Kenneth Kee > Quotes

“Since successfully bracing/immobilizing a dislocated coccyx in the relocated position is not possible, it is not obvious whether relocation through manipulation provides sustained improvement in position. The main predictors of a good prognosis were: 1. A stable coccyx, 2. Shorter symptom duration, 3. Traumatic cause, and 4. A lower score in the affective parts of the McGill and Dallas questionnaires. The doctors determined that intra-rectal manipulation had mild success for chronic coccyx injury and pain.”
― Kenneth Kee, A Simple Guide To Coccygeal Injury, Diagnosis, Treatment And Related Conditions

“Comparatively few physical therapists have knowledge in pelvic pain syndromes, pelvic floor muscle dysfunction, and pelvic floor rehabilitation.”
― Kenneth Kee, A Simple Guide To Coccygeal Injury, Diagnosis, Treatment And Related Conditions

“The percentage of relief received per injection differed from 20-75%, with most patients documenting 50-75% relief received per injection and with the relief normally persisting weeks to months or longer.”
― Kenneth Kee, A Simple Guide To Coccygeal Injury, Diagnosis, Treatment And Related Conditions

“Also, inspecting for a local dimple/divot may be relevant, since in one study, 83% patients with a bone spicule at the distal coccyx had a "pit" observed in the overlying skin.”
― Kenneth Kee, A Simple Guide To Coccygeal Injury, Diagnosis, Treatment And Related Conditions

“Treatment responses also were likely to be more favorable in patients with a BMI of below 30.”
― Kenneth Kee, A Simple Guide To Coccygeal Injury, Diagnosis, Treatment And Related Conditions

“Once in a while a kind nurse will call me that there is a bed available in the ward from the unfortunate death of a patient.
They have cleared the bed and put a clean bed sheet on it.
That was good enough for me.
At last a bed to sleep in!
Who cares if some dead patient has just occupied it?
A bed was a bed.
I have no qualms about sleeping in the bed, with a ghost of a patient who has just departed.”
― Kenneth Kee

“Pelvic floor physical therapy is an effective treatment for those who have chronic coccyx pain even after coccygectomy. The mean percent global improvement was 71.9%.”
― Kenneth Kee, A Simple Guide To Coccygeal Injury, Diagnosis, Treatment And Related Conditions

“Peripheral enthesitis: It occurs in about a third of patients. Common sites are: 1. Behind the heel (Achilles tendonitis), 2. The heel pad (plantar fasciitis) and 3. The tibial tuberosity. Lesions tend to be painful, especially in the morning. There may be related inflammation of the tendon or ligament insertion. Peripheral arthritis: It also happens in about 33% of patients. Joint affliction is normally asymmetric, involving the hips, shoulder girdle (acromioclavicular,”
― Kenneth Kee, A Simple Guide To Coccygeal Injury, Diagnosis, Treatment And Related Conditions

“The case series of patients who had coccygectomy (surgical removal of the coccyx) done revealed that in patients, the main histological alteration was disc degeneration at the sacro-coccygeal joint and that the surgical prognosis was poor in all patients in the case series.”
― Kenneth Kee, A Simple Guide To Coccygeal Injury, Diagnosis, Treatment And Related Conditions

“A study indicated that body mass index (BMI) and traumatic cause independently predict coccyx injury and pain treatment outcomes.”
― Kenneth Kee, A Simple Guide To Coccygeal Injury, Diagnosis, Treatment And Related Conditions