Intraoperative X-rays During Coccygectomy, To Improve Surgical Outcomes for Coccydynia, Coccyx Pain, Tailbone Pain

Here’s an idea to help improve surgical outcomes when coccygectomy is done for coccydynia, coccyx pain, tailbone pain:
Intraoperative X-rays During Coccygectomy, To Improve Surgical Outcomes for Coccydynia, Coccyx Pain, Tailbone Pain
  • I wrote this up and submitted it to a medical journal called “Pediatric Surgery International” and they published it this past week.
  • Over the past 20 years, many patients have come to see me due to persistent coccyx pain after coccygectomy (surgical amputation of the coccyx).
  • In many cases, we find that the surgeon accidentally left fragments of the coccyx behind. Depending on the location, these can be painful.
  • In other cases, the primary site of the coccyx problem was never removed by the surgery.So the pain persists.
  • These problems happen mainly because the surgeon has only a limited view through a small incision during this surgery into a small area.
  • My proposed solution is for surgeons to take x-rays immediately before starting the surgery and before ending the surgery. This way, the surgeons could be more confident about whether they removed all of the bones that they wanted to remove. The x-rays would also show if the surgeons left a sharp or pointy edge at the site where they cut through the bone. (This is important since a sharp, pointy edge can cause pain when you sit on it.)
  • I brought this up in the context of a case where x-rays were used during removal of a cancer in the coccyx region. My proposal is that this approach should also be used for coccydynia patients who do not have cancer.
  • I am very happy that this international surgery journal has published this.
  • I hope that surgeons will read this and start to follow this recommendation.
  • I think this can decrease the number of coccygectomy patients who have a bad and painful outcome.
Dr Foye's Letter- X-rays during coccygectomy for coccyx pain, tailbone pain

Dr Foye’s Letter- X-rays during coccygectomy for coccyx pain, tailbone pain

PubMed - X-rays during coccygectomy for coccyx pain, tailbone pain

PubMed – X-rays during coccygectomy for coccyx pain, tailbone pain

Pediatric Surgery International, Journal Cover

Pediatric Surgery International, Journal Cover

Intraoperative X-rays during coccygectomy, Regarding Coccyx Pain, Tailbone Pain

Intraoperative X-rays during coccygectomy, Regarding Coccyx Pain, Tailbone Pain

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Patrick Foye, M.D.
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Patrick Foye, M.D.

Founder and Director at Tailbone Pain Center
Dr. Foye is an expert at treating tailbone pain (coccyx pain).

His personable, private-practice office is located on a modern, renowned, academic medical school campus, at Rutgers New Jersey Medical School.

For an appointment, call 973-972-2802.

http://tailbonedoctor.com/
Patrick Foye, M.D.
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