Coccydynia or pain in the coccyx is the syndrome with which women most often come to the Yusupov Hospital. The coccyx is the lower part of the spinal column, next to which nerve fibers pass. With injuries or pathological processes in this area, periodic pain occurs, which can spread to the inner surface of the thigh, buttocks, and also manifest itself in the area of the reproductive organs.
Coccydynia, for which symptoms and treatment are specific to women, can cause suffering to a woman and affect her quality of life. Proctologists, neurologists, gynecologists and other experienced specialists at the Yusupov Hospital treat coccydynia using modern methods and means. If you experience periodic pain in the coccyx area, proctologists recommend not postponing your visit to the Yusupov Hospital, as this symptom may indicate serious pathologies.
Reasons for the development of coccydynia
Pain in the coccyx is common among women, which is due to the location of the reproductive organs and the structure of the pelvis. Pain syndrome can be caused by various reasons, among which proctologists and neurologists identify the most common:
- previous injuries to the coccygeal or sacral nerve plexuses. When hitting a hard object or falling, a dislocation or displacement of the tailbone may occur; in some cases, patients visiting the Yusupov Hospital may experience inflammation of the muscles in this area or scarring of nearby soft tissues. With post-traumatic coccydynia, pain syndrome can develop much later than the time when the injury was sustained, so many patients do not associate the syndrome with this event;
- diseases of the muscles and nerves in the perineal area, its prolapse;
- formation of scars in the anal area;
- regular bowel movements and the habit of sitting on an excessively soft surface;
- diseases of nearby organs and structures: pelvic bones, pelvic muscles, rectum.
Pain in the coccyx area can be associated with gynecological diseases, diseases of the bladder or rectum, therefore, when conducting diagnostics at the Yusupov Hospital, women interact not only with a proctologist, but also receive advice from a gynecologist or neurologist.
An important stage in the interaction of doctors and candidates of medical sciences, proctologists is informing the patient about what coccydynia is, symptoms and treatment in women, reviews left by women confirm the professionalism of doctors and the high quality of medical services.
After a comprehensive diagnosis at the Yusupov Hospital, the attending physician tells the patient the diagnosis and the reason for its occurrence, after which he offers a developed individual program for the treatment of the syndrome. Patients at the Yusupov Hospital will find out the exact cost of medical services before starting treatment.
Classification of pathology
The disease is divided into two forms - primary and secondary:
- Primary. Occurs due to spinal injury. In this case, the cause may be displacement, severe bruise, or crack. Sometimes it can appear a long time immediately after the injury.
- Secondary. In such a situation, pain syndrome is caused by third-party diseases, both proctological and urological. This type of disease is divided into two types. The first is pain due to problems with the rectum; this case is called “proctalgia”. The second is the concentration of pain in the rectum. It can have a diffuse localization, spreading to the genitals, abdomen, buttocks. This case is called "anorectal pain."
Coccydynia according to ICD-10
The International Classification of Diseases, 10th revision, is used by doctors to convert the clinical formulation of a disease into a code that provides convenient storage of data. According to ICD-10, coccydynia refers to sacrococcygeal degenerative processes that are not classified in other categories and has the code M53.3.
Patients visiting the Yusupov Hospital receive medical care that meets international standards. Coloproctologists regularly study world experience in treating this disease, innovative methods of its treatment and engage in scientific activities, the results of which are presented at various conferences and symposia.
One of the main advantages of the Yusupov Hospital is that the patient can receive a complex of diagnostic, therapeutic, and rehabilitation measures in one place. Coccydynia in women, the symptoms of which may be mistaken by the patient for manifestations of other diseases, requires long-term treatment. Patients turn to coloproctologists with varying degrees of severity of coccydynia; experienced specialists are ready to provide medical assistance even in severe cases.
