THE EFFICACY OF INTRATEKAL LEVATOR ANI RELAXATION TECHNIQUE ON PAIN AND FUNCTIONS IN PATIENTS WITH CHRONIC COCYDINIA: CASE CONTROL STUDY

Background: Pain affecting coccyx is referred to as coccygodynia. The aetiology of coccydynia can be multifactorial, with several associated factors such as obesity, female gender and low mood. This pain is often associated with obesity, female gender, trauma, falling on the tailbone, long cycling, or by women after childbirth Pain is usually harsh and may limit daily activities. Useful treatment option is manual therapy that it uses a lot of spine condition. We aim to investigate efficacy of manual therapy technich in patients with acute traumatic coccygodynia patients. Method; From 2017 to 2018, we enrolled 19 patients with acute post-traumatic coccygodynia (15 females, 4 males; mean age 37 years, range 27–47). Levator ani muscle streching and postisometric relaxation tecniques were performed via intrarectal way to all patients. At follow-up 1 month, clinical outcomes evaluation included measurement of pain relief (numeric rating scale) and satisfaction degree. Results Eight patients experienced excellent pain relief, while seventeen had incomplete, and two had no relief. Conclusions; We found a effective treatment option of intrarectal levator ani muscle relaxation techniques in chronic non-traumatic coccydynia