tail pain
Introduction
Introduction to tail pain Coccygodynia, which is often seen in clinical practice, is more common in women, especially in middle-aged women. It is mainly characterized by soft tissue pain such as the tailbone and surrounding muscle ligaments. Due to its special anatomical location, it is mainly clinically difficult to sit, and its prognosis is mostly good. basic knowledge The proportion of illness: 0.001% Susceptible people: more common in women, especially in middle-aged women Mode of infection: non-infectious Complications: lumbar disc herniation
Cause
Cause of tail pain
(1) Causes of the disease
The cause is unknown and may be related to trauma and deformity.
(two) pathogenesis
The detailed mechanism of the disease is still unclear, based on clinical data analysis. It is related to the following factors:
1. Trauma: The most common, including the fracture of the tailbone, dislocation or general trauma can be caused, in addition to the early symptoms of trauma, advanced cases can also leave local pain for several months.
2. Malformation: Congenital caudal vertebra deformity is mostly hook-shaped. This state will inevitably cause high tension state of surrounding muscles and ligaments, causing these tissues to cause pain due to premature degeneration, so the cause of the disease It is rarer than before.
3. Others: There are a number of factors that can cause this disease, including central lumbar disc herniation, ankle tumor or cyst, pedicle collapse with slippage and many other factors.
Prevention
Tail pain prevention
There is no effective preventive measure for this disease. Early detection and early diagnosis are the key to the prevention and treatment of this disease.
Complication
Complications of tail pain Complications lumbar disc herniation
There are generally no other complications.
Symptom
Symptoms of tail pain Common symptoms The midline of the tail of the sacral pain is small... Tail tenderness and abnormal activity
Depending on the cause, the difference is due to the fracture of the tailbone. Because the distal end of the fracture is displaced by the tail muscle and the levator ani muscle, it is displaced forward or laterally. Pain occurs when standing or standing. Pain is mild in the position, the pain is aggravated when sitting or the stool is strong; and there is tenderness in the local area. The anus can be diagnosed with tenderness and abnormal activity of the tailbone, sometimes touching the fracture end and displacement, due to other reasons, Most of the symptoms are mild, especially in cases of congenital and long-term illness.
Examine
Examination of tail pain
X-ray plain film examination must be combined with clinical, because the tailbone itself can have a flexion deformity, X-ray anterior film mainly observes the presence or absence of fracture line and lateral displacement, lateral slice can be found in the tailbone fracture or the appendix or tailbone itself Sharp angles or dislocations, generally do not require CT and MRI examination.
Diagnosis
Diagnosis of tail pain
According to clinical manifestations, X-ray examination can assist in diagnosis.
