Lee Shin-Hyo, Yang Miyoung, Won Hyung-Sun, Kim Yeon-Dong
Department of Anatomy, Wonkwang University School of Medicine, Iksan, Korea.
Jesaeng-Euise Clinical Anatomy Center, Wonkwang University School of Medicine, Iksan, Korea.
Korean J Pain. 2023 Jul 1;36(3):272-280. doi: 10.3344/kjp.23175.
Coccydynia is a debilitating pain disorder. However, its pathophysiology is not well understood. When approaching coccydynia, the exact underlying cause of pain must be identified to develop an appropriate treatment plan. The specific approach to coccydynia can vary depending on an individual's condition and the underlying cause. Thorough evaluation by a pain physician is essential to determine the most appropriate course of treatment. The purpose of this review is to examine the various causes contributing to coccygeal pain and specifically focus on the exact anatomical neurostructures, such as the anococcygeal nerve, perforating cutaneous nerve, and ganglion impar. We also reviewed the relevant clinical outcomes and suggested recommendations for each anatomical structure.
尾骨痛是一种使人衰弱的疼痛性疾病。然而，其病理生理学尚未得到充分了解。在处理尾骨痛时，必须确定疼痛的确切潜在原因，以便制定适当的治疗方案。尾骨痛的具体治疗方法可能因个体情况和潜在原因而异。疼痛科医生进行全面评估对于确定最合适的治疗方案至关重要。本综述的目的是研究导致尾骨疼痛的各种原因，并特别关注确切的解剖神经结构，如肛门尾骨神经、穿皮神经和奇神经节。我们还回顾了相关的临床结果，并针对每个解剖结构提出了建议。
