Effectiveness of coccygeal manipulation in coccydynia: A randomized control trial

The purpose of this study was to find out the effectiveness of coccygeal manipulation in the management of coccydynia.

Randomized control trial where the subjects were randomly allocated to control & experimental groups.

Physiotherapy outpatient department of KLES Hospital, Belgaum, Karnataka state, India - 590 010.

Subjects with idiopathic coccydynia.

Phonophoresis, TENS & coccygeal manipulation.

Intensity of pain on visual analogue scale & pain free sitting time.

Control group subjects were treated with phonophoresis, use of coccygeal pillow and TENS only. Experimental group subjects were treated with coccygeal manipulation in addition to above protocol of the treatment.

Subjects treated with coccygeal manipulation had statistically and clinically better out come in terms of pain relief and pain free sitting time at the end of tenth treatment session.

Idiopathic coccydynia is somewhat common in obese individuals as it determines the way a subject sits. Coccygeal manipulation could be of help and can be used as an addition to the conventional physiotherapy treatment.