Conservative Treatment of Anteriorly Angulated Post-traumatic Coccydynia: A Case Report

Abstract

Coccydynia refers to pain in the coccygeal region, typically exacerbated by sitting and commonly resulting from direct trauma or difficult childbirth. We report the case of a 34-year-old woman presenting with persistent coccygeal pain one month after falling down a flight of stairs. Clinical examination revealed localized tenderness over the coccyx, aggravated by sitting, while lateral radiography demonstrated anterior angulation of the coccyx. Conservative treatment was initiated, including avoidance of prolonged sitting, use of a coccygeal cushion, local analgesic therapy, and a structured physiotherapy program. At three months, the patient's pain decreased from 7/10 to 2/10 on the VAS, with improved sitting tolerance. This case highlights the effectiveness of individualized conservative treatment in post-traumatic coccydynia before any invasive interventions.