hat
Yon lòt cause komen se gen tranche. Zo dèyè a te konsidere kòm gen kèk pran chemen li pandan anivèsè. A la fen a twazyèm yon peryòd twa mwa, yon chanjman hormonaux ki pèmèt synchondrosis ant o koupyon an ak zo koupyon/misk pou vin mou ak vin pi mobil. Sa a anpil Mobilite komandan segments coccygeal twa ak senk pèmèt pou plis flexion ak ekstansyon ki te ka nèt ale varye au tansyon an ligaments ak misk. Ki pa ka zo kase kay, ki kapab remodel, blese pou sacrococcygeal junction ki te konn vin inflammation jan jwenti a repete fòse a nan plas li nòmal li. Gzamen medikal ta dwe enplike dirèk anyen nan zo koupyon/misk pou ansiblite. Nan coccydynia verite a, coccygeal rejyon an abityèlman ansibleman sansib. Si kliyan a te rapòte doulè coccygeal Malgre ke se pa sansib sou anyen, erapis la dwe refere soti pou yon workup topedik retire maladi partie plak zo rèldo.
eng
Another common etiology is childbirth. The coccyx is considered by some to be in the way during childbirth. At the end of the third trimester, specific hormonal changes enable the synchondrosis between the sacrum and the coccyx to soften and become more mobile. This increased mobility of three to five coccygeal segments allows for more flexion and extension, which might permanently vary the resting tension of the surrounding ligaments and muscles. Unlike fractures, which can remodel, injuries to the sacrococcygeal junction often become inflamed as the joint is repeatedly forced out of its normal position. Physical examination should involve direct palpation of the coccyx for tenderness. In true coccydynia, the coccygeal region usually is markedly tender. If the client reports coccygeal pain although is not tender upon palpation, the therapist should refer out for an orthopedic workup to rule out lumbar disk disease.