{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:44:28Z","timestamp":1787499868972,"version":"build-2736575974"},"reference-count":48,"publisher":"Aboutscience Srl","license":[{"start":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T00:00:00Z","timestamp":1745539200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch. Physioter"],"abstract":"<jats:p>Introduction: Various physical therapy interventions for coccydynia have been evaluated, but their effectiveness has not yet been comprehensively synthesized. This systematic review aims to evaluate the effectiveness of physical therapy interventions in adults with coccydynia.Methods: A systematic search of relevant randomized controlled trials (RCTs) was conducted in PubMed\/MEDLINE, EMBASE, CINAHL, Scopus, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), and Physiotherapy Evidence Database (PEDro). Outcomes of interest included pain, function, mobility, and patient satisfaction. Due to the heterogeneity of the included studies, a narrative synthesis was performed.Results: A total of 515 adults with coccydynia across 10 studies were included in the review. Physical therapy interventions, including extracorporeal shock wave therapy, kinesiotaping plus exercise, levator anus stretching or massage, manipulation alone or manipulation plus electrotherapy or exercise, and muscle energy technique, showed significant improvements in pain and function in the short term. Additionally, kinesiotaping plus exercise showed significant short-term improvement in trunk mobility. In the intermediate term, manipulation alone and levator anus stretching or massage were effective at reducing pain, whereas manipulation alone was effective at improving function. In the long term, levator anus stretching or massage showed sustained improvement in pain.Conclusions: Overall, physical therapy interventions led to short-term improvements in pain and function for adults with coccydynia. However, there is a need for high-quality studies with long-term follow-ups to compare the efficacy of various physical therapy interventions, both in isolation and in combination.<\/jats:p>","DOI":"10.33393\/aop.2025.3233","type":"journal-article","created":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T02:48:08Z","timestamp":1746413288000},"page":"77-89","source":"Crossref","is-referenced-by-count":4,"title":["Effectiveness of physical therapy interventions for coccydynia: a systematic review with a narrative synthesis"],"prefix":"10.33393","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2448-8971","authenticated-orcid":false,"given":"Mohammad","family":"Sidiq","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0703-9675","authenticated-orcid":false,"given":"Hariharasudhan","family":"Ravichandran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3866-9351","authenticated-orcid":false,"given":"Balamurugan","family":"Janakiraman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2871-3697","authenticated-orcid":false,"given":"Aksh","family":"Chahal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0102-2773","authenticated-orcid":false,"given":"Richa","family":"Hirendra Rai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0903-3898","authenticated-orcid":false,"given":"Ahmed","family":"Hamoud Alotaibi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7445-2820","authenticated-orcid":false,"given":"Ali","family":"Hamoud Alotaibi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3465-6626","authenticated-orcid":false,"given":"Abdullah","family":"Saad Alotaibi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5711-1639","authenticated-orcid":false,"given":"Aminu","family":"Alhassan Ibrahim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eid","family":"Abed Alharbi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8272-674X","authenticated-orcid":false,"given":"Faizan","family":"Zaffar Kashoo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7720-5432","authenticated-orcid":false,"given":"Hemlata","family":"Vats","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"18642","published-online":{"date-parts":[[2025,4,25]]},"reference":[{"key":"16069","doi-asserted-by":"crossref","unstructured":"1. Fogel