Prevention
The first thing you can do to avoid coccydynia and many other diseases is to visit your doctor regularly. A specialist can promptly identify concomitant diseases and prevent the development of coccyx pathology. If you have already discovered signs of coccydynia, you should immediately seek professional help. In the early stages, the disease is treated much easier and faster. In addition, it is worth taking care of the presence of comfortable orthopedic furniture in the workplace. Don't sit with your legs tucked to your chest, try to take the pressure off your tailbone. If it is not possible to purchase orthopedic furniture, try placing a small pillow - it is both more comfortable and safer. Last but not least, try to avoid injuries to the tailbone and pelvic organs. If this fails, consult a doctor immediately.
Coccydynia in women: symptoms
The symptoms of coccydynia are the same in different forms of the disease, which are distinguished depending on the causes of the syndrome. A characteristic sign of a degenerative process in the coccyx area is regular severe pain, which intensifies when a person spends a long time in a sitting position on a hard surface. Coccydynia limits the range of movements, since the moment a woman gets up from the surface, there is a sharp increase in pain.
Coccydynia, the symptoms and treatment of which are interrelated in women, can cause discomfort during bowel movements, in some cases patients mistake them for a sign of hemorrhoids. In the absence of adequate therapy, there is an increase in pain in the coccyx, which causes spasm of the pelvic muscles. Pain from the sacral area can spread to the groin or buttocks. During an attack, patients notice pale skin and increased sweating.
Coccydynia affects the life of a woman who, as the disease progresses, cannot sit on a hard surface for a long time and is forced to use chair cushions. In addition, regular pain interferes with normal sleep and daily activities. Another sign of coccydynia is a change in the woman's gait, which will lean forward to reduce the load on this segment of the spine.
During consultations, coloproctologists at the Yusupov Hospital draw women’s attention to the fact that pain in the coccyx area will intensify without treatment. In some cases, solving this problem requires the help of not only a proctologist, neurologist or traumatologist, but also the participation of a highly qualified psychologist, since women in this state can become depressed.
Complaints from patients coming to the Yusupov Hospital with signs of coccydynia are also associated with sexual dysfunction due to pain, defecation and deterioration of well-being. With coccydynia, experts note disturbances in the functioning of the cardiovascular system, dizziness, high blood pressure and intense work of the sweat glands. For this problem, doctors at the Yusupov Hospital not only treat the underlying disease, but also related disorders.
Pathogenesis
Due to injuries, inflammatory processes and ischemia, functional and morphological changes in the periosteum occur. As a result, persistent painful irritation appears. As the pathology develops, the outer fibrous membrane of the coccyx becomes unevenly compacted and sclerosed. Dystrophic lesions of the cambial cells of the periosteum and its disseminated irritation are also noted. Lymphoid infiltration and capillary ischemia occur. Foci of pathological bone formation of periosteal tissues form in the affected area.
About a third of cases of this disease are not associated with organic pathologies of the pelvic organs or injuries. In this case, we are talking about idiopathic coccydynia . In this case, the pathology is associated with pathomorphological manifestations in the presacral and hypogastric nerve plexuses. As a result, the outflow of venous blood worsens and the threshold of sensitivity to pain decreases.
To this day, scientists are conducting research into the etiopathogenetic aspects of this disease, since they have not been fully studied.
Anatomy of the coccyx
Principles of treatment of coccydynia
Treatment of coccydynia at the Yusupov Hospital is carried out by coloproctologists according to an individual plan, which is drawn up by specialists taking into account the current condition of the patient and the causes of the syndrome. In case of severe pain, treatment of coccydynia is carried out in a hospital setting. The Yusupov Hospital has a modern hospital with an increased level of comfort.
An individual treatment program for coccydynia is based on a medicinal method, supplemented by physical procedures that increase the effectiveness of therapeutic measures. Treatment of coccydynia is carried out by proctologists in several areas:
- eliminating the causes that caused this syndrome;
- relieving symptoms using medications;
- elimination of spasms and pinched nerve endings;
- preventing constipation, which increases pain;
- combating depression and solving psychological problems that interfere with the patient’s sex life;
- use of means to improve the condition of bone and cartilage tissue;
- accelerating the regeneration of affected tissues, strengthening the body’s immune response.
