Coccyx Injuries: Causes, Symptoms, and Solutions

Q: Coccyx Injuries: Causes, Symptoms, and Solutions

Hello： First, get an X-ray to assess if there are any issues with the bones. <br>Avoid prolonged sitting and touching the painful area, and limit cycling (as it may impact the coccyx). <br>For a recent sprain, apply ice for the first three days, followed by heat therapy. <br>We n

Coccygeal secondary injury

I fell on my coccyx while sitting on a two-legged chair in seventh grade.
At first, I thought it would be fine, but after more than a year, I still experience occasional dull pain.
Later, when I visited a large hospital, the doctor said it was nothing to worry about, but some patients may experience a recurrence of old injuries after a few years.
In the second year of junior high, I tried to walk down a slope (made of metal) but lost my footing and slipped.
I initially thought I could stop myself, but I couldn't and ended up falling down.
At first, I felt fine, but now I can't sit for long periods, changing positions doesn't help, and I can't sit directly on my coccyx when on the floor.
The pain has become more frequent.
Why is this happening? Could there be any complications? What can be done to resolve this?

Wing, 10~19 year old female. Ask Date: 2018/07/13

Dr. Wang Shouji reply Orthopedics

Hello: First, get an X-ray to assess if there are any issues with the bones.
Avoid prolonged sitting and touching the painful area, and limit cycling (as it may impact the coccyx).
For a recent sprain, apply ice for the first three days, followed by heat therapy.
We need to determine if there are any problems to understand the severity and how to address it.
Changhua Hospital cares about you.

Reply Date: 2018/07/13

More Info

Coccyx injuries, commonly referred to as tailbone injuries, can be quite painful and often lead to long-term discomfort if not properly addressed. The coccyx, or tailbone, is a small triangular bone at the base of the spine, and it can be injured through various means, including falls, prolonged sitting on hard surfaces, or trauma from activities such as cycling or horseback riding.

Causes of Coccyx Injuries
1. Trauma: As you've experienced, falling onto the coccyx is a common cause of injury. This can happen from slipping or falling while sitting or standing.

2. Prolonged Sitting: Sitting for extended periods, especially on hard surfaces, can put pressure on the coccyx and lead to pain.

3. Childbirth: Women may experience coccyx pain after childbirth due to the pressure exerted during delivery.

4. Degenerative Conditions: Conditions such as arthritis can affect the joints around the coccyx, leading to pain.

Symptoms of Coccyx Injuries
The symptoms of a coccyx injury can vary but typically include:
- Localized Pain: Pain at the base of the spine, which may worsen when sitting, standing, or moving from sitting to standing.

- Tenderness: The area around the coccyx may be tender to the touch.

- Pain During Bowel Movements: Some individuals may experience pain during bowel movements due to the position of the coccyx.

- Radiating Pain: Pain may radiate to the lower back, hips, or legs.

Why Pain Persists
In your case, the pain persisting over a year after the initial injury could be due to several factors:
1. Inflammation: After an injury, inflammation can persist, leading to chronic pain.

2. Nerve Sensitivity: The nerves around the coccyx may become sensitized after an injury, causing ongoing pain even after the initial trauma has healed.

3. Re-injury: The second incident you described could have exacerbated the initial injury, leading to a flare-up of symptoms.

4. Postural Issues: If you have altered your sitting or standing posture to avoid pain, this can lead to additional strain on the coccyx and surrounding muscles.

Potential Long-term Effects
While many coccyx injuries heal over time, some individuals may experience chronic pain, known as coccydynia. This can lead to:
- Chronic Pain: Persistent discomfort that can affect daily activities and quality of life.

- Mobility Issues: Difficulty sitting for long periods or engaging in physical activities.

- Psychological Impact: Chronic pain can lead to anxiety or depression due to the ongoing discomfort and limitations.

Solutions and Management
1. Pain Management: Over-the-counter pain relievers such as NSAIDs (e.g., ibuprofen) can help reduce inflammation and pain.

2. Cushions: Using a coccyx cushion or a donut-shaped pillow can relieve pressure when sitting.

3. Physical Therapy: A physical therapist can provide exercises to strengthen the pelvic floor and improve posture, which may alleviate some pain.

4. Avoiding Aggravating Activities: Modifying activities that exacerbate pain, such as prolonged sitting or certain exercises, can help manage symptoms.

5. Injections: In some cases, corticosteroid injections may be recommended to reduce inflammation and pain.

6. Surgery: In rare cases where conservative treatments fail, surgical options may be considered to remove the coccyx.

Conclusion
It’s important to consult with a healthcare professional who can provide a thorough evaluation and tailored treatment plan based on your specific situation. Chronic pain can often be managed effectively with the right approach, and addressing the underlying issues is key to finding relief. If your symptoms worsen or new symptoms develop, seeking immediate medical attention is advisable.

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