Nuclear Medicine Bone Scans, but NOT DEXA Scans, for Coccyx Pain, Tailbone Pain

Regarding “Bone Scans” for Tailbone Pain, Coccyx Pain… Someone recently asked me to explain the difference between a DEXA Scan and a Nuclear Medicine Bone Scan. DEXA: A dual energy X-ray absorptiometry (DEXA) scan, also called a bone density scan, is a common technique used to measure bone density. This test is basically done to […]

TWO Different Causes of Coccyx Pain (Tailbone Pain) in the Same Patient

Someone recently asked me whether it was possible for someone to have coccyx pain being caused by TWO different causes in the same patient.

Yes, it is certainly possible for patients to have more than one location of coccyx problem. For example, I frequently see patients who have both the most common cause of coccyx […]

Pants' Zippers Blocking View of the Coccyx on X-rays

Pants’ Zippers Blocking View of the Coccyx on Tailbone X-rays Many radiology imaging centers have no idea how to properly perform x-rays of the coccyx for people who have tailbone pain (also called coccyx pain or coccydynia). Sometimes even the most basic problems occur. I have seen many, many patients over the years where the […]

Dr. Foye was Interviewed by Dr. Elif Gürkan, from Istanbul, Turkey, regarding Coccyx Pain (coccydynia, tailbone pain, koksidini, koksiks ağrı)

Dr. Foye was Interviewed by Dr. Elif Gürkan, from Istanbul, Turkey, regarding Coccyx Pain (coccydynia, tailbone pain, koksidini, koksiks ağrı).

They discussed coccydynia (koksidini, coccyx pain, tailbone pain, koksiks ağrı).

If you have tailbone pain and live in Turkey… You can find Dr. Gürkan’s website online at: www.elifgurkan.com

Here is the video, which is […]

MRI showing Inflammation around a Distal Coccyx Bone Spur, on T2 and STIR images, in Tailbone Pain

“STIR” images and “T2″ images on MRI are essentially like filter settings where fluid shows up bright. Some amount of fluid is normal, since many of our body tissues contain significant fluid content (for example, our fat cells [adipose] have significant fluid content). Also, we of course have the fluid we call urine within […]

How often to Repeat Injections for Coccyx Pain, Tailbone Pain, Coccydynia

Many patients with coccyx pain (tailbone pain, coccydynia) get excellent relief and improved quality of life via various types of coccyx injections. Prior to injections, it is important that the patient undergo a thoughtful, careful evaluation regarding the actual source of their pain. Having an accurate diagnosis is important so that the physician can […]

Sacrospinous Ligament, External Palpation on Physical Exam, in Coccyx Pain, Tailbone Pain

Below is a very good video where a Pelvic Floor Physical Therapist explains palpation of the sacrospinous ligament on physical exam.

The sacrospinous ligament (SSL) is a connective tissue structure that spans from the sacrum to the ischial spine, hence the name sacrospinous (i.e., sacro – spinous).

However, despite being called the “sacrospinous” ligament, this […]

Videos of Standard X-rays of the Coccyx (Tailbone), AP and Lateral Views

Below are a couple of videos showing how standard x-rays are done at the coccyx (tailbone).

These are sometimes done for patients who have coccyx pain (coccydynia, tailbone pain).

In general, the best x-rays are the sitting-versus-standing x-rays, and you can read more about those here at this link: http://tailbonedoctor.com/sitting-versus-standing-coccyx-x-rays-for-tailbone-pain/

But unfortunately most radiology centers […]

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 […]

Submit Your Tailbone Questions for the 2nd International Coccyx Pain Symposium, The Netherlands

Patrick Foye, M.D. asks you to “Submit Your Tailbone Questions,” so he can ask and discuss them with other worldwide experts at the 2nd International Coccyx Pain Symposium, in The Netherlands, in late June 2018. Dr. Foye will be giving lectures on non-surgical treatment of tailbone pain. Submit your questions online in the comments… […]

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