Should You Treat a Mild Leftward Bend in Your Coccyx? - Orthopedics

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Coccygeal tip


Hello, doctor.
I have noticed that the tip of my coccyx seems to be slightly bent to the left.
This has been the case for several years without any pain.
I had an injury to my coccyx in the third grade that caused an inward curve, but I later received chiropractic treatment that resolved the issue.
Do I need treatment for this slight leftward bend now?

Xiao Jun, 10~19 year old female. Ask Date: 2020/03/29

Dr. Chen Yongxue reply Orthopedics


No need.

Reply Date: 2020/03/29

More Info


When it comes to a mild leftward bend in the coccyx (tailbone), especially one that has been present for several years without causing pain or discomfort, treatment may not be necessary. The coccyx is a small, triangular bone at the base of the spine, and variations in its shape or alignment can occur naturally. In many cases, these variations do not lead to any significant issues or symptoms.

From your description, it seems that you experienced an injury to your coccyx during elementary school, which may have contributed to the current alignment. However, since you mentioned that you have not experienced any pain or functional limitations related to this bend, it is likely that your body has adapted to this alignment over time. The fact that you previously sought treatment from a chiropractor and felt better afterward suggests that your body can manage this condition without ongoing intervention.

In general, treatment for a bent coccyx is only considered if it leads to pain, discomfort, or functional impairment. If you were to experience symptoms such as pain while sitting, difficulty with bowel movements, or any neurological symptoms, it would be advisable to consult a healthcare professional for further evaluation. In such cases, imaging studies like X-rays or MRIs may be warranted to assess the extent of the bend and rule out any underlying issues.

For individuals who do experience pain related to coccyx alignment, conservative treatments are often recommended first. These may include:
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort.

2. Cushions: Using a coccyx cushion or a donut-shaped pillow while sitting can relieve pressure on the tailbone.

3. Physical Therapy: A physical therapist can provide exercises to strengthen the pelvic floor and improve flexibility, which may help alleviate discomfort.

4. Chiropractic Care: Some individuals find relief through chiropractic adjustments, which can help realign the spine and coccyx.

5. Injections: In more severe cases, corticosteroid injections may be considered to reduce inflammation and pain.

6. Surgery: This is typically a last resort and is only considered in cases of severe pain that does not respond to conservative treatments.

In conclusion, if your mild leftward bend in the coccyx is asymptomatic and has not caused you any issues over the years, it is likely that no treatment is necessary. However, if you begin to experience pain or other symptoms, it would be wise to consult a healthcare professional for a thorough evaluation and appropriate management. Regular monitoring and being aware of any changes in your condition are key to ensuring your ongoing health and comfort.

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