Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions


Answer 5
  1. Rectal. The coccyx area is most easily evaluated by rectal examination. The most common causes of coccydynia include direct trauma, intrapelvic neoplasm, colorectal cancer, childbirth, and previous spinal surgery. A movable coccyx palpated on rectal examination suggests a fracture, which should be further evaluated by radiographic imaging studies. If results of the rectal examination are normal, proctologic, gynecologic, and urologic evaluation should be strongly considered. If results of a neoplastic work-up are negative, initial treatment should be conservative, using NSAIDs and a sitting cushion. In the posttraumatic setting, patients who do not respond to conservative therapy can be considered for coccygectomy.

Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 1/04/08 • kkj