Introduction: During the coronavirus disease 2019 (COVID-19) pandemic, most healthcare workers (HCWs) were required to wear face masks for long periods of time. Since then, it has been shown that face masks have the potential to cause several physical adverse effects. This study aimed to estimate the prevalence of face mask-related complications among HCWs during the COVID-19 pandemic in Saudi Arabia. Furthermore, we compared the relationship between face mask usage with other variables, including the type of mask used and gender. Methodology: A cross-sectional study was conducted using convenience sampling, with a targeted sample of 517 participants (35% nonresponse). Data was collected via an electronic survey, the link for which was distributed through social media sites, such as WhatsApp and Twitter, to reach HCWs across Saudi Arabia. Data was analyzed using the SPSS software. Results: Overall, 438 HCWs who wore N95 or surgical masks for 4 hours or more per day on average were recruited. Skin-related complications in the nasal area had the highest prevalence (342, 78.1%), followed by behind the ear area (333, 76.0%), cheeks (307, 70.1%), and chin (248, 56.6%). Other complications included headaches (226, 51.6%), and eye-related complications (211, 48.2%). All face mask-related complications, except for behind the ear skin complications, were more associated with female gender. Conclusions: Mask usage was significantly associated with the development of headaches, and eye, and skin-related complications. Female HCWs were more predisposed to these complications. Preventative measures and awareness activities should be considered to help reduce mask use related complications.

Background/Objectives: Population health management (PHM) emphasizes prevention, coordinated care, and population-level approaches to improving health outcomes. However, patient familiarity with PHM terminology and attitudes toward PHM-aligned principles remain underexplored in primary care settings. This study assessed familiarity with the term PHM, attitudes toward PHM-aligned principles, and participation in preventive health programs among adult primary care attendees in Riyadh, Saudi Arabia, and examined their associations with health literacy, patient activation, and sociodemographic characteristics. Methods: A cross-sectional survey was conducted among adult attendees of primary care outpatient clinics at King Saud University Medical City, Riyadh, Saudi Arabia, between 1 October and 1 December 2025. Participants completed a self-administered Arabic questionnaire that included PHM awareness items, Questionnaire Assessing Population Health Management-Aligned Principles (PHM-Q), a study-developed 7-item instrument assessing agreement with PHM-aligned principles, the HLS-Q12, and the PAM-13. Descriptive statistics, chi-square tests, Mann–Whitney U tests, Kruskal–Wallis tests, Spearman correlation analyses, and internal consistency assessment were used. Results: A total of 286 participants were included. Familiarity with the term PHM was limited, with 24.8% reporting prior exposure. Participation in preventive health programs was also limited, as only 17.5% of participants reported having participated. In contrast, agreement with PHM-aligned principles was generally favorable (PHM-Q mean 3.86, SD 0.57). PHM-Q scores correlated positively with health literacy (ρ = 0.548, p < 0.001) and patient activation (ρ = 0.433, p < 0.001). Participation in preventive health programs was significantly associated with higher health literacy and higher patient activation. Conclusions: These findings should be interpreted as reflecting favorable attitudes toward PHM-aligned principles within this sample rather than formal PHM literacy, operational understanding, or readiness for PHM implementation. Because the study-developed questionnaire was exploratory and not psychometrically validated beyond internal consistency, the results should be understood as descriptive and hypothesis-generating.

BackgroundChronic coccydynia is a debilitating condition often exacerbated by any activity that applies pressure to the coccygeal area. While diagnosis is primarily clinical, dynamic X-ray imaging has emerged as a valuable tool for identifying structural abnormalities like hypermobility or subluxation. For patients unresponsive to conservative treatments, coccygectomy (surgical removal of the coccyx) remains a definitive option. However, predicting surgical success remains challenging. ObjectiveThis narrative review synthesizes recent evidence (2015–2025) on the role of dynamic imaging in diagnosing coccydynia and its utility in predicting positive coccygectomy outcomes. Materials and MethodsA review of the literature was conducted to assess studies published between 2015–2025 focusing on dynamic X-ray imaging for identifying structural abnormalities (hypermobility, subluxation) and its role in predicting surgical outcomes for coccydynia. ResultsFindings suggest that patients with coccygeal instability, retroversion, or subluxation on dynamic imaging tend to experience better postoperative pain relief and quality-oflife improvements compared to those with normal or immobile coccyx. For instance, hypermobility (>25∘ flexion) or traumatic etiology may correlate with favorable surgical results, while idiopathic cases or normal anatomy often yield poorer outcomes. Despite these insights, limitations like small sample sizes, inconsistent imaging protocols, and lack of long-term data highlight the need for standardized guidelines. ConclusionClinical observations, along with our team’s decade-long experience, reinforce that dynamic imaging can refine patient selection by distinguishing those most likely to benefit from surgery. Future research should prioritize large, prospective studies with uniform imaging criteria and integrate psychosocial factors to optimize predictive accuracy. By addressing these gaps, dynamic imaging could evolve into a cornerstone of precision medicine for coccydynia, ensuring tailored treatments and improved surgical outcomes.