GR, Cunningham PY III, Esses SI. Coccygodynia: evaluation and management. J Am Acad Orthop Surg. 2004;12(1):49-54. PMID:14753797","DOI":"10.5435\/00124635-200401000-00007"},{"key":"16070","doi-asserted-by":"crossref","unstructured":"2. Nathan ST, Fisher BE, Roberts CS. Coccydynia: a review of pathoanatomy, aetiology, treatment and outcome. J Bone Joint Surg Br. 2010;92(12):1622-1627. PMID:21119164","DOI":"10.1302\/0301-620X.92B12.25486"},{"key":"16071","unstructured":"3. Lirette LS, Chaiban G, Tolba R, et al. Coccydynia: an overview of the anatomy, etiology, and treatment of coccyx pain. Ochsner J. 2014;14(1):84-87. PMID:24688338"},{"key":"16072","doi-asserted-by":"crossref","unstructured":"4. Gavriilidis P, Kyriakou D. Sacrococcygeal chordoma, a rare cause of coccygodynia. Am J Case Rep. 2013;14:548-550. PMID:24376906","DOI":"10.12659\/AJCR.889688"},{"key":"16073","doi-asserted-by":"crossref","unstructured":"5. Kim HS, Yang SH, Park HJ, et al. Glomus tumor as a cause of coccydynia. Skeletal Radiol. 2013;42(10):1471-1473. PMID:23733208","DOI":"10.1007\/s00256-013-1654-z"},{"key":"16074","doi-asserted-by":"crossref","unstructured":"6. Maigne JY, Guedj S, Straus C. Idiopathic coccygodynia. Lateral roentgenograms in the sitting position and coccygeal discography. Spine. 1994;19(8):930-934. PMID:8009351","DOI":"10.1097\/00007632-199404150-00011"},{"key":"16075","unstructured":"7. Maigne JY, Pigeau I, Aguer N, et al. Chronic coccydynia in adolescents. A series of 53 patients. Eur J Phys Rehabil Med. 2011;47(2):245-251. PMID:21597433"},{"key":"16076","doi-asserted-by":"crossref","unstructured":"8. Pennekamp PH, Kraft CN, St\u00fctz A, et al. Coccygectomy for coccygodynia: does pathogenesis matter? J Trauma. 2005;59(6):1414-1419. PMID:16394915","DOI":"10.1097\/01.ta.0000195878.50928.3c"},{"key":"16077","doi-asserted-by":"crossref","unstructured":"9. Richette P, Maigne JY, Bardin T. Coccydynia related to calcium crystal deposition. Spine. 2008;33(17):E620-E623. PMID:18670332","DOI":"10.1097\/BRS.0b013e31817c6cd2"},{"key":"16078","doi-asserted-by":"crossref","unstructured":"10. Garg B, Ahuja K. Coccydynia \u2013 A comprehensive review on etiology, radiological features and management options. J Clin Orthop Trauma. 2021;12(1):123-129. PMID:33716437","DOI":"10.1016\/j.jcot.2020.09.025"},{"key":"16079","doi-asserted-by":"crossref","unstructured":"11. Postacchini F, Massobrio M. Idiopathic coccygodynia. Analysis of fifty-one operative cases and a radiographic study of the normal coccyx. J Bone Joint Surg Am. 1983;65(8):1116-1124. PMID:6226668","DOI":"10.2106\/00004623-198365080-00011"},{"key":"16080","doi-asserted-by":"crossref","unstructured":"12. Antoniadis A, Ulrich NHB, Senyurt H. Coccygectomy as a surgical option in the treatment of chronic traumatic coccygodynia: a single-center experience and literature review. Asian Spine J. 2014;8(6):705-710. PMID:25558311","DOI":"10.4184\/asj.2014.8.6.705"},{"key":"16081","doi-asserted-by":"crossref","unstructured":"13. El Mohsen Arafa A, El Rady Mahmoud A, Zayan M, et al.. Coccygectomy for posttraumatic coccygodynia: A long-term prospective study. Curr Orthop Pract. 2017;28(5):484-488. DOI: 10.1097\/BCO.0000000000000536","DOI":"10.1097\/BCO.0000000000000536"},{"key":"16082","doi-asserted-by":"crossref","unstructured":"14. Haddad B, Prasad V, Khan W, et al. Favourable outcomes of coccygectomy for refractory coccygodynia. Ann R Coll Surg Engl. 2014;96(2):136-139. PMID:24780672","DOI":"10.1308\/003588414X13814021676675"},{"key":"16083","doi-asserted-by":"crossref","unstructured":"15. Hanley EN, Ode G, Jackson Iii BJ, et al. Coccygectomy for patients with chronic coccydynia: a prospective, observational study of 98 patients. Bone Joint J. 2016;98-B(4):526-533. PMID:27037436","DOI":"10.1302\/0301-620X.98B4.36641"},{"key":"16084","doi-asserted-by":"crossref","unstructured":"16. Karadimas EJ, Trypsiannis G, Giannoudis PV. Surgical treatment of coccygodynia: an analytic review of the literature. Eur Spine J. 2011;20(5):698-705. PMID:21046173","DOI":"10.1007\/s00586-010-1617-1"},{"key":"16085","doi-asserted-by":"crossref","unstructured":"17. Wray CC, Easom S, Hoskinson J. Coccydynia. Aetiology and treatment. J Bone Joint Surg Br. 1991;73(2):335-338. PMID:2005168","DOI":"10.1302\/0301-620X.73B2.2005168"},{"key":"16086","doi-asserted-by":"crossref","unstructured":"18. Benditz A. Therapieoptionen bei der Coccygodynie. (Treatment options for coccygodynia). Orthopadie (Heidelb). 