Periosteum of the Coccyx: Tailbone Periosteal Layer and Coccygectomy.

Periosteum of the Coccyx: Tailbone Periosteal Layer and Coccygectomy.

Recently I have received a lot of questions about the periosteum and whether the periosteum should be left in place when ppatient undergoes a coccygectomy (surgery to amputate or removed the coccyx, or tailbone).

What is the periosteum? The periosteum is a very thin layer of […]

How Soon After a Coccygectomy Can You Have a Steroid Injection?

Someone recently asked me:

How Soon After a Coccygectomy can you have a Steroid Injection? The answer is: “it depends.” Most patients tolerate corticosteroid (steroid) injections very well. These injections can be very helpful for a wide variety of painful musculoskeletal conditions. But it is important to recognize that there are some people who are […]

Does local anesthetic relief predict response to coccygectomy?

I’d like to clarify… absolutely I do say that it is important to notice how much relief there is during the 1st hour or so after a local anesthetic injection. If a local anesthetic injection at the coccyx is done under image guidance (such as fluoroscopy, thus confirming accurate/appropriate placement of the injection) and […]

How to improve surgical outcomes when coccygectomy is done 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 […]

4 Reasons why Tailbone Fractures and Dislocations Can NOT be Treated like Other Body Regions

Why can’t you just treat coccyx pain or injuries the same way you would treat other musculoskeletal injuries? There are 4 main reasons: #1: You can NOT put a CAST on the tailbone. Unlike an injury to your arm or leg, you can not put a CAST on your tailbone. #2: You can NOT use […]

Tailbone Injections AFTER Coccygectomy (Surgical Removal of the Coccyx)

Coccygectomy is surgical removal of the coccyx. Fortunately, the vast majority of patients with coccydynia (coccyx pain, tailbone pain) respond well to NON-surgical treatment and therefore do NOT require coccygectomy. Typical treatments include coccyx cushions and tailbone injections. For those small percentage of patients who fail to get adequate relief despite injections, etc., it […]

Sit-Stand Coccyx / Tailbone X-rays After Coccygectomy?

I was recently asked: Do I order sitting-versus-standing coccyx x-rays for patients who have persistent pain after coccygectomy (surgical removal of the coccyx/tailbone).

MY RESPONSE:

1) First of all, do we know for sure whether the ENTIRE tailbone has indeed been surgically removed?

If we know for sure that the entire tailbone has been […]

Scar Tissue after Coccygectomy (Tailbone Removal Surgery)

Essentially all surgery results in some scar tissue at the surgical site. Not all scar tissue needs to be treated. If the scar tissue is not causing any symptoms or problems, sometimes it’s best to just ignore it. However, scar tissue can sometimes be painful or cause irritation of nerves, muscles, and tendons in […]

Do you want your tailbone after it is surgically removed?

Tailbone pain (also called coccyx pain, or coccydynia) sometimes requires surgical treatment. Surgery to remove the coccyx is called coccygectomy.

Fortunately, the vast majority of people with tailbone pain respond well to non-surgical treatment, such as the use of cushions, medications by mouth, and coccyx injections.

For those uncommon cases where the tailbone needs to […]

Why not just remove the tailbone in all people with tailbone pain?

You may be wondering… “If I have tailbone pain, why not just have it surgically removed? Why bother trying non-surgical approaches?”

Why not just remove the tailbone right off the bat for people having tailbone pain? My answer would be that the vast majority of patients do well with milder and easier treatments. The milder […]

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