Coccygeal plexus pain
Introduction
Introduction to caudal plexus pain Clinically more common, especially in the fall of the hips, the incidence of women is significantly higher than that of men. The caudal plexus composed of 5, tail 1 and part of 3,4 anterior branch of the nerve is more consistent with the fibers under the paraspinal sympathetic trunk. Its branches are as follows: 1. Muscle branch: distributed to the levator ani muscle. 2. Sensory support: There are 3 to 5 small anal nerves distributed in the coccyx area and perianal skin. basic knowledge The proportion of illness: 0.003 - 0.005% Susceptible people: no special people Mode of infection: non-infectious Complications: somatosensory disturbance
Cause
Cause of caudal plexus pain
(1) Causes of the disease
More caused by the fall of the buttocks on the ground.
(two) pathogenesis
1. Trauma: Mainly due to the direct violence caused by the fall of the appendix, women can also be damaged during childbirth.
2. Pelvic disorders: gynecological disorders, prostatitis and hemorrhoids are more common.
3. Tumor: mainly the tumor of the appendix.
4. Others: If you are sitting for a long time, you may also cause degeneration of the appendix and bone hyperplasia.
Prevention
Caudal plexus pain prevention
Usually maintain a good sitting posture, reduce the pressure on the spine, exercise more, can reduce the chance of injury to the tail bone.
Complication
Complications of caudal plexus pain Complications
Can be complicated with sensory impairment.
Symptom
Symptoms of the caudal plexus pain Common symptoms Feeling disorder The gluteal groove seems to be sandwiched... The lumbosacral or lower back pain is allergic
1. Tail pain: depending on the cause, the nature of the pain is quite different, the light is painful, the severe one is burning, and it can be radiated to the ankle; the tenderness is more obvious.
2. Foreign body sensation: I often feel the uncomfortable and unpleasant feeling of foreign objects in the gluteal groove.
3. Sensory dysfunction: The skin at the anus of the tailbone can be found to have hypersensitivity or decreased feeling, but it is rare to disappear completely.
Examine
Examination of caudal plexus pain
X-ray film and MRI examination can understand the state of the tibia and the nature of the lesion.
Diagnosis
Diagnosis and differentiation of caudal plexus pain
1. Clinical features
Mainly for local pain and tenderness.
2. Anal diagnosis
It is helpful to determine the state of the appendix, sphincter tension and tenderness.
3. X-ray film or MRI examination
It can show the state of the appendix and the nature of the lesion.
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