Before mobilizing (manipulating) the coccyx, FIRST the treating physicians should DIAGNOSE what is CAUSING the tailbone pain.
The most common cause of coccyx pain is coccygeal HYPERMOBILITY. Hypermobility means that there is too much mobility, or movement, at the bones and joints of the coccyx. This is caused by laxity, or looseness of the ligaments that would normally keep the joints stable. This is also called coccygeal dynamic instability. The important point is that this is the MOST COMMON cause of coccyx pain.
Be careful, since if the coccyx ALREADY has excessive mobility, then mobilization (manipulation) could make the hypermobility even WORSE.
If the coccygeal joints are already too loose, moving too much, then it probably does not make sense to do a treatment to make the joints move even more or to loosen those joints even more. Manipulation can make the hypermobility even worse.
To diagnose hypermobility: Sitting-versus-standing x-rays of the coccyx are done to assess whether there is excessive movement of the coccyx while the person is sitting. When sitting, you put your body weight onto the coccyx. The tailbone position while sitting is compared with the position while standing. For more information on this, see: https://tailbonedoctor.com/sitting-versus-standing-coccyx-x-rays-for-tailbone-pain/
The important point is that the treating physician should work to make a specific diagnosis FIRST, BEFORE considering manipulation / mobilization of the coccyx.
COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Coccyx Pain Center in the United States, go to: www.TailboneDoctor.com
– Patrick Foye, M.D., Director of the Tailbone Pain Center, New Jersey, United States.
His personable, private-practice office is located on a modern, renowned, academic medical school campus, at Rutgers New Jersey Medical School.
For an appointment, call 973-972-2802.
https://tailbonedoctor.com/
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- Before coccyx mobilization (manipulation), FIRST DIAGNOSE the CAUSE of tailbone pain - July 30, 2024
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