Pregnancy After Coccygectomy: Vaginal Delivery Versus Cesarean Section

I was recently contacted by a  woman who had undergone a  coccygectomy (which is surgical amputation/removal of the coccyx/tailbone). Her question was whether, after having undergone coccygectomy, it would or would not be advisable for her to undergo a cesarean section rather than a vaginal delivery for any subsequent pregnancy. Perhaps you, the reader, […]

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 […]

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 […]

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 […]

No Surgical Hardware for Tailbone Pain

Sometimes patients ask me whether tailbone pain (coccyx pain) can be treated by placing surgical hardware into or onto the tailbone to stabilize any instability of the tailbone.

At first consideration, this is a reasonable thought.

Firstly, unstable joints of the tailbone are one of the most common causes of tailbone pain (and this diagnosis […]

Pain and Pelvic Floor Prolapse after Coccygectomy (Tailbone Removal)

Coccygectomy is surgical removal of the tailbone (essentially amputating the tailbone).

There are not great long-term studies about long-term complications of having the tailbone removed.

The short-term risks include infection at the surgical site, especially in the first few weeks or months after the surgery.

Infection: In some studies up to 20% of patients need […]

Tailbone Removal (Coccygectomy): Drains, Antibiotics

Surgical removal of the tailbone (coccyx) is medically known as coccygectomy.

In the United States the coccygectomy surgery would often be considered an outpatient surgery, meaning that you have the surgery in the morning and go home by that evening. But that may vary depending on how someone is doing in the recovery area after […]

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