What is it about?
Depression is now frequently considered as a merely psychic disease, despite the growing bundle of evidences favoring a neuro-bio-chemical, multisystemic illness. Painful appearances are frequent. Coccygodynia is a real nuisance and its treatment with ajusted antidepressant very efficient. Conversely pain at rectal touch is a very efficient sign for diagnosing depression
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Why is it important?
"Dynias" are poorly understood because of psychic blinkers preventing from realizing they being neurologic in nature. The disturbance in pain pathways is due to depression. Adjusted treatment is very efficient on this and other associted signs. Conversely, depression is poorly and variably defined on psychic grounds. Somatic signs are precious to ease diagnosis and to precise the real limits of this illness, much larger than unsually envisaged.
Perspectives
I am really dismayed by the splits between scientific evidences and day-to-day conceptions and practice of depression, blinded by out-dated psychological conceptions. Depression is the royal way to understanding functional troubles, some unamenable pains and, morever, a large grouping of various psychic troubles, presently considered as independents.
Dr bernard maroy
Read the Original
This page is a summary of: Spontaneous and evoked coccygeal pain in depression, Diseases of the Colon & Rectum, March 1988, Wolters Kluwer Health,
DOI: 10.1007/bf02552548.
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