الفهرس 
Efficacy of extracorporeal shock wave therapy on male coccydenia after urological surgery
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Abstract
Back ground: Coccydynia is pain around the coccygeal region that may be caused by sudden impact over the coccyx area from falls or traumatic injuries, resulting in pain and inflammatory changes of the surrounding ligaments and muscles. This Study aims to: evaluate the efficacy of extracorporeal shock wave therapy on male coccydenia after urological surgery. Subjects: Thirty male patients who complain from coccydenia after urological surgery, their ages ranged from 40 to 60 years old , they were choosen from El Sahel teaching hospital and Police hospital in Al Agoza during the period of June- 2017 to November- 2017 they were classified randomly into two equal groups, the study group received shock wave therapy one session per week for four weeks each session lasts for 10 minutes, the patients were received 2000 shots of Extracorporeal shock wave therapy in the coccyx ,the frequency was 5 Hz and the pressure was 3-4 bar in addition to traditional medications routine (anti-inflammatory drugs) and the control group which received routine medication only (anti-inflammatory drugs ), Assessment: both groups were assessed pre and post treatment for pain level by Oswestry disability index and Visual Analogue Scale