Pain while walking and inability to squat?
Hello, doctor.
I would like to ask about an incident where my coat got caught on a plastic red chair, causing me to fall to the ground.
When I got up, I experienced significant pain, and walking feels like I might have a strain or something similar, making it difficult to walk normally or squat down, although I can walk slowly.
I have been applying heat for three days, and now the pain seems to be mostly in the middle of my buttocks, with some tenderness when pressing on both inner sides.
How long do you think it will take to heal, and what treatment should I consider? Thank you, doctor.
Miss Lin, 20~29 year old female. Ask Date: 2021/11/14
Dr. Wang Shouji reply Orthopedics
Hello, symptoms of coccyx injury can last from several days to months.
Avoid prolonged sitting, as well as riding motorcycles or bicycles, to prevent irritation of the painful area.
If the pain is significant in daily life, some medications can be used to alleviate the symptoms.
Changhua Hospital cares about your health.
Wang Shou-ji.
Reply Date: 2021/11/14
More Info
Experiencing pain while walking and difficulty squatting after a fall can be concerning, and it's important to address these symptoms properly. Based on your description, it seems that you may have sustained a soft tissue injury, possibly involving the muscles, ligaments, or tendons around the hip and pelvis. Given that you mentioned pain in the middle of your buttocks and tenderness on both sides, this could indicate a strain or contusion in the gluteal muscles or surrounding structures.
Immediate Steps for Relief
1. Rest: It's crucial to give your body time to heal. Avoid activities that exacerbate the pain, especially those that involve squatting or heavy lifting.
2. Ice Therapy: Continue using ice packs on the affected area for the first 48-72 hours post-injury. This can help reduce swelling and numb the pain. Apply ice for 15-20 minutes every hour as needed.
3. Heat Therapy: After the initial swelling has gone down (typically after 72 hours), you can switch to heat therapy. Applying a warm compress or heating pad can help relax tight muscles and improve blood flow to the area.
4. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. Ensure you follow the recommended dosage on the packaging.
5. Gentle Stretching and Strengthening: Once the acute pain decreases, gentle stretching and strengthening exercises can be beneficial. Focus on the hip flexors, glutes, and lower back. However, avoid any movements that cause pain.
When to Seek Medical Attention
If your symptoms do not improve within a few days or if they worsen, it is advisable to seek medical attention. Signs that warrant a visit to a healthcare provider include:
- Persistent or worsening pain
- Swelling that does not subside
- Difficulty bearing weight on the affected leg
- Any signs of bruising or deformity
- Symptoms that interfere significantly with daily activities
A healthcare professional may perform a physical examination and possibly imaging studies, such as X-rays or MRI, to rule out fractures or more serious injuries.
Recovery Timeline
The recovery time can vary depending on the severity of the injury. Minor strains may improve within a