[Undetected coccyx fracture in a woman with fibromyalgia].
Unentdeckte Os-coccygis-Fraktur bei Patientin mit Fibromyalgiesyndrom.
Coccygectomy
Coccygodynia
Coccyx fracture
Fibromyalgia
Fibromyalgia syndrome
Journal
Schmerz (Berlin, Germany)
ISSN: 1432-2129
Titre abrégé: Schmerz
Pays: Germany
ID NLM: 8906258
Informations de publication
Date de publication:
Dec 2019
Dec 2019
Historique:
pubmed:
10
7
2019
medline:
18
12
2019
entrez:
10
7
2019
Statut:
ppublish
Résumé
This article presents the case of a 46-year-old woman with fibromyalgia with an undetected fracture of the coccyx. The heterogeneity of the symptoms of patients suffering from fibromyalgia including chronic widespread pain, vegetative and functional disorders, mental and physical exhaustion as well as sleep disorders can cause accidentally undetected comorbidities, especially if these are rare and predominantly present with pain as the main symptom. In the present case the reason for symptoms was detected only after 14 months of ineffective therapies and diagnostic procedures. The coccygeal pain was eliminated through a coccygectomy as ultima ratio. It should be nevertheless emphasized that patients with fibromyalgia suffer from a central pain-processing disorder. Indications for operative treatment must be very carefully considered. Surgery should only be considered in consultation with the patient and after failed conservative therapy.
Identifiants
pubmed: 31286239
doi: 10.1007/s00482-019-0392-0
pii: 10.1007/s00482-019-0392-0
doi:
Types de publication
Case Reports
Journal Article
Langues
ger
Sous-ensembles de citation
IM
Pagination
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