2024;53(2):100-106. PMID:38167710","DOI":"10.1007\/s00132-023-04467-2"},{"key":"16087","doi-asserted-by":"crossref","unstructured":"19. Shi Y, Wu W. Multimodal noninvasive non-pharmacological therapies for chronic pain: mechanisms and progress. BMC Med. 2023;21(1):372. PMID:37775758","DOI":"10.1186\/s12916-023-03076-2"},{"key":"16088","doi-asserted-by":"crossref","unstructured":"20. Delitto A, George SZ, Van Dillen L, et al. Orthopaedic Section of the American Physical Therapy Association. Low back pain. J Orthop Sports Phys Ther. 2012;42(4):A1-A57. PMID:22466247","DOI":"10.2519\/jospt.2012.42.4.A1"},{"key":"16089","doi-asserted-by":"crossref","unstructured":"21. Abdel-Aal NM, Elgohary HM, Soliman ES, Waked IS. Effects of kinesiotaping and exercise program on patients with obesity-induced coccydynia: a randomized, double-blinded, sham-controlled clinical trial. Clin Rehabil. 2020;34(4):471-479. PMID:31918574","DOI":"10.1177\/0269215519897414"},{"key":"16090","doi-asserted-by":"crossref","unstructured":"22. Seemal P, Ayub A, Diilshad M, et al. Comparing primal reflex release technique and stretching exercises on pain and function in coccydynia. Iran Rehabil J. 2022;20(4):623-632. DOI: 10.32598\/irj.20.4.1841.1","DOI":"10.32598\/irj.20.4.1841.1"},{"key":"16091","unstructured":"23. Khatri SM, Nitsure P, Jatti RS. Effectiveness of coccygeal manipulation in coccydynia: a randomized control trial. Indian J Physiother Occup Ther. 2011;5(3):110-112."},{"key":"16092","doi-asserted-by":"crossref","unstructured":"24. Lin SF, Chen YJ, Tu HP, et al. The effects of extracorporeal shock wave therapy in patients with coccydynia: a randomized controlled trial. PLoS One. 2015;10(11):e0142475. PMID:26556601","DOI":"10.1371\/journal.pone.0142475"},{"key":"16093","doi-asserted-by":"crossref","unstructured":"25. Maigne JY, Chatellier G, Faou ML, et al. The treatment of chronic coccydynia with intrarectal manipulation: a randomized controlled study. Spine. 2006;31(18):E621-E627. PMID:16915077","DOI":"10.1097\/01.brs.0000231895.72380.64"},{"key":"16094","doi-asserted-by":"crossref","unstructured":"26. Maigne JY, Chatellier G. Comparison of three manual coccydynia treatments: a pilot study. Spine. 2001;26(20):E479-E483. PMID:11598528","DOI":"10.1097\/00007632-200110150-00024"},{"key":"16095","doi-asserted-by":"crossref","unstructured":"27. Mohanty PP, Pattnaik M. Effect of stretching of piriformis and iliopsoas in coccydynia. J Bodyw Mov Ther. 2017;21(3):743-746. PMID:28750995","DOI":"10.1016\/j.jbmt.2017.03.024"},{"key":"16096","doi-asserted-by":"crossref","unstructured":"28. Tufekci O, Yilmaz K, Gercek H, et al. The effectiveness of manipulation in combination with exercise for patients with coccydynia: six months follow-up of a randomized controlled trial. Int J Osteopath Med. 2024;51:100711. DOI: 10.1016\/j.ijosm.2024.100711","DOI":"10.1016\/j.ijosm.2024.100711"},{"key":"16097","unstructured":"29. Zia W, Bashir MS, Arshad MU, et al. Effects of muscle energy technique and static stretching of piriformis and iliopsoas in females with coccydynia. Journal of Xi\u2019an Shiyou University. 2023;19(1):642-647. Natural Science Edition."},{"key":"16098","doi-asserted-by":"crossref","unstructured":"30. Marinko LN, Pecci M. Clinical decision making for the evaluation and management of coccydynia: 2 case reports. J Orthop Sports Phys Ther. 2014;44(8):615-621. PMID:24955813","DOI":"10.2519\/jospt.2014.4850"},{"key":"16099","doi-asserted-by":"crossref","unstructured":"31. White WD, Avery M, Jonely H, et al. The interdisciplinary management of coccydynia: a narrative review. PM R. 2022;14(9):1143-1154. PMID:34333873","DOI":"10.1002\/pmrj.12683"},{"key":"16100","doi-asserted-by":"crossref","unstructured":"32. Origo D, Tarantino AG, Nonis A, et al. Osteopathic manipulative treatment in chronic coccydynia: a case series. J Bodyw Mov Ther. 2018;22(2):261-265. PMID:29861217","DOI":"10.1016\/j.jbmt.2017.06.010"},{"key":"16101","doi-asserted-by":"crossref","unstructured":"33. Haghighat