Pants' Zippers Blocking View of the Coccyx on X-rays

Pants’ Zippers Blocking View of the Coccyx on Tailbone X-rays Many radiology imaging centers have no idea how to properly perform x-rays of the coccyx for people who have tailbone pain (also called coccyx pain or coccydynia). Sometimes even the most basic problems occur. I have seen many, many patients over the years where the […]

Patrick Foye, MD, Reviews a New Book for Doctors, about Coccyx Pain, Tailbone Pain, Coccydynia

Patrick Foye, MD, Reviews a New Book for Doctors, about Coccyx Pain, Tailbone Pain, Coccydynia.

This book is written by the physicians and speakers from the First International Coccyx Pain Symposium, which was held in Paris, France, in 2016.

Dr. Foye wrote a chapter on using injections to treat tailbone pain.

Here is the video:

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Collaborating with Pelvic Floor Physical Therapists in Treating Coccyx Pain, Tailbone Pain

Pelvic Floor Physical Therapy can be immensely valuable for many patients with certain types of pelvic pain.

I was reflecting this weekend and feeling grateful for having met and collaborated with so many wonderful Pelvic Floor Physical Therapists over the years.

It has been wonderful sharing patients in common, or giving lectures to the therapists, […]

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 […]

Male Pelvic Floor Anatomy, Short Video Clip

I like the way this video is really nicely illustrated.

It is just showing the basics, without much detail, but that is a perfect starting point for patients who are just first learning about their pelvic floor.

You can see the short video here:

https://www.facebook.com/mypfm/videos/2179402842349343/

The link above is a 23 second clip from a […]

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: https://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 […]

Viscosupplementation Injections (Hyaluronic Acid Injections) for Coccyx Pain, Tailbone Pain

Can viscosupplementation injections help relieve coccydynia (coccyx pain, tailbone pain)? Viscosupplementation injections (hyaluronic acid injections) in the United States are currently only FDA-approved for osteoarthritis of the knee. However, we certainly know that many patients have osteoarthritis (also called degenerative joint disease) at other joints, including at the coccyx. So, theoretically, doing these types of […]

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Get the Book at www.TailbonePainBook.com

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