A Diagnostic Odyssey: Coccydynia Misdiagnosis and Its Tolls on Chronic Pelvic Pain

This branch provides a particularized account of diagnostic complicatedness faced accompanying misdiagnosed coccydynia leading to chronic pelvic pain, accompanying a specific objective to cause medical literature and stressing the importance of early disease and early management to better patient outcomes and quality of growth. Coccydynia is a disabling condition from pain in the coccyx region of the backbone. Persistent discomfort in the perineal region, famous as chronic pelvic pain, typically ends longer than six months and can have either instinctive or somatic origins. It doesn’t respond well to traditional painkillers. We report a case of a 42-period-old female agony from severe chronic pelvic pain for the premature 15 years, for that she had been prescribed diversified analgesics including opiates and she experienced multiple surgeries without some relief. She was a misdiagnosed case of coccygeal break which led to chronic pelvic pain for the past 15 y, and when discussed with center of activity impar neurolysis gave her complete pain relief. Coccyx is a sensitive and mobile cartilage which is supported by the sacrococcygeal bond and has more chances of sprain. Trauma to the lower back due to body locating while being seated can further cause chronic twist over the coccyx. At her one-temporal length of event or entity’s existence follow-up, she had NRS 1/10 and was entirely pain-free.When making a differential diagnosis for never-ending pelvic discomfort, especially in women who are fertile, coccydynia needs expected taken into report.

Author(s) Details:

Liaquat Ali,
Department of Anesthesiology, Intensive Care & Pain Management, Fauji Foundation Hospital Rawalpindi, Pakistan.

Sara Haider Malik,
Department of Anesthesiology, Intensive Care & Pain Management, Fauji Foundation Hospital Rawalpindi, Pakistan.

Khaleel Ahmed,
Department of Anesthesiology, Intensive Care & Pain Management, Fauji Foundation Hospital Rawalpindi, Pakistan.

Sana Nasir,
Department of Anesthesiology, Intensive Care & Pain Management, Fauji Foundation Hospital Rawalpindi, Pakistan.

Please see the link here: https://stm.bookpi.org/ACMMR-V4/article/view/12482

Keywords: Chronic pelvic pain, coccydynia, ganglion impar block