Submited on: 28 Oct 2015 08:08:02 PM GMT
Published on: 29 Oct 2015 02:14:33 PM GMT
 
Coccydynia caused by Actuator treatment
Posted by Dr. Jones Kurian on 26 Nov 2015 09:02:41 AM GMT Reviewed by WMC Editors

  • What are the main claims of the paper and how important are they?

    Using a device that delivers a mechanical jolt to the sacrococcygeal region caused long lasting pain in that area.


  • Are these claims novel? If not, please specify papers that weaken the claims to the originality of this one.

    The paper descibes an instance of coccydynia following a chiropracic treatment, that obviuosly caused some damage and pain.

    This is the first report of such an incident, but application of traumatic forces are well known to cause injury and pain, wherever they are applied.


  • Are the claims properly placed in the context of the previous literature?

    This is not a claim, but a factual statement.


  • Do the results support the claims? If not, what other evidence is required?

    This is a case report. Manual tretments if administered with out care can cause significant damage. There is no need for any further evidence.


  • If a protocol is provided, for example for a randomized controlled trial, are there any important deviations from it? If so, have the authors explained adequately why the deviations occurred?

    Not applicable


  • Is the methodology valid? Does the paper offer enough details of its methodology that its experiments or its analyses could be reproduced?

    This is not a research study towarrant experiments.


  • Would any other experiments or additional information improve the paper? How much better would the paper be if this extra work was done, and how difficult would such work be to do, or to provide?

    Not applicable.


  • Is this paper outstanding in its discipline? (For example, would you like to see this work presented in a seminar at your hospital or university? Do you feel these results need to be incorporated in your next general lecture on the subject?) If yes, what makes it outstanding? If not, why not?

    No


  • Other Comments:

    This is a well written case report about a patient developing coccydynia after application of external forces to coccyx for a totally unrelated problem. I will not comment on the efiicacy of Chiropractic for the treatment of spinal pain.

  • Invited by the author to review this article? :
    Yes
  • Have you previously published on this or a similar topic?:
    No
  • References:
    None
  • Experience and credentials in the specific area of science:

    I am an accredited Interventional Pain Medicine Consultant with more than 12 years experience working in United Kingdom. I deal with coccydynia and similar pain syndromes on a regular basis.

  • How to cite:  Kurian J .Coccydynia caused by Actuator treatment[Review of the article 'Iatrogenic Coccydynia (Coccyx Pain) After Chiropractic Actuator Treatments: Case Report ' by Koon C].WebmedCentral 2015;6(11):WMCRW003260
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An interesting case report on iatrogenic coccydynia
Posted by Dr. Marco Luchetti on 04 Nov 2015 10:14:54 AM GMT Reviewed by WMC Editors

  • What are the main claims of the paper and how important are they?

    The paper raises awareness that the actuator, a device used by chiropractors, may in some instances cause coccyx pain.

    This is useful to know for pain clinicians.


  • Are these claims novel? If not, please specify papers that weaken the claims to the originality of this one.

    The report is original and describes a rare occurrence.


  • Are the claims properly placed in the context of the previous literature?

    Yes, they are.


  • Do the results support the claims? If not, what other evidence is required?

    This is only a case report. Further studies would be needed to address the safety issues of chiropractic treatments.


  • If a protocol is provided, for example for a randomized controlled trial, are there any important deviations from it? If so, have the authors explained adequately why the deviations occurred?

    Not applicable.


  • Is the methodology valid? Does the paper offer enough details of its methodology that its experiments or its analyses could be reproduced?

    The paper is sufficiently well written. Argumentation is sound and evidence based.


  • Would any other experiments or additional information improve the paper? How much better would the paper be if this extra work was done, and how difficult would such work be to do, or to provide?

    No extra work needed.


  • Is this paper outstanding in its discipline? (For example, would you like to see this work presented in a seminar at your hospital or university? Do you feel these results need to be incorporated in your next general lecture on the subject?) If yes, what makes it outstanding? If not, why not?

    The paper is very interesting as it raises awareness about a topic too much neglected. Chiropractic and other manipulative treatments are increasingly used and we are witnessing a parallel increase in adverse events related to these treatments.


  • Other Comments:

    No.

  • Invited by the author to review this article? :
    Yes
  • Have you previously published on this or a similar topic?:
    No
  • References:
    None
  • Experience and credentials in the specific area of science:

    I am a pain physician and also a practicioner of complementary medicine.

  • How to cite:  Luchetti M .An interesting case report on iatrogenic coccydynia[Review of the article 'Iatrogenic Coccydynia (Coccyx Pain) After Chiropractic Actuator Treatments: Case Report ' by Koon C].WebmedCentral 2015;6(11):WMCRW003255
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