Tailbone Injury After a Fall: When to Seek Medical Attention

Coccygeal injury due to a fall?

Hello, doctor! I have a question.
I slipped on a puddle and fell hard, hearing a crack when I hit my coccyx, and I ended up lying on the ground in so much pain that I couldn't speak.
My friend helped me up, and I could only stand after the pain slightly subsided.
I thought it was nothing serious, but the next day when I got out of bed, my coccyx hurt a lot, and I couldn't squat.
Riding my bike also caused pain in my coccyx, and sitting for too long is painful as well.
There are no bruises on my buttocks, but it hurts when I touch it.
I'm not sure how long this pain will last or if I need to see a doctor for an X-ray.

Xiao Lin, 20~29 year old female. Ask Date: 2018/10/11

Dr. Xie Hongjia reply Orthopedics

Dear Miss Hsiao-Lin, regarding the issue you raised, since we cannot clearly determine the nature of your injury, we recommend that you visit a hospital for evaluation.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2018/10/11

More Info

In the case of a tailbone injury, particularly after a fall, it is essential to assess the severity of the injury and determine whether medical attention is necessary. Based on your description, it sounds like you experienced a significant impact to your coccyx (tailbone), which can lead to various complications, including fractures, contusions, or soft tissue injuries.

When to Seek Medical Attention
1. Severe Pain: If the pain is intense and persistent, as you described, it is advisable to seek medical attention. Pain that prevents you from sitting, standing, or performing daily activities is a sign that further evaluation is needed.

2. Difficulty Moving: If you find it challenging to move or perform basic movements, such as bending or sitting down, this could indicate a more serious injury that requires imaging studies like X-rays to rule out fractures.

3. Swelling or Bruising: While you mentioned no visible bruising, swelling in the area can indicate underlying damage. If you notice any changes in the shape of the area or if it becomes tender to the touch, you should consult a healthcare professional.

4. Neurological Symptoms: If you experience numbness, tingling, or weakness in your legs, this could suggest nerve involvement, which requires immediate medical evaluation.

5. Persistent Symptoms: If your symptoms do not improve after a few days of rest and self-care (like ice application and over-the-counter pain relief), it is essential to see a doctor.

What to Expect at the Doctor’s Office
If you decide to visit a healthcare provider, they will likely perform a physical examination and may recommend imaging studies such as X-rays or MRI to assess the extent of the injury. X-rays can help identify fractures, while an MRI can provide a more detailed view of soft tissue injuries.

Treatment Options
1. Rest and Ice: Initially, resting the area and applying ice can help reduce pain and swelling.

2. Pain Management: Over-the-counter pain relievers like acetaminophen or non-steroidal anti-inflammatory drugs (NSAIDs) can help manage pain.

3. Cushions: Using a cushion or a donut-shaped pillow when sitting can alleviate pressure on the tailbone.

4. Physical Therapy: If pain persists, physical therapy may be recommended to strengthen the surrounding muscles and improve mobility.

5. Surgery: In rare cases, if there is a severe fracture or if conservative treatments fail, surgical intervention may be necessary.

Recovery Time
Recovery from a tailbone injury can vary significantly depending on the severity of the injury. Minor injuries may heal within a few weeks, while more severe injuries could take several months. It is crucial to monitor your symptoms and follow up with a healthcare provider if your condition does not improve.

Conclusion
Given your symptoms and the mechanism of injury, it would be prudent to seek medical attention. A healthcare professional can provide a thorough evaluation and appropriate treatment plan tailored to your needs. Remember, early intervention can often lead to better outcomes and a quicker return to normal activities.

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