| OBJECTIVE: To report a case of post-traumatic pelvic floor pain caused by direct trauma to the coccyx with resultant myofascial trigger points and demonstrate that conservative care may resolve coccygodynia and prevent coccygectomy. CLINICAL FEATURES: A 30-year-old female was unable to sit or walk comfortably because of post-traumatic myofascial coccygodynia. INTERVENTION AND OUTCOME: One trigger point pressure release treatment of the levator ani, obturator internus, and coccygeal myofascial trigger points resolved chronic coccygodynia without manipulation of the coccyx. Immediately following the treatment, she was able to sit on a hard surface with 90% relief of the coccygodynia and ambulate with 70% reduction of the pain. CONCLUSIONS: Health care providers and surgeons should consider myofascial evaluation and management prior to surgical excisions of the coccyx for chronic coccygodynia. This abstract is reproduced with the permission of the publisher; full text by subscription. ICL in process citation, pending correction of URL link at publisher's site to this specific article.
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