体外冲击波疗法缓解尾痛症患者的疼痛：两例报告。
Extracorporeal shock wave therapy relieved pain in patients with coccydynia: a report of two cases.
机构信息
Department of Orthopaedic Surgery, Jaber Al-Ahmad Armed Forces Hospital, PO Box 24923, 13110 Safat, Kuwait.
Department of Orthopaedic Surgery, Jaber Al-Ahmad Armed Forces Hospital, PO Box 24923, 13110 Safat, Kuwait.
出版信息
Spine J. 2014 Jan;14(1):e1-4. doi: 10.1016/j.spinee.2013.07.438. Epub 2013 Oct 2.
BACKGROUND CONTEXT
Extracorporeal shock wave therapy (ECSWT) has been used widely for musculoskeletal conditions; however, no reports are available about its use for coccydynia.
PURPOSE
Study the effect of ECSWT in relieving pain of coccydynia.
STUDY DESIGN
Case report.
METHODS
Extracorporeal shock wave therapy was used for two male patients, Patients 1 and 2, who failed to respond completely to other conservative management of coccydynia. Numerical pain scale (NPS) and visual analogue scale (VAS) were used to assess the pain. Consent to publish the data was obtained from both the patients.
RESULTS
Before starting ECSWT, Patient 1 reported a pain intensity of 6/10 and 5.1/10 on NPS and VAS, respectively, whereas the intensity of pain in Patient 2 was 7/10 and 6.9/10 on NPS and VAS, respectively. Four weeks after ECSWT, Patient 1 reported complete relief of pain on NPS and VAS, whereas Patient 2 reported a pain intensity of 1/10 and 0.8/10 on NPS and VAS, respectively. The same intensity of pain was reported by both patients after 12 months of follow-up.
CONCLUSIONS
Extracorporeal shock wave therapy relieved pain of coccydynia in our patients.
背景
体外冲击波疗法（ESWT）已广泛应用于肌肉骨骼疾病，但尚无关于其用于尾骨痛的报道。
目的
研究 ESWT 缓解尾骨痛的效果。
研究设计
病例报告。
方法
对两名男性患者（患者 1 和患者 2）采用体外冲击波疗法，他们对尾骨痛的其他保守治疗均未完全缓解。使用数字疼痛量表（NPS）和视觉模拟量表（VAS）评估疼痛。从两名患者处均获得发表数据的同意。
结果
在开始 ESWT 之前，患者 1 的 NPS 和 VAS 疼痛强度分别为 6/10 和 5.1/10，而患者 2 的 NPS 和 VAS 疼痛强度分别为 7/10 和 6.9/10。ESWT 治疗 4 周后，患者 1 的 NPS 和 VAS 疼痛完全缓解，而患者 2 的 NPS 和 VAS 疼痛强度分别为 1/10 和 0.8/10。在 12 个月的随访中，两名患者均报告了相同强度的疼痛。
结论
体外冲击波疗法缓解了我们患者的尾骨痛。
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