S, Mashayekhi Asl M. Effects of extracorporeal shock wave therapy on pain in patients with chronic refractory coccydynia: a quasi-experimental study. Anesth Pain Med. 2016;6(4):e37428. PMID:27843777","DOI":"10.5812\/aapm.37428"},{"key":"16102","doi-asserted-by":"crossref","unstructured":"34. Andersen G\u00d8, Milosevic S, Jensen MM, et al. Coccydynia-the efficacy of available treatment options: a systematic review. Global Spine J. 2022;12(7):1611-1623. PMID:34927468","DOI":"10.1177\/21925682211065389"},{"key":"16103","doi-asserted-by":"crossref","unstructured":"35. \u015eah V, Elasan S, Kaplan \u015e. Comparative effects of radial and focused extracorporeal shock wave therapies in coccydynia. Turk J Phys Med Rehabil. 2023;69(1):97-104. PMID:37201007","DOI":"10.5606\/tftrd.2023.10371"},{"key":"16104","doi-asserted-by":"crossref","unstructured":"36. Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372(71):n71. PMID:33782057","DOI":"10.1136\/bmj.n71"},{"key":"16105","doi-asserted-by":"crossref","unstructured":"37. Sterne JAC, Savovi\u0107 J, Page MJ, et al. RoB 2: a revised tool for assessing risk of bias in randomized trials. BMJ. 2019;366:l4898. PMID:31462531","DOI":"10.1136\/bmj.l4898"},{"key":"16106","doi-asserted-by":"crossref","unstructured":"38. Wan X, Wang W, Liu J, et al. Estimating the sample mean and standard deviation from the sample size, median, range and\/or interquartile range. BMC Med Res Methodol. 2014;14:135. PMID:25524443","DOI":"10.1186\/1471-2288-14-135"},{"key":"16107","doi-asserted-by":"crossref","unstructured":"39. Skelly AC, Chou R, Dettori JR, et al. Noninvasive nonpharmacological treatment for chronic pain: a systematic review update. Comparative effectiveness review no. 227. Agency for Healthcare Research and Quality; 2020.","DOI":"10.23970\/AHRQEPCCER227"},{"key":"16108","doi-asserted-by":"crossref","unstructured":"40. Nourani B, Norton D, Kuchera W, et al. Transrectal osteopathic manipulation treatment for chronic coccydynia: feasibility, acceptability and patient-oriented outcomes in a quality improvement project. J Osteopath Med. 2023;124(2):77-83. PMID:37999720","DOI":"10.1515\/jom-2023-0001"},{"key":"16109","doi-asserted-by":"crossref","unstructured":"41. Weerapong P, Hume PA, Kolt GS. The mechanisms of massage and effects on performance, muscle recovery and injury prevention. Sports Med. 2005;35(3):235-256. PMID:15730338","DOI":"10.2165\/00007256-200535030-00004"},{"key":"16110","doi-asserted-by":"crossref","unstructured":"42. MacAuley D, Best T. Evidence-based sports medicine. 2nd ed. Blackwell Publishing; 2007.","DOI":"10.1002\/9780470988732"},{"key":"16111","unstructured":"43. Kase K, Wallis J, Kase T. Clinical therapeutic applications of the Kinesio taping \u00ae method. 2nd ed. Kinesio Taping Association; 2003."},{"key":"16112","doi-asserted-by":"crossref","unstructured":"44. Wang CJ, Wang FS, Yang KD, et al. Shock wave therapy induces neovascularization at the tendon-bone junction. A study in rabbits. J Orthop Res. 2003;21(6):984-989. PMID:14554209","DOI":"10.1016\/S0736-0266(03)00104-9"},{"key":"16113","doi-asserted-by":"crossref","unstructured":"45. Hausdorf J, Lemmens MA, Kaplan S, et al. Extracorporeal shockwave application to the distal femur of rabbits diminishes the number of neurons immunoreactive for substance P in dorsal root ganglia L5. Brain Res. 2008;1207:96-101. PMID:18371941","DOI":"10.1016\/j.brainres.2008.02.013"},{"key":"16114","unstructured":"46. Notarnicola A, Moretti B. The biological effects of extracorporeal shock wave therapy (eswt) on tendon tissue. Muscles Ligaments Tendons J. 2012;2(1):33-37. PMID:23738271"},{"key":"16115","doi-asserted-by":"crossref","unstructured":"47. Thomas E, Cavallaro AR, Mani D, et al. The efficacy of muscle energy techniques in symptomatic and asymptomatic subjects: a systematic review. Chiropr Man Therap. 2019;27(1):35. PMID:31462989","DOI":"10.1186\/s12998-019-0258-7"},{"key":"16116","doi-asserted-by":"crossref","unstructured":"48. Ballantyne F, Fryer G, McLaughlin P. The effect of muscle energy technique on hamstring extensibility: the mechanism of altered flexibility. J Osteopath Med. 2003;6(2):59-63. 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