Coccydynia: Medications for Tailbone Pain Relief - Orthopedics

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Coccydynia


Hello Doctor: I asked a question yesterday #107790.
Today I visited the orthopedic doctor, who prescribed me two medications: Sulinton Tablets and Mefno Tablets.
Are these two medications used to treat inflammation of the coccyx? When you mentioned anti-inflammatory medication, were you referring to these two, or are they just general pain relievers?

Xiao Yu, 30~39 year old female. Ask Date: 2016/06/23

Dr. Shi Guozheng reply Orthopedics


The medications for coccyx pain are mostly similar, primarily focusing on anti-inflammatory effects to achieve pain relief.

Reply Date: 2016/06/23

More Info


Coccydynia, or tailbone pain, can be a debilitating condition that significantly impacts one's quality of life. It often arises from various causes, including trauma, prolonged sitting, or even idiopathic origins where no clear cause can be identified. The pain can be sharp and localized, making it difficult to sit, stand, or walk comfortably.
In your case, the medications prescribed by your orthopedic doctor, Sulinton Tablets and Mefno Tablets, are likely aimed at addressing inflammation and pain associated with your coccydynia. Sulinton is typically a combination of analgesics and anti-inflammatory agents, while Mefno is a non-steroidal anti-inflammatory drug (NSAID) that helps reduce inflammation and alleviate pain. Both medications can be effective in managing the symptoms of coccydynia, but they serve slightly different purposes.

NSAIDs like Mefno are commonly used to treat inflammation and pain. They work by inhibiting the production of prostaglandins, which are chemicals in the body responsible for inflammation and pain signaling. By reducing inflammation, these medications can help alleviate the discomfort associated with coccydynia. On the other hand, Sulinton may contain additional components that provide a broader spectrum of pain relief, potentially including muscle relaxants or other analgesics.

When dealing with coccydynia, it is essential to adopt a comprehensive approach to treatment. Here are some additional strategies that may help alleviate your symptoms:
1. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can guide you through exercises that strengthen the pelvic floor and surrounding muscles, which may help reduce pain and improve mobility.

2. Heat and Cold Therapy: Applying heat to the affected area can help relax tight muscles and improve blood flow, while cold therapy can reduce inflammation and numb sharp pain. Alternating between the two can provide relief.

3. Cushions and Seating Adjustments: Using a cushion designed for tailbone pain, such as a donut-shaped pillow, can help relieve pressure on the coccyx when sitting. Additionally, adjusting your seating position and ensuring proper ergonomics can make a significant difference.

4. Activity Modification: Avoiding prolonged sitting and taking regular breaks to stand or walk can help reduce discomfort. If your job requires long periods of sitting, consider using a standing desk or taking short walks throughout the day.

5. Medication Management: While the medications prescribed are a good start, it’s essential to communicate with your doctor about their effectiveness. If you find that they are not providing sufficient relief, your doctor may consider adjusting the dosage or trying alternative medications.

6. Alternative Therapies: Some patients find relief through alternative therapies such as acupuncture, chiropractic adjustments, or massage therapy. These methods can help alleviate muscle tension and improve overall comfort.

7. Surgical Options: In rare cases where conservative treatments fail, surgical options may be considered. However, this is typically a last resort and should be discussed thoroughly with your healthcare provider.

In conclusion, while the medications prescribed by your doctor are a crucial part of managing your coccydynia, combining them with physical therapy, lifestyle modifications, and alternative therapies can enhance your overall treatment plan. Always consult with your healthcare provider before making any changes to your treatment regimen, and keep them informed about your progress and any concerns you may have.

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