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, […]
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Many patients come to see me for coccydynia (coccyx pain, tailbone pain). Occasionally we discover that their pain seems to be coming from a mass, tumor, abscess, or similar problem. (We see these types of things in ~ less than 5% of our patients with coccyx pain.) One such mass is called a Tailgut Cyst […] On Tailbone Pain Awareness Day, November 15, 2019, Dr. Foye answered live questions about coccyx pain from people worldwide. The event was held on the Facebook page for the Tailbone Pain Center, which is located at: https://www.facebook.com/TailbonePainCenter/ Here is the video from the Question and Answer session: Or you can watch the video […] Coccygectomy is the surgical amputation, or removal, of the coccyx (removal of the tailbone). After a coccygectomy, it is relatively common to develop a fluid collection at the surgical site. I spoke with a group of European coccygectomy surgeons about this topic when I lectured at the International Coccyx Pain Symposium in 2016 and […] Here is an excerpt from Dr. Foye’s book, Tailbone Pain Relief Now! Chapter 25: Coccygectomy: Surgical Removal of the Tailbone. Page 197: “Published research by Dr. Wood (at Harvard Medical School) documented that after coccygectomy as high as 35 percent of patients have postoperative complications including wound problems (infection or persistent drainage). Meanwhile, Dr. […] Periosteum of the Coccyx: Tailbone Periosteal Layer and Coccygectomy. Recently I have received a lot of questions about the periosteum and whether the periosteum should be left in place when ppatient undergoes a coccygectomy (surgery to amputate or removed the coccyx, or tailbone). What is the periosteum? The periosteum is a very thin layer of […] Someone recently asked me: How Soon After a Coccygectomy can you have a Steroid Injection? The answer is: “it depends.” Most patients tolerate corticosteroid (steroid) injections very well. These injections can be very helpful for a wide variety of painful musculoskeletal conditions. But it is important to recognize that there are some people who are […] 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 […] Here’s an idea to help improve surgical outcomes when coccygectomy is done for coccydynia, coccyx pain, tailbone pain: Intraoperative X-rays During Coccygectomy, To Improve Surgical Outcomes for Coccydynia, Coccyx Pain, Tailbone Pain I wrote this up and submitted it to a medical journal called “Pediatric Surgery International” and they published it this past week. Over […] 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 […] |
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