Prevalence of Coccydynia Among Postpartum Women

Prevalence of Coccydynia Among Postpartum Women


  • Abida Arif Bahria College of Physical Therapy, Bahria University Health Sciences campus, Karachi, Pakistan
  • Soha Sardar Riphah College of Rehabilitation and Allied Health Sciences, Riphah International University Faisalabad Campus, Faisalabad, Pakistan
  • Maymoonah Farah Gilani Bahawalpur Institute of Medical Sciences, Bahawalpur, Pakistan
  • Rashida Muneer Riphah College of Rehabilitation and Allied Health Sciences, Riphah International University Faisalabad Campus, Faisalabad, Pakistan
  • Aqsa Naz Islam college of Physical therapy, Sialkot, Pakistan
  • Nosheen Manzoor Riphah College of Rehabilitation and Allied Health Sciences, Riphah International University Faisalabad Campus, Faisalabad, Pakistan
  • Muhammad Kashif Riphah College of Rehabilitation and Allied Health Sciences, Riphah International University Islamabad Campus, Islamabad, Pakistan



Coccydynia, Postpartum Women, SLR Test, PR Test


Coccydynia is a painful condition of the coccyx that can have various etiologies. Females are affected five times more than males by this condition. In addition to being chronic and difficult to manage, its symptoms can be detrimental to quality of life. Objective: To determine the prevalence of coccydynia among postpartum women. Methods: In this study, 881 postpartum women were selected through non probability convenience sampling from obstetrics and gynecology ward of Allied Hospital, Faisalabad. Self-structured questionnaire was used which contains different sections; section 1 contains Demographic information of the participants; section 2 contains subjective and Objective assessment.  Two tests straight leg raise and per rectal were performed confirm coccydynia. SPSS version 21.0 were used to enter and analysis the data. Results: Test According to SLR test, 396(45%) were positive and 485(55%) were negative in SLR test. According to PR test, 538(61%) were positive and 343(39%) were negative in PR test. The finding of the study shows that 538(61%) postpartum females have coccydynia. A significant relationship was found between Coccydynia and the method of delivery (p<.005), position with less pain (p<.001), and intensity of pain (<p.001). Conclusions: Coccydynia is most commonly found in postpartum women based on the results of this study. Coccydynia was also significantly associated with the method of delivery, the position with less pain, and the intensity of the pain during childbirth


Chen SP. Coccydynia in Taiwanese women: biomechanical and physiological study (Doctoral dissertation, University of Southampton). 2010.

Garg B and Ahuja K. Coccydynia-A comprehensive review on etiology, radiological features and management options. Journal of Clinical Orthopedics and Trauma. 2021 Jan; 12(1): 123-9. doi: 10.1016/j.jcot.2020.09.025.

Maigne JY, Doursounian L, Chatellier G. Causes and mechanisms of common coccydynia: role of body mass index and coccygeal trauma. Spine. 2000 Dec; 25(23): 3072-9. doi: 10.1097/00007632-200012010-00015.

Maigne J, Pigeau I, Aguer N, Doursounian L, Chatellier G. Chronic coccydynia in adolescents. A series of 53 patients. European Journal of Physical and Rehabilitation Medicine. 2011 Jun; 47(2): 245-51.

Kalstad AM, Knobloch RG, Finsen V. The treatment of coccydynia in adolescents: A case-control study. Bone & Joint Open. 2020 May; 1(5): 115-20. doi: 10.1302/2633-1462.15.BJO-2020-0017.

Foye PM, Shupper P, Wendel I. Coccyx fractures treated with intranasal calcitonin. Pain physician. 2014 Mar; 17(2): 233-29. doi: 10.36076/ppj.2014/17/e229.

Sa’adatu MA. Manipulation in Coccydynia: A Case Study. Indian Journal of Physiotherapy and Occupational Therapy-An International Journal. 2016 Jan; 10(1): 62-5. doi: 10.5958/0973-5674.2016.00014.9.

Shams A, Gamal O, Mesregah MK. Sacrococcygeal morphologic and morphometric risk factors for idiopathic coccydynia: a magnetic resonance imaging study. Global Spine Journal. 2021 Feb: 2192568221993791. doi: 10.1177/2192568221993791.

