Saturday, 18 November 2023

A Diagnostic Odyssey: Coccydynia Misdiagnosis and Its Tolls on Chronic Pelvic Pain | Chapter 13 | Advanced Concepts in Medicine and Medical Research Vol. 4

 This branch provides a itemized account of diagnostic complicatedness faced accompanying misdiagnosed coccydynia leading to chronic pelvic pain, accompanying a specific objective to influence medical literature and stressing the importance of early disease and early management to help patient outcomes and quality of existence. 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 prior 15 years, for that she had been prescribed diversified analgesics including opiates and she endured multiple surgeries without some relief. She was a misdiagnosed case of coccygeal break which generated chronic pelvic pain for the past 15 y, and when medicated 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 sticking while being seated can too cause chronic twist over the coccyx.  At her one-period follow-up, she had NRS 1/10 and was entirely pain-free.When making a differential diagnosis for incessant 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

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