Understanding.
Anterior dislocation corresponds to a forward displacement of one coccygeal segment relative to the segment above it. It can occur, in particular, after a fall. Pain when sitting or defecating may accompany it.
The assessment.
Lateral X-rays analyze the alignment and look for an associated fracture. Depending on the context, a CT scan or MRI completes the assessment. A natural forward curvature does not, in itself, constitute a dislocation.
Treatments.
Treatment depends on the duration, displacement, and impact. Pain management and seating adjustments may be sufficient. Some recent dislocations warrant a specialist consultation regarding reduction; this is neither systematic nor a self-treatment.
Follow-up.
Follow-up assesses the evolution of pain and the return to activities. Published data on this rare injury do not allow for a single treatment to be offered for everyone.
Your questions.
Is it always necessary to put the coccyx back in place?+
No. The decision is based on the symptoms, the assessment, and the risks of the procedure.
Coccygectomy.
Indications, preparation, procedure, follow-up, and risks: key information for discussing this option during a consultation.