Coccygectomy

Coccygectomy is a surgical procedure that involves the removal of the coccyx, also known as the tailbone. This procedure is typically performed to alleviate persistent coccydynia, or pain in the coccyx region, that has not responded to conservative treatment methods.

Indications

Coccygectomy is generally considered a last resort treatment for severe, disabling coccydynia that has not responded to non-surgical treatments such as physical therapy, pain management with medications, and corticosteroid injections. The most common cause of coccydynia is trauma to the coccyx area, such as a fall. Other causes can include childbirth, tumors, and infections.

Procedure

Coccygectomy is performed under general anesthesia. The patient is placed in the prone position, and a small incision is made over the coccyx. The coccyx is then carefully dissected free from the surrounding tissues and removed. The wound is then closed with sutures.

Risks and Complications

As with any surgical procedure, coccygectomy carries risks. These can include infection, bleeding, nerve damage, and complications related to anesthesia. There is also a risk of persistent pain after the surgery.

Recovery

Recovery from coccygectomy can take several weeks. Patients are typically advised to avoid sitting for prolonged periods and to use a specially designed cushion when sitting is necessary. Physical therapy may be recommended to help improve strength and flexibility in the coccyx area.

See Also

• Coccydynia
• Coccyx
• General anesthesia
• Physical therapy