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The deep dorsal sacrococcygeal ligament (ligamentum sacrococcygeum posterius profundum) is a continuation of the posterior longitudinal ligament. [1] A flat band arising inside the sacral canal, posteriorly at the orifice of the fifth sacral segment, it descends to the dorsal surface of the coccyx under its longer fellow described below.
These ergonomic devices may be described as "orthopedic cushions" or "coccyx cushions". They are generally available in a round doughnut design (which was recommended by the expert consensus panel), [ 16 ] or as a rectangular seat with an area at the back removed.
It stretches from median sacral crest [3] and the free margin of the sacral hiatus [1] to the dorsal surface of the coccyx. [ 1 ] The lateral sacrococcygeal ligaments run from the lower lateral angles of the sacrum to the transverse processes of the first coccygeal vertebra to complete the foramina for the last sacral nerve . [ 1 ]
Sitting on soft surfaces is recommended, as this reduces pressure on the coccyx. A 'donut' or 'wedge' cushion may be purchased – these are simply cushions with a hole in them to ensure that no weight is placed in the injured tailbone. Painkillers such as ibuprofen are also recommended, as is a diet high in fibre to soften stools and avoid ...
Coccygectomy is the treatment of last resort for coccydynia (coccyx pain) which has failed to respond to nonsurgical treatment. Non surgical treatments include use of seat cushions, external or internal manipulation and massage of the coccyx and the attached muscles, medications given by local injections under fluoroscopic guidance, and ...
The anterior sacrococcygeal ligament or ventral sacrococcygeal ligament consists of a few irregular fibers, which descend from the anterior surface of the sacrum to the front of the coccyx, blending with the periosteum. [1]
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