for Tailbone Pain, Coccyx Pain, Coccydynia, Pudendal Nerve Pain, Pudendal Neuralgia.
  • Some patients find that the most comfortable place to sit is to sit on a toilet seat.
  • This is true for some patients with coccyx pain (tailbone pain, coccydynia).
  • This is also true for many patients with pudendal nerve pain (pudendal neuralgia).
Where can you get a  Toilet Seat Cushion?
  • You can buy a toilet seat at many hardware stores or home improvement stores.
  • Some patients will add additional padding to make the seat more comfortable.
  • Some patients will add fabric or another covering, so that cosmetically  it does not look like a toilet seat.
Here is a video where Dr. Foye  displays a Toilet Seat Cushion and talks about why it can be helpful for some patients with Tailbone Pain, Coccyx Pain, Coccydynia, Pudendal Nerve Pain, Pudendal Neuralgia.

Video:

Here is the Link to the video: https://www.youtube.com/watch?v=y24j0nXZ9V0

Here are some screenshots from the video, and photos of a Toilet Seat Cushion:
Toilet seat cushion, Dr Foye, for Tailbone Pain, Coccyx Pain, Pudendal Nerve Pain

Toilet seat cushion, Dr Foye, for Tailbone Pain, Coccyx Pain, Pudendal Nerve Pain

Toilet seat cushion, for Tailbone Pain, Coccyx Pain, Pudendal Nerve Pain, 2-views

Toilet seat cushion, for Tailbone Pain, Coccyx Pain, Pudendal Nerve Pain, 2-views


GET THE BOOK: To get your copy of the book “Tailbone Pain Relief Now!” go to: www.TailboneBook.com  or go to Amazon.

COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com

- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.

Sitting on a Couch causes Coccyx Pain, Tailbone Pain, Coccydynia

  • Many people with coccyx pain find that couches are terrible for sitting, because even with a cushion the cushion just sinks into the softness of the couch and your tailbone still ends up contacting the sitting surface.
  • So, many people with tailbone pain will avoid couches or sofas.
  • Some people with tailbone pain will use a firm-plastic-shell type of cushion, since even if it sinks down the shell maintains it’s shape including the indentation creating a gap space below the coccyx.
  •  Relaxobak and BackJoy are two manufacturers that make these “shell” types of seats.

GET THE BOOK: To get your copy of the book “Tailbone Pain Relief Now!” go to: www.TailboneBook.com  or go to Amazon.

COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com

- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.

Pelvic Pain Lecture by Stephanie Stamas, Pelvic Floor Physical Therapist in NYC

I attended a fantastic lecture on Pelvic Pain this week in NYC by pelvic floor physical therapist Stephanie Stamas, PT, DPT, at Beyond Basics Physical Therapy in NYC.

They have upcoming lectures on related topics over the next few weeks.

I definitely recommend attending these if you are in the NYC area and interested in P.T. insights and treatments for issues in the pelvic, bladder, bowel, genital regions.

Stephanie Stamas PT with Patrick Foye MD, after her Pelvic Pain lecture, 3-19-18

Stephanie Stamas PT with Patrick Foye MD, after her Pelvic Pain lecture, 3-19-18

Stephanie Stamas PT, Title Slide from her Pelvic Pain lecture, 3-19-18

Stephanie Stamas PT, Title Slide from her Pelvic Pain lecture, 3-19-18

Pelvic Health 101, Lectures for 2019, Beyond Basics Physical Therapy, NYC

Pelvic Health 101, Lectures for 2019, Beyond Basics Physical Therapy, NYC


GET THE BOOK: To get your copy of the book “Tailbone Pain Relief Now!” go to: www.TailboneBook.com  or go to Amazon.

COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com

- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.

Infection Rates after Coccygectomy, per Published Medical Research

Here is an excerpt from Dr. Foye’s book, Tailbone Pain Relief Now!

Chapter 25: Coccygectomy: Surgical Removal of the Tailbone.  Page 197:

“Published research by Dr. Wood (at Harvard Medical School) documented that after coccygectomy as high as 35 percent of patients have postoperative complications including wound problems (infection or persistent drainage). Meanwhile, Dr. Doursounian’s research team in Europe showed that 15 percent of coccygectomy patients required repeat surgery due to infection at the coccygectomy site. That means that more than approximately one out of every six patients requires a repeat surgery due to infection. This is an extremely high complication rate compared with most other elective surgeries.”

