Relieving Pain from Sitting: Solutions for Tailbone Discomfort - Orthopedics

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Sitting on a chair causes the bones in the buttocks to directly contact the surface, resulting in a sensation of the entire body weight pressing down on the bones?


Just relax and concentrate your body weight on your buttocks, and you will feel the bones pressing directly on the chair, which also leads to numbness and pain in the thighs and calves.
This is especially noticeable when sitting on a hard chair, while sitting on a soft chair is somewhat better, but discomfort will still occur after a long time.
Are there any solutions to this? I am 176 cm tall and weigh 52 kg.
Could this be due to being too thin? Thank you for taking the time to respond.

Xiao Wei, 10~19 year old female. Ask Date: 2019/08/18

Dr. Li Yongheng reply Orthopedics


Hello, as a male, you naturally have less fat in the buttocks compared to females, and a height of 176 cm with a weight of 52 kg is considered underweight.
Therefore, prolonged sitting or poor posture may lead to the aforementioned discomfort symptoms.

Reply Date: 2019/08/18

More Info


Tailbone pain, also known as coccydynia, can be a frustrating and uncomfortable condition, especially when sitting for prolonged periods. The discomfort you’re experiencing is likely due to pressure on the coccyx (tailbone) when sitting, which can be exacerbated by certain types of chairs and your body weight distribution. Here are some strategies to relieve your tailbone pain and improve your sitting experience.


1. Cushioning and Support
Using a specially designed coccyx cushion can significantly alleviate pressure on your tailbone. These cushions often have a cut-out section that relieves pressure on the coccyx while providing support to the surrounding areas. Look for cushions made from memory foam or gel, as they can offer better comfort and support.


2. Adjust Your Sitting Position
When sitting, try to maintain a posture that minimizes pressure on your tailbone. Leaning slightly forward can help shift your weight away from the coccyx. Additionally, avoid sitting on hard surfaces for extended periods. If you must sit for long durations, take regular breaks to stand up, stretch, and walk around.


3. Heat and Cold Therapy
Applying heat or cold to the affected area can help reduce pain and inflammation. Cold packs can be applied for the first 48 hours after experiencing pain to reduce swelling, followed by heat therapy to relax the muscles and improve blood flow. Always ensure that you have a barrier (like a cloth) between the ice or heat source and your skin to prevent burns or frostbite.


4. Physical Therapy
If your pain persists, consider consulting a physical therapist. They can provide exercises and stretches specifically designed to strengthen the muscles around the coccyx and improve flexibility. They may also teach you techniques to adjust your posture and sitting habits.


5. Medication
Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. If your pain is severe, a healthcare provider may prescribe stronger medications or recommend other treatments.


6. Weight Considerations
Your concern about being underweight (176 cm and 52 kg) could be a contributing factor to your tailbone pain. Individuals with lower body fat may have less cushioning around the tailbone, making it more susceptible to pain when sitting. If you are concerned about your weight, consider discussing this with a healthcare provider or a nutritionist who can guide you on healthy weight gain strategies.


7. Avoid Prolonged Sitting
If possible, try to limit the amount of time you spend sitting. If your work or lifestyle requires long periods of sitting, consider using a standing desk or taking frequent breaks to stand and stretch.


8. Seek Medical Attention
If your pain continues despite these measures, or if it worsens, it may be wise to consult a healthcare professional. They can perform a physical examination and, if necessary, imaging studies (like X-rays) to rule out any underlying issues, such as fractures or dislocations.


Conclusion
Tailbone pain can be a challenging condition, but with the right strategies, you can find relief. Focus on using supportive seating, adjusting your posture, and incorporating breaks into your routine. If your symptoms persist, don’t hesitate to seek professional help. Remember, taking proactive steps can significantly improve your comfort and quality of life.

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