{"title":"Return to cycling protocol after chronic coccydynia: a case report.","authors":"Melissa Hamilton, Kristen Mangos","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To outline a successful return to cycling protocol in a patient recovering from chronic coccydynia.</p><p><strong>Case presentation: </strong>A 34-year-old female recreational cyclist suffered chronic coccydynia for one year. She received a cortisone shot that provided relief until she had a hysterectomy, which then intensified the pain. She was referred to a pelvic floor physiotherapist where she was discharged after one visit due to no pelvic abnormalities. She then sought chiropractic care where she went through a return to cycling protocol based around coccydynia rehabilitation and pain management. The patient was able to return to cycling after 22 weeks of chiropractic care.</p><p><strong>Summary: </strong>Coccydynia is a painful condition that has no universally accepted treatment or guidelines for management. As such, there are no return-to-sport protocols for individuals who have developed coccydynia in sports. Here we present an evidence-based protocol that can assist practitioners in the management of chronic coccydynia.</p>","PeriodicalId":38036,"journal":{"name":"Journal of the Canadian Chiropractic Association","volume":"69 4","pages":"381-395"},"PeriodicalIF":0.0000,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12871886/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the Canadian Chiropractic Association","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/12/30 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"Health Professions","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To outline a successful return to cycling protocol in a patient recovering from chronic coccydynia.
Case presentation: A 34-year-old female recreational cyclist suffered chronic coccydynia for one year. She received a cortisone shot that provided relief until she had a hysterectomy, which then intensified the pain. She was referred to a pelvic floor physiotherapist where she was discharged after one visit due to no pelvic abnormalities. She then sought chiropractic care where she went through a return to cycling protocol based around coccydynia rehabilitation and pain management. The patient was able to return to cycling after 22 weeks of chiropractic care.
Summary: Coccydynia is a painful condition that has no universally accepted treatment or guidelines for management. As such, there are no return-to-sport protocols for individuals who have developed coccydynia in sports. Here we present an evidence-based protocol that can assist practitioners in the management of chronic coccydynia.
期刊介绍:
The Journal of the Canadian Chiropractic Association (JCCA) publishes research papers, commentaries and editorials relevant to the practice of chiropractic.