IJPR.2017.116

Type of Article:  Case Report

Volume 5; Issue 3 (May 2017)

Page No.: 2010-2012

DOI: https://dx.doi.org/10.16965/ijpr.2017.116

EFFECTIVENESS OF MANUAL THERAPY IN COCCYDYNIA: A CASE REPORT

Samina Ghulam *, Amjad Sharif.

Physiotherapist, Armed Forces Institute of Rabilitation Medicine, Rwawalpindi, Pakistan.

Address for Correspondence: Samina Ghulam, Physiotherapist, Armed Forces Institute of Rabilitation Medicine, Rwawalpindi, Pakistan E-Mail: Saminaghulam.sg@gmail.com

ABSTRACT

Introduction: Coccydynia is a painful disorder of the end portion of vertebral column. This is a relatively unusual condition with no universally accepted treatment. Patients with coccydynia should be managed conservative; conservative treatments include NSAIDs, local steroid injections, physiotherapy and precautions. Surgery can offer when failure of conservative treatment.

Case Description: A 28 years old female with chronic coccxydynia for two years after carrying a child, she had gone through physiotherapy, NSAIDs, and local steroids repeatedly. She was advised for coccygectomy. Her married and social life was extremely disturbed.

Procedure: Procedure of soft tissue mobilization (myofascial release) for pain management and sacrococcygeal joint mobilization was adopted to resume the mobility of joint.

Result: Before procedure, Score of Oswestry disability index was 38% that showed moderate disability, pain level on VAS was 6/10 and after treatment remarkable change in symptoms, Score of Oswestry disability index was 2% that showed minimal disability, pain level on VAS was 0/10

Purpose: This case report describes the successful management of chronic coccydynia by sacrococcygeal joint mobilization and soft tissue release. This report will also help clinician to select appropriate manual therapy measure and avoid unnecessary use of other techniques and therapies. It also will avoid the hesitation in application of maneuver.

Recommendation: The further research and clinical trials are needed to explore selection of manual therapy procedures in term of their effectiveness on patients with chronic coccydynia.

Key Words: Coccydynia, Manual Therapy, Myofascial Release, Sacrococcxygeal Mobilization, Coccygectomy.

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Cite this article: Samina Ghulam, Amjad Sharif. EFFECTIVENESS OF MANUAL THERAPY IN COCCYDYNIA: A CASE REPORT. Int J Physiother Res 2017;5(3):2010-2012. DOI: 10.16965/ijpr.2017.116
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