  • The publication by Dr. Wood at Harvard was: Journal of Spinal Disorders & Techniques. 17(6):511-515, Dec 2004.
  • The publication by Dr. Doursounian was: Coccygectomy for instability of the coccyx. Doursounian L, Maigne JY, Faure F, Chatellier G.Int Orthop. 2004 Jun; 28(3):176-9.
Infection after Coccygectomy, Quoting Dr Foye's book, Tailbone Pain Relief Now

Infection after Coccygectomy, Quoting Dr Foye’s book, Tailbone Pain Relief Now!

Note: There are many studies, some with higher or lower rates of success (relief of pain) and some with higher or lower rates of of infection and rates of repeat surgery being needed. This particular online article is not meant to be a list of every study ever published on infection after coccygectomy. Instead, it is explaining the published statistics that Dr. Foye was referring to in that chapter of his book.


GET THE BOOK: To get your copy of the book “Tailbone Pain Relief Now!” go to: www.TailboneBook.com  or go to Amazon.

COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com

- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.

 

Tailbone Pott's Disease: Coccyx Tuberculosis

What is Pott’s disease, or Pott disease?
  • Pott’s disease is a condition where tuberculosis infection occurs within the spinal vertebral bones.
  • “Pott’s disease” is also called “Pott disease.”
  • Tuberculosis is commonly called “TB.”
Tuberculosis infection usually involves the lungs.
  • Pott’s disease is different because the infection is within the vertebral bones of the spine.
Which spinal vertebral bones are usually infected in Pott’s Disease? 
  • In patients with Pott’s disease, usually the vertebral bodies infected with tuberculosis are the vertebral bones closest to the lungs, which are the vertebral bones of the thoracic spine. (These are the thoracic vertebral bodies.)
  • However, other locations in the spine may also be affected. In rare cases, this may include tuberculosis of the coccyx (tailbone).
Below is an excerpt from Chapter 14 of the book Tailbone Pain Relief Now!
INFECTION Causing Tailbone Pain, Chapter 14 in Dr. Foye's coccyx book

Infection Causing Tailbone Pain, Chapter 14 in Dr. Foye’s coccyx book

Tuberculosis (TB) Infection Causing Tailbone Pain

Tuberculosis (commonly referred to as TB) is a bacterial infection that typically involves the lungs. TB is more common in parts of Asia and Africa, as well as within certain populations in the United States, such as among prisoners.

Although TB typically starts as a lung infection, it can spread to the bones of the vertebral spine (called Pott’s disease). The vertebral bones most commonly infected are those of the thoracic spine, which are the spinal bones closest to the lungs. However, TB can instead spread to the spinal bones of the sacrum and coccyx.

Suspect possible TB infection of the coccyx region if you have a history of the following:

  • pulmonary (lung) TB infection,
  • a positive skin test (PPD test) for TB,
  • travel to areas where TB is common, or
  • an underlying condition that causes decreased ability of the immune system to fight infections.

The tuberculosis bacteria are often resistant to many antibiotics and thus treatment often requires giving multiple antibiotics to thepatient at the same time.

Here are some medical journal articles about Tuberculosis (TB) Infection Causing Tailbone Pain
  • Kim, Do Un et al. “Isolated coccygeal tuberculosis” Journal of Korean Neurosurgical Society vol. 52,5 (2012): 495-7.
  • Isolated Coccygeal Tuberculosis, 2012 article in the Journal of Korean Neurosurgical Society

    Isolated Coccygeal Tuberculosis, 2012 article in the Journal of Korean Neurosurgical Society

  • Osman, Walid et al. “A Rare Case of Tuberculosis with Sacrococcygeal Involvement Miming a Neoplasm” Case reports in orthopedics vol. 2016 (2016): 7286806.
  • Tuberculosis with Sacrococcygeal Involvement Miming a Neoplasm, 2016 article in Case Reports in Orthopedics

    Tuberculosis with Sacrococcygeal Involvement Miming a Neoplasm, 2016 article in Case Reports in Orthopedics

     

