Wrong-Minded Denials of Coccyx X-rays by the UK Radiology Directorate, NHS Foundation Trust

Apparently, in the United Kingdom, the National Health Service (NHS) has radiology protocols that explicitly deny the usefulness of tailbone x-rays (coccyx radiographs, xrays) for patients suffering with tailbone pain (coccyx pain, coccydynia).

A person in the UK who suffers from tailbone pain sent me the following link: (As of Feb-11-2018, this PDF can be […]

Sitting Versus Standing Coccyx X-rays for Tailbone Pain

For details on how to do sitting versus standing xrays of the coccyx for tailbone pain…

X-rays are done while the person is standing and then again while they are seated. These are also called “dynamic xrays”.

For excellent details from Dr. Maigne, in Paris, France…

Here is the link to follow:

http://sofmmoo.org/coccyx_management.htm

Best Coccyx X-ray Views: Side-View versus Front-View for Tailbone Pain

Which Xray Views are Best for Evaluating Tailbone Pain, Coccyx Pain? I recently did a video explaining which views are best when doing x-rays (radiographs) for coccyx pain (tailbone pain). Here is the text from that video, and the actual video itself is down below. (The actual video is at the bottom of this page.) […]

Yellow Highlighter Cured Cancer?!? Tailbone Pain, Coccyx Pain.

Yellow Highlighter Cured Cancer?!? Tailbone Pain, Coccyx Pain. The video is at the bottom of this page. Here is the text: I’m going to tell you a story that’s crazy, but true, of how I used a yellow highlighter to cure cancer in my father-in-law and then I’ll tell you how it’s related to tailbone […]

3-D, 3-dimensional CT scan for Tailbone Pain, Coccyx Pain

Medical imaging studies for Tailbone Pain Medical imaging studies can be very helpful in making an accurate diagnosis in patients with coccyx pain (also called coccydynia, or tailbone pain). The most common medical imaging studies for tailbone pain include: X-rays: especially “sitting-versus-standing” x-rays to look for “dynamic instability” ( unstable joints of the coccyx). MRI: […]

MRI of Pilonidal Cyst causing Tailbone Pain, Coccyx Pain

What is a Pilonidal Cyst? A pilonidal cyst is a collection of fluid and tissue, which can cause pain in the area of the sacrum and coccyx (tailbone). I recently published an online article and video discussing the symptoms and physical exam findings of Pilonidal Cyst. You can see that previous article and previous video […]

How Big is that Coccyx Mass, Cyst, Tumor, or Cancer?

Sometimes I find that my patients with tailbone pain (coccyx pain, coccydynia) actually have a mass, cyst, tumor, or cancer either within the tailbone itself or in the nearby tissues. Examples can include pilonidal cyst, retro-rectal hamartoma (tailgut cyst), chordoma (a type of bone cancer that tends to happen at the coccyx and is […]

Tailbone X-Rays (Coccyx X-Rays), NOT Lumbar

The Tailbone (Coccyx) is NOT the Same as the Lumbar Spine. Practically every day, patients with tailbone pain come to see me from around the country or from around the world. Many have faced a similar challenge regarding imaging studies. Specifically, it is unfortunately VERY common that the patient has tailbone pain (coccyx pain, coccydynia), […]

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 […]

Tailbone MRI Versus CT scan for Coccyx Pain

Which is better when evaluating tailbone pain (coccyx pain), an MRI or a CT scan? CT scan can be very good at showing bone, but MRI can show not only bone but ALSO give good definition of soft tissue structures. Some of the soft tissue structures that show up clearly on MRI include: abscess (which […]

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