The Journal of the Canadian Chiropractic Association · 2026
Mechanical diagnosis and therapy in chronic postpartum isolated coccygeal pain: a case report.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Johnson Jessy, Nisler Joshua, Gogineni Venkateswara, Kirk Eric
Аннотация
OBJECTIVE: To describe the use of Mechanical Diagnosis and Therapy in evaluating and treating a patient with chronic postpartum isolated coccygeal pain.
CLINICAL FEATURES: A 30-year-old female presented with isolated coccygeal pain that began after a vaginal birth 4 months prior. Aggravating factors included sitting and standing upright. She also expressed fear of transitioning from sitting to standing.
INTERVENTION/OUTCOME: A directional preference for lumbar extension with right lateral flexion was identified, leading to a diagnosis of lumbar derangement and initiation of reductive forces. At follow-up, she maintained reduction and reported periods of being pain free with less fear of movement. Subsequently, force progressions were implemented. By visit 6, she was discharged with symptom resolution and functional improvement.
SUMMARY: This case demonstrates the utility of applying the principles of Mechanical Diagnosis and Therapy in the evaluation and treatment of a patient with chronic postpartum isolated coccygeal pain who failed previous treatments.
CLINICAL FEATURES: A 30-year-old female presented with isolated coccygeal pain that began after a vaginal birth 4 months prior. Aggravating factors included sitting and standing upright. She also expressed fear of transitioning from sitting to standing.
INTERVENTION/OUTCOME: A directional preference for lumbar extension with right lateral flexion was identified, leading to a diagnosis of lumbar derangement and initiation of reductive forces. At follow-up, she maintained reduction and reported periods of being pain free with less fear of movement. Subsequently, force progressions were implemented. By visit 6, she was discharged with symptom resolution and functional improvement.
SUMMARY: This case demonstrates the utility of applying the principles of Mechanical Diagnosis and Therapy in the evaluation and treatment of a patient with chronic postpartum isolated coccygeal pain who failed previous treatments.