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… […]

EggSitter Cushion for Tailbone Pain, Honeycomb Gel Cushion for Coccyx Pain

The Egg-Sitter is one of Many Different Cushions for Tailbone Pain, Coccyx Pain There are many different types of cushions used by people suffering from coccyx pain (tailbone pain). Patients come to the Coccyx Pain Center from around the world, bringing their coccyx cushions with them. Sometimes if someone has a type of cushion that […]

Tailbone-Coccyx Fractures and Dislocations, Last Chapter in New Medical Textbook

New Book Chapter on Coccyx Fractures and Tailbone Dislocations, Last Chapter in New Medical Textbook In this video, Dr. Foye discusses the chapter he wrote on Tailbone Fractures and Coccyx Dislocations. This is the very last chapter in a recently published medical textbook. Patrick Foye, M.D., is director of the Coccyx Pain Center at Rutgers […]

Water Slides Causing Tailbone Pain, Coccyx Injuries. Published in The Journal of Emergency Medicine

I am happy to report that The Journal of Emergency Medicine has just published my research article, titled, “Tailbone Pain from Coccyx Injuries on Water Slides: A Case Series.”

Waterslides Causing Coccyx Injuries, Patrick Foye, Journal of Emergency Medicine, 2018

The Journal of Emergency Medicine has the article available online here: (Note: the journal […]

Reddit AMA: Ask Me Anything about Tailbone Pain, Coccyx Pain, Coccydynia

Reddit AMA: Ask Me Anything about Tailbone Pain, Coccyx Pain, Coccydynia What: Reddit has an AMA (Ask Me Anything) format where I will answer questions online within the Reddit community. Where: Reddit.com AMA. Go to: https://www.reddit.com/r/IAmA/comments/8i7035/iama_tailbone_pain_physician_ask_me_anything/ When: Wednesday, May 9, 2018, at 12:00 noon eastern time (New York City time). Why: I already am on […]

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