Acupuncture combined with Tai Chi in the treatment of a patient with coccyx fracture: A case report.

Rationale: Coccyx fractures and subluxations are commonly caused by trauma, often leading to severe pain and restricted mobility. Traditional treatments focus on analgesia and immobilization; however, recovery periods are prolonged. This study explores the efficacy of acupuncture combined with Tai Chi in promoting rehabilitation for coccyx fractures.

Patient Concerns: A 34-year-old female patient experienced sacrococcygeal pain and limited mobility after falling on her buttocks while skiing on February 13, 2025.

Diagnoses: Computed tomography imaging indicated a suspected fracture of the S5 vertebral body, a possible subluxation of the Co1 vertebral body, and soft tissue swelling with effusion in the sacrococcygeal region.

Interventions: The treatment consisted of lumbosacral acupuncture, targeting the Baliao (Shangliao, Ciliao, Zhongliao, Xialiao) and Ashi points (local tender spots), supplemented by daily Five-Form Tai Chi exercises. Acupuncture sessions were conducted once daily, with needles retained for 10 minutes, over a consecutive period of 14 days. Furthermore, the Tai Chi exercises were performed twice daily, with each session lasting 20 minutes, also spanning a duration of 14 days.

Outcomes: Post-treatment, the Visual Analog Scale pain score decreased from 7 to 3. Follow-up computed tomography revealed no obvious fractures on sacrococcygeal plain scans, with recommendations for follow-up or magnetic resonance imaging if necessary. The patient showed significant functional improvement and reduced anxiety.

Lessons: Acupuncture combined with Tai Chi effectively alleviates pain, promotes functional recovery, and accelerates fracture healing in patients with coccyx fractures and subluxations.