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 viscosupplementation injections might be helpful for arthritic joints at locations other than the knee (specifically, potentially including the joints of the coccyx).
  • However, to my knowledge, no actual research study has been done looking at these injections at the coccyx.
  • So, insurance companies (in the United States at least) typically do not cover payment for injections at the coccyx.
  • But it’s an interesting area and I think it would most likely be helpful for those with osteoarthritis of the coccyx (and  this would be something that I would be willing to inject for my patients if the patient or their insurance company were able to provide the viscosupplementation to inject).
  • Examples of commercially available hyaluronic acid injections for viscosupplementation include: Hyalgan, Euflexa, Synvisc, Orthovisc, Hymovis.
  • – Patrick Foye, M.D.
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For more information on coccyx pain, or to be evaluated at Dr. Foye’s Tailbone Pain Center in the United States, go to:
Patrick Foye, M.D.
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