The developed plan of therapeutic measures, including these directions, and the cost of medical services are agreed upon with the patient at the Yusupov Hospital before the start of treatment.
Forecast
It is not easy to cure this disease, since very often there are difficulties in determining the etiological factors that provoke its development. However, in the process of a comprehensive study, a good specialist can choose the right treatment tactics and significantly improve the patient’s quality of life.
But in general, this disease is not associated with diseases leading to death. However, the disease causes significant discomfort, so treatment should be started as early as possible.
Coccydynia: symptoms and treatment in women
Conservative treatment of coccydynia using medications is the main treatment for this syndrome; surgical intervention is performed in exceptional cases in case of dislocation or fracture of the coccyx. At the same time, experts are considering the possibility of using minimally invasive procedures.
For coccydynia, proctologists can prescribe a woman the following groups of drugs:
- drugs that have an analgesic effect, such as apizone, lidocaine and analgin;
- when an inflammatory process is detected, non-steroidal anti-inflammatory drugs are indicated, which include movalis and declac;
- Muscle relaxants help relieve muscle spasms, but their use without a doctor’s prescription is unacceptable, as they have many contraindications and side effects;
- antibiotics are used for infectious processes that cause coccydynia;
- laxative suppositories and microenemas are used to eliminate constipation;
- chondroprotectors containing glucosamine help improve the structure of cartilage and bone tissue;
- to normalize the functioning of the nervous system, women with coccydynia are prescribed B vitamins, which take part in the synthesis of serotonin;
- immunostimulants increase the body's protective functions and accelerate tissue regeneration.
Some women, when experiencing back pain, limit themselves to traditional methods and advice. Coloproctologists at the Yusupov Hospital use traditional medicine methods that are highly effective. Coccydynia, whose symptoms and treatment in women are similar to some other diseases, can cause serious consequences, which can be prevented by timely consultation, diagnosis and treatment under the supervision of an experienced specialist. At the Yusupov Hospital, proctologists accept patients by appointment, the time of which can be clarified by phone.
List of sources
- Aminev A.M., Perov Yu.A. Coccydynia, proctalgia // Diagnosis and treatment of diseases of the rectum and colon: collection of works. - M. - Kuibyshev, 1974. — P. 86 -87.
- Belenky A.G. Coccinogyny // Russian. medical journal, 2004. - T. 12, No. 6. - P. 396-398.
- Dultsev, Yu.V. Diagnosis and treatment of anococcygeal pain syndrome: Methodological recommendations. - M., 1977. - 11 p.
- Kugaevsky, Yu.B. Coccydynia (literature review and preliminary clinical observations) // About diseases of the rectum and colon. Collection of scientific papers. - M., 1973. - Issue. 6. - pp. 44-50.
Analgesic methods
Today, in medical practice, special attention is paid to the elimination of pain. Different countries practice the organization of diverse institutions, the main task of which is the treatment of pain, including pain of unknown origin. As a rule, it is preferable to eliminate pain without the use of narcotics: local anesthetics, blockade of nerve fibers with novocaine, peloid therapy (hot mud applications) are used. Cortisone blockades, which were widely used in the past, are practically not used today, since they have lower effectiveness and are poorly tolerated by patients.
Anorectal neuralgia
With anorectal neuralgia, diffuse pain develops in the anal region, in some cases radiating to the thigh, buttocks and vagina. Such phenomena often occur in postmenopausal women and can be accompanied by various neurological and neurasthenic pathologies (neuroses, depression, hypochondria).
Often anococcygeus syndrome is neurogenic in nature. Many patients associate long-term pain with deadly pathologies; such patients often develop an obsessive fear of cancer; they require specialists to conduct a thorough and as complete examination as possible, as well as surgical treatment.