Tailbone Pain After a Fall: When to Seek Medical Attention? - Orthopedics

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Occasional pain in the coccyx after a slip and fall?


I wore high-heeled shoes for the first time on Monday and slipped on a gravel slope, falling hard and landing on my back with my feet in the air.
I hit my buttocks and coccyx, and about an hour later, my coccyx started to hurt.
The pain occurs only when pressure is applied to the coccyx (I mean, sitting down doesn’t hurt; it doesn’t hurt when there’s no pressure on the coccyx).
When I lie down, applying pressure to the coccyx causes pain.
Since that day, I have been staying at home, alternating between standing, lying down, and sitting for the past five days without applying any medication or using ice or heat, but the pressure pain persists.

1.
Should I see a doctor? Is this normal? Should I just wait quietly for it to get better?
2.
Can I dance? Can I do vigorous movements? I’m worried about being unable to perform certain actions...

Ya, 10~19 year old female. Ask Date: 2018/09/08

Dr. Li Yongheng reply Orthopedics


Hello, based on the symptoms you described, it is possible that you have a coccygeal contusion or fracture.
I recommend that you visit an orthopedic clinic for an X-ray examination.
If it is a simple contusion, recovery may take about two weeks; if it is a fracture, it may take six to eight weeks to heal.
Currently, it is advisable to avoid dancing and any vigorous activities.

Reply Date: 2018/09/08

More Info


Tailbone pain, or coccydynia, can be a significant source of discomfort, especially after a fall. Your situation, where you experienced a fall that resulted in pain localized to the tailbone area, raises several important considerations regarding when to seek medical attention and how to manage your symptoms.

1. When to Seek Medical Attention: Given that you have been experiencing pain for five days following your fall, it is advisable to consult a healthcare professional, especially if the pain persists or worsens. While some tailbone pain can resolve on its own with rest and conservative measures, persistent pain may indicate a more serious injury, such as a fracture or soft tissue damage. If you experience any of the following symptoms, you should seek medical attention promptly:
- Severe pain that does not improve with rest.

- Pain that radiates to other areas, such as the legs or back.

- Difficulty with bowel or bladder control.

- Swelling or bruising around the tailbone area.

- Any signs of infection, such as fever or increased redness.

2. Is It Normal?: It is not uncommon to experience pain after a fall, particularly in the tailbone area. However, the fact that you are experiencing significant discomfort even after five days suggests that it may not be a simple bruise or strain. While some cases of tailbone pain can improve with time, if you find that the pain is affecting your daily activities or quality of life, it is worth getting evaluated by a healthcare provider.

3. Activity Considerations: Regarding your question about dancing and engaging in large movements, it is essential to listen to your body. If you experience pain when performing certain movements or activities, it may be best to avoid them until you have a clearer understanding of your injury. High-impact activities or those that put pressure on the tailbone could exacerbate your pain or prolong recovery. Gentle stretching and low-impact activities may be more appropriate during this time.

4. Self-Care Measures: While waiting for your appointment or if you choose to manage your symptoms at home, consider the following self-care strategies:
- Rest: Avoid activities that aggravate your pain.

- Ice Therapy: Applying ice to the affected area for 15-20 minutes several times a day can help reduce swelling and numb the pain.

- Pain Relief: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help manage pain and inflammation.

- Cushioned Seating: Using a cushion or a doughnut-shaped pillow when sitting can alleviate pressure on the tailbone.

- Gentle Movement: Engage in gentle stretching or walking to promote circulation without putting too much strain on the tailbone.

In summary, while some tailbone pain can resolve with time and conservative measures, your persistent symptoms warrant a medical evaluation. A healthcare provider can assess your injury, rule out any fractures or serious conditions, and recommend appropriate treatment options. Until then, focus on self-care strategies to manage your pain and avoid activities that may exacerbate your symptoms.

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