Journal on Recent Advances in Pain

Register      Login

VOLUME 2 , ISSUE 2 ( May-August, 2016 ) > List of Articles

CASE REPORT

Coccydynia with Central Sensitization plays an Important Role as Pain Generator

Monika Dabgotra, Mousumi Datta

Citation Information : Dabgotra M, Datta M. Coccydynia with Central Sensitization plays an Important Role as Pain Generator. J Recent Adv Pain 2016; 2 (2):62-64.

DOI: 10.5005/jp-journals-10046-0043

Published Online: 01-09-2014

Copyright Statement:  Copyright © 2016; The Author(s).


Abstract

Introduction

Reported is a case of “idiopathic coccydynia” with chronic pain which was refractory to conservative, medical, and interventional treatment. A diagnosis of central sensitization with coccydynia was made, and the patient responded very well to desensitization program with lignocaine and clonidine mixture. Central sensitization has proven its identity in fibromyalgia, chronic low back pain, and arthritis. But reports in coccydynia are lacking. This case report highlights the role and successful treatment of central sensitization in chronic “idiopathic coccydynia.”

How to cite this article

Malik S, Das G, Dabgotra M, Datta M. Coccydynia with Central Sensitization plays an Important Role as Pain Generator. J Recent Adv Pain 2016;2(2):62-64.


PDF Share
  1. Peridural injections in the treatment of coccygodynia. Apropos of 31 cases. Rev Rhum Mal Osteoartic 1976 Mar;43(3):217-220.
  2. The pelvis. In: Clay JH, Pounds DM, editors. Basic clinical massage therapy: integrating anatomy and treatment. 2nd ed. Baltimore (MD): Lippincott Williams & Wilkins; 2006. p. 430-486.
  3. Idiopathic coccygodynia. Analysis of fifty-one operative cases and a radiographic study of the normal coccyx. J Bone Joint Surg Am 1983 Oct;65(8):1116-1124.
  4. Clinical and radiological differences between traumatic and idiopathic coccygodynia. Yonsei Med J 1999 Jun;40(3):215-220.
  5. MRI in coccydynia. Indian J Pain 2016;30(1):61-66.
  6. Blocking caspase activity prevents transsynaptic neuronal apoptosis and the loss of inhibition in lamina II of the dorsal horn after peripheral nerve injury. J Neurosci 2005 Aug 10;25:7317-7323.
  7. Caudal epidural block. In: Das G, Gurumoorthi R, editors. Common pain management procedures. 1st ed. Kolkata (West Bengal): The Pain Clinic; 2013. p. 81-92.
  8. Ganglion impar block for management of chronic coccydynia in an adolescent. Paediatr Anaesth 2009 Nov;19(11):1137-1138.
  9. Coccyx controversy. Massage Today [Internet]; 2006 Sep [cited 2007 Nov 17]: 6(9). Available from: http://www.massagetoday.com/mpacms/mt/article.php?id=13478.
  10. Clinical lectures on the diseases of women. Lecture XVII: coccydynia and diseases and deformities of the coccyx. Med Times Gaz 1859;40:1-7.
  11. Evidence for a central component of post-injury pain hypersensitivity. Nature 1983 Dec;306(5944):686-688.
  12. Peripheral and central mechanisms of pain generation. In: Stein C, editor. Analgesia. 1st ed. New York (NY): Springer; 2007. p. 3-30.
  13. Central sensitization: a generator of pain hypersensitivity by central neural plasticity. J Pain 2009 Sep;10(9):895-926.
  14. Chronic pain management. In: Butterworth JF, Mackey DC, Wasnick JD, editors. Morgan & Mikhail's clinical anesthesiology. 5th ed. Singapore: McGraw-Hill Companies; 2013. p. 1034-1037.
  15. Central sensitization: uncovering the relation between pain and plasticity. Anesthesiology 2007 Apr;106(4):864-867.
  16. Coccygodynia: cause and treatment. Dis Colon Rectum 1963 Nov-Dec;6:422-436.
  17. Coccygectomy in patients with coccydynia. Acta Orthop Traumatol Turc 2007 Aug-Oct;41(4):277-280.
  18. Coccydynia: an overview of the anatomy, etiology, and treatment of coccyx pain. Ochsner J 2014 Spring;14(1):84-87.
  19. The effect of neuroscience education on pain, disability, anxiety, and stress in chronic musculoskeletal pain. Arch Phys Med Rehabil 2011 Dec;92(12):2041-2056.
  20. Treatment of central sensitization in patients with ‘unexplained’ chronic pain: an update. Expert Opin Pharmacother 2014 Aug;15(12):1671-1683.
  21. Fear of pain, pain catastrophizing, and acute pain perception: Relative prediction and timing of assessment. J Pain 2008 Sep;9(9):806-812.
  22. Cognitive behavioral therapy for managing pain. Clin Psychol 1996;49(3):4-5.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.