Other TB thoughts from Dr. Foye:
  • Lytic lesions: In the published medical literature, tuberculosis of the coccyx tends to be associated with “lytic” (destructive) appearance on imaging studies.
  • A clinical impression of tuberculosis of the coccyx would usually be based upon a history of tuberculosis (or at least tuberculosis exposure), increased likelihood if there are imaging findings suggesting tuberculosis within other areas of the spine (although, rarely, the spinal tuberculosis might occur only at the coccyx in a more isolated way), failure to respond to typical treatments for coccydynia.
  • Definitive diagnosis would usually require having a surgeon (or perhaps an infectious disease doctor, or interventional radiologists, or interventional musculoskeletal physician) place a needle into the site and obtain whatever fluid or tissue sample can be obtained, and then send that for special testing for tuberculosis. (This could include special cultures to look for acid fast bacilli, or even polymerase chain reaction [PCR] testing for Mycobacterium tuberculosis, etc.)
  • Sputum tests: theoretically a positive sputum test would confirm TB in the lungs and thus make it more likely that a spine lesion might also be TB (and, conversely, a negative sputum test for TB would suggest that there is not TB in the lungs, and thus making it less likely that a spine lesion is from TB). Still, those would be about determining how likely or unlikely it is that there is spine/coccyx TB. Meanwhile, “definitive” diagnosis of a spine lesion is due to TB would generally require obtaining a sample from the coccyx.
  • Coccygectomy testing for TB: in cases where the patient undergoes coccygectomy (surgical removal of the coccyx, tailbone), the coccyx and any other tissue removed can be sent to tthe pathology department for analysis. The surgeon would need to make a special order for the pathology department to test the tissue for tuberculosis (special cultures, etc., that are not routinely done if they are not specifically requested). While some people may think that such testing would be pointless since the coccyx would have been surgically removed anyway, I would beg to differ and say that if there was any question about tuberculosis at the coccygectomy site then it would typically be extremely helpful to know conclusively whether there was or was not tuberculosis there, since this could help the treating physicians and patient to figure out whether or not the patient should be given a course of medications to treat tuberculosis.

GET THE BOOK: To get your copy of the book “Tailbone Pain Relief Now!” go to: www.TailboneBook.com  or go to Amazon.

COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com

- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.

 

Tailbone Anatomy and Imaging Questions-Answers on Facebook Live, with Jason Woon PhD and Patrick Foye MD, on Tailbone Pain, Coccyx Pain

Tailbone Anatomy and Imaging Questions-Answers on Facebook Live, with Jason Woon PhD and Patrick Foye MD, on Tailbone Pain, Coccyx Pain

On February 21, 2019, there was a Live Question-and-Answer session for more than an hour on the Tailbone Pain Center’s Facebook page.

People from around the world asked questions about coccyx pain (tailbone pain, coccydynia), including tailbone anatomy and coccyx imaging studies.

 The questions were answered by Dr. Woon and Dr. Foye.
  • Jason TK Woon, PhD, is from New Zealand, where he was published research on coccyx anatomy and imaging studies.
  • Patrick Foye, M.D., is Director of the Coccyx Pain Center (Tailbone Pain Center) in the United States.
Here is the video:

Or use this Link: https://www.youtube.com/watch?v=jQQSQPOayP8

Here is the screen-capture image from the video:
Jason Woon PhD and Patrick Foye MD, answering coccyx questions on Facebook Live, Feb-2019

Jason Woon PhD and Patrick Foye MD, answering coccyx questions on Facebook Live, Feb-2019


GET THE BOOK: To get your copy of the book “Tailbone Pain Relief Now!” go to: www.TailboneBook.com  or go to Amazon.

COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com

- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.

Dr. Jason T.K. Woon PhD, MBChB, International Lecturer, Anatomy of the Coccyx and Implications on Reading a Standard X-ray

Please join the NJ Society of PM&R for a special event this Wednesday, February 20, 2019, at 6pm.

The special guest speaker from New Zealand will be Dr. Jason T.K. Woon PhD, MBChB.

Dr. Woon is an internationally known lecturer on the topic of coccyx anatomy and coccyx imaging studies. 

Dr. Woon will review the topic: “Anatomy of the coccyx and implications on reading a standard X-ray.”

Jason TK Woon, PhD

Jason TK Woon, PhD

Location:
Tailbone Pain Center,
90 Bergen Street, DOC Suite 3300 conference room,
Rutgers New Jersey Medical School,
Newark, NJ 07103

Free Lecture on Coccyx Anatomy, Jason TK Woon, PhD

Free Lecture on Coccyx Anatomy, Jason TK Woon, PhD

FREE Book on Tailbone Pain: 1-day only, New Year's Day 2019

  • FREE Book on Tailbone Pain: 1-day only, New Year’s Day 2019.
  • Go to Amazon. Get the eBook version (electronic version) for Free.
  • You do NOT need to have a Kindle.
  • You do NOT need to sign up for “Kindle Unlimited” (although Amazon tries to offer you that option).
  • Video explaining this:

Or use this link to the video: https://youtu.be/RN5X3w1PXA4

Screenshot from the video:

Free eBook for New Year's Day 2019, Tailbone Pain Relief Now, Coccyx Book

Free eBook for New Year’s Day 2019, Tailbone Pain Relief Now, Coccyx Book


GET THE BOOK: To get your copy of the book “Tailbone Pain Relief Now!” go to: www.TailboneBook.com  or go to Amazon.

COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com

- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.

Book Now Available! Click on the book to get it now:


Get the Book at www.TailbonePainBook.com