• Pain physician · Mar 2014

    Review Case Reports

    Coccyx fractures treated with intranasal calcitonin.

    • Patrick M Foye, Peter Shupper, and Ian Wendel.
    • Rutgers New Jersey Medical School, Department of Physical Medicine and Rehabilitation, Newark, NJ.
    • Pain Physician. 2014 Mar 1; 17 (2): E229-33.

    BackgroundTreating pain associated with acute coccyx fractures can be challenging. Intranasal calcitonin has been used to treat acute pain after vertebral fracture, and may even accelerate fracture healing. However, intranasal calcitonin has never previously been published as part of the treatment of acute coccyx fractures.ObjectiveTo examine a series of cases in which intranasal calcitonin was used to treat coccydynia related to coccyx fractures.Study DesignCase series and literature review.SettingOutpatient university-based coccyx pain center.ResultsAfter use of intranasal calcitonin, pain levels decreased, adverse events were minimal, and the medication was generally well tolerated.LimitationsAs this is not a randomized control trial, the patients treated with intranasal calcitonin were not compared to a control group. Additionally, the sample size of 8 patients is relatively small.ConclusionsWe propose that clinicians consider use of intranasal calcitonin for the treatment of pain due to acute coccyx fractures.

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