Radial Extracorporeal Shockwave Therapy (rESWT) for Coccydynia: a Quasi-experimental Case Series

N/ACompletedNCT05753514

Barts & The London NHS Trust14 enrolled

Overview

The aim of this study was to assess whether a pain-adapted protocol of rESWT is effective in treating coccydynia.

Study Type

INTERVENTIONAL

Allocation

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Coccyx Injury

Interventions

ESWTOTHER

ESWT

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Age ≥18 years * VAS pain level ≥6 * Diagnosis of coccydynia (persistent pain in the coccygeal area consistent with coccydynia) Exclusion Criteria: * Age \<18 years * Local or systemic neurological disease * Rheumatological disease * Malignant disease * Previous spinal surgery or spinal disease * Coagulopathies * Pregnancy * VAS pain level \<6 * Recent (≤6 weeks) trauma to the coccyx

Outcomes

Primary Outcomes

Management of coccydynia

Management of coccydynia (pain in the coccyx). The main presenting symptom is pain. its management is the primary goal of treatment. The pain VAS was used to monitor patient response and clinical improvement throughout treatment, with patients ranking the severity of their pain at rest, between "no pain" (0) and "worst imaginable pain" (10). Patients were asked their pain level before treatment at each session; although, this did not form part of our formal data collection. Treatment continued until patients reported a VAS pain level ≤3, at which point they were discharged from the clinic.

Time frame: 12 months

Data from ClinicalTrials.gov

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