This document summarizes a presentation on the surgical management of coccygeal pain. It describes a clinical case of a 57-year old female with coccygeal pain after a fall that was exacerbated by sitting and straining. An MRI showed an acute angulation of the coccyx. A literature review found 20 studies on coccygeal surgery, with outcomes ranging from 33-100% pain relief and an average of over 80% pain relief. The conclusion is that surgery is very effective in treating refractory coccydynia after conservative treatments have failed.
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The Flying Colours Project by Paula Dawson began on 26th of March 2020 in response to the situation caused by the COVID-19 pandemic. The first 60 watercolour works in the series have each been painted with a particular individual or family in mind, imagining what colours would speak to them. The paintings vary in size from 46 x 61 cm and 36 x 51 cm to smaller works measuring 26 x 36 cm. Each painting with its personally chosen pallet has been sent by Australia Post or given in person at the recommended social distancing space. There is a performative element to the series as Paula makes a unique work in her studio each day since the onset of the pandemic.
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Paula Dawson – The Flying Colours ProjectMQ_Library
The Flying Colours Project by Paula Dawson began on 26th of March 2020 in response to the situation caused by the COVID-19 pandemic. The first 60 watercolour works in the series have each been painted with a particular individual or family in mind, imagining what colours would speak to them. The paintings vary in size from 46 x 61 cm and 36 x 51 cm to smaller works measuring 26 x 36 cm. Each painting with its personally chosen pallet has been sent by Australia Post or given in person at the recommended social distancing space. There is a performative element to the series as Paula makes a unique work in her studio each day since the onset of the pandemic.
The extraordinary hologram To Absent Friends, created by Paula Dawson in 1989 was generously donated to Macquarie University by Paula in 2005. At that time To Absent Friends was the largest depth of field hologram in the world, it’s a super dazzling work that is one of a kind on an international scale. Tours on dedicated days and times will be organised for the latter part of this year.
The Flying Colours Project coincides with the 10 year anniversary of launching the landmark exhibition Virtual Encounters: Paula Dawson Holograms at Macquarie University Art Gallery in partnership with Newcastle Region Art Gallery.
Please follow the link to the MUAG website to view Paula’s remarkable series of works in all its variations of pattern, colour and movement.
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The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
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Ebs coccygeal pain 2012
1. Surgical management of coccygeal pain
Hazem Akil, MD,MRCSEd
Macquarie Neurosurgery
Evidence Based Surgery presentation
August 2012
EBS presentation
2. Clinical case
• 57 year old female
• Fall on her bottom 1.5 year ago
• Pain in the coccygeal area, exacerbated by sitting, straining, coitus
• MRI showed acute angulation of the coccyx
• Bone scan did not show increased uptake
EBS presentation
3. Clinical case
• Underwent u/s guided injection with temporary relief of
pain for one day
• Offered surgery afterwards
EBS presentation
4. Clinical question
• Is surgery effective in treatment of refractory coccydynia?
EBS presentation
20. Author(s) Year Type No of pts Outcome (+)
Karadimas et al 2011 review 671 85%
Kerr et al 2011 retrospective 26 84.6%
Biligic et al 2010 retrospective 25 84%
Cheng et al 2011 ? 31 87.1%
Cabesoy et al 2007 retrospective 21 100%
Sehirlioglu et al 2007 retrospective 74 71 has positive results
Balain et al 2006 case series 31 71%
88% (traumatic)
Pennekamp et al 2005 retrospective 16
38% (idiopathic)
Kirkham et al 2004 retrospective 20 90%
Trollegaard et al 2010 retrospective 39 33 pts
Traub et al 2009 retrospective 8 87.5%
21. Author(s) Year Type No of pts Outcome (+)
Postacchini et al 1983 retrospective 51 88%
Bayne et al 1984 retrospective 48 60%
Eng et al 1988 retrospective 27 67%
Hellberg et al 1990 retrospective 65 86%
Maigne et al 2000 prospective 37 92%
Perkins et al 2003 retrospective 13 54%
Doursounian et al 2004 retrospective 61 87%
Mouhsine et al 2006 retrospective 15 93%
22. Author(s) Year Type No of pts Outcome (+)
Gaspar et al 2009 retrospective 34 82%
Feldbrin et al 2005 retrospective 9 6
Karalezli et al 2004 retrospective 14 12
Hodges et al 2004 retrospective 11 82%
Ramsey et al 2003 retrospective 15 87%
Grosso et al 1995 retrospective 9 100%
Wray et al 1991 prospective 23 21
Wray et al 1982 retrospective 37 33
23. Conclusions
• Surgery is very effective in treating refractory coccydynia
• All papers looked at surgery following reasonable time of
conservative/non-surgical management
• Consideration of complications (infection)
EBS presentation