Radial Extracorporeal Shockwave Therapy for the Treatment of Chronic Refractory Coccygodynia
Bibliographic record
Abstract
Coccygodynia, characterized by persistent pain in the coccyx area, is a debilitating condition with limited effective treatments. We report a case exploring the use of radial extracorporeal shockwave therapy (ESWT) as a noninvasive treatment for chronic refractory coccygodynia. A 39-year-old female patient presented with chronic coccygeal pain unresponsive to conventional therapies. A thorough review of the patient's medical history, clinical presentation, and imaging findings led to a diagnosis of idiopathic coccygodynia. Given her clinical situation and the failure of previous interventions, radial ESWT was considered a possible option due to its noninvasive nature and reported success in treating other chronic musculoskeletal conditions. Significant pain reduction and improved quality of life were observed 3 months post-treatment, as confirmed by the Visual Analog Scale (VAS), Pain Self Efficacy Questionnaire, Oswestry Disability Index, and Tampa Scale of Kinesiophobia scores. The beneficial effects were confirmed even at 12 months post-treatment follow-up, suggesting radial ESWT is a promising alternative therapeutic option. The positive outcomes in this case (though the evident limits of a case report) provide a foundation for considering radial ESWT in the broader context of managing chronic treatment-resistant coccygeal pain.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".