Hodges SD, Eck JC, Humphreys SC. A treatment and outcomes analysis of patients with coccydynia. The spine journal: official journal of the North American Spine Society. 2004 Mar; 4(2): 138-40. doi: 10.1016/j.spinee.2003.07.011.

Trollegaard A, Aarby N, Hellberg S. Coccygectomy: an effective treatment option for chronic coccydynia: retrospective results in 41 consecutive patients. The Journal of Bone and Joint Surgery. 2010 Feb; 92(2): 242-5. doi: 10.1302/0301-620X.92B2.23030.

Hanley E, Ode G, Jackson IJ, Seymour R. Coccygectomy for patients with chronic coccydynia: a prospective, observational study of 98 patients. The bone & joint journal. 2016 Apr; 98(4): 526-33. doi: 10.1302/0301-620X.98B4.36641.

Balain B, Eisenstein SM, Alo GO, Darby AJ, Cassar-Pullicino VN, Roberts SE, et al. Coccygectomy for coccydynia: case series and review of literature. Spine. 2006 Jun; 31(13): E414-E20. doi: 10.1097/01.brs.0000219867.07683.7a.

Doursounian L, Maigne JY, Faure F, Chatellier G. Coccygectomy for instability of the coccyx. International orthopaedics. 2004 Mar; 28(3): 176-9. doi: 10.1007/s00264-004-0544-3.

Lee J, Purnomo G, Hutabarat AF. Management of Coccydynia: Literature Review, Clinical Decision Making, and Case Studies. Critical Reviews™ in Physical and Rehabilitation Medicine. 2020 Dec; 32(4): 247-57. doi: 10.1615/CritRevPhysRehabilMed.2020036869.

White WD, Avery M, Jonely H, Mansfield JT, Sayal PK, Desai MJ. The interdisciplinary management of coccydynia: a narrative review. PM & R: the journal of injury, function, and rehabilitation. 2022 Sep; 14(9): 1143-54. doi: 10.1002/pmrj.12683.

Lirette LS, Chaiban G, Tolba R, Eissa H. Coccydynia: an overview of the anatomy, etiology, and treatment of coccyx pain. The Ochsner Journal. 2014 Mar; 14(1): 84-7.

Howard PD, Dolan AN, Falco AN, Holland BM, Wilkinson CF, Zink AM. A comparison of conservative interventions and their effectiveness for coccydynia: a systematic review. Journal of Manual & Manipulative Therapy. 2013 Nov; 21(4): 213-9. doi: 10.1179/2042618613Y.0000000040.

Fogel GR, Cunningham PY, Esses SI. Coccygodynia: evaluation and management. The Journal of the American Academy of Orthopedic Surgeons. 2004 Jan; 12(1): 49-54. doi: 10.5435/00124635-200401000-00007.

Van De Pol G, Van Brummen HJ, Bruinse HW, Heintz APM, Van Der Vaart CH. Pregnancy‐related pelvic girdle pain in the Netherlands. Acta obstetricia et gynecologica Scandinavica. 2007 Apr; 86(4): 416-22. doi: 10.1080/00016340601151683.

Maigne JY and Chatellier G. Comparison of three manual coccydynia treatments: a pilot study. Spine. 2001 Oct; 26(20): E479-E83. doi: 10.1097/00007632-200110150-00024.

Maigne J-Y, Chatellier G, Le Faou M, Archambeau M. The treatment of chronic coccydynia with intrarectal manipulation: a randomized controlled study. Spine. 2006 Aug; 31(18): E621-E7. doi: 10.1097/01.brs.0000231895.72380.64.



DOI: 10.54393/pjhs.v3i07.418
Published: 2022-12-31

How to Cite

Arif, A. ., Sardar, S. ., Farah Gilani, M. ., Muneer, R. ., Naz, A. ., Manzoor, N. ., & Kashif, M. . (2022). Prevalence of Coccydynia Among Postpartum Women: Prevalence of Coccydynia Among Postpartum Women. Pakistan Journal of Health Sciences, 3(07), 108–112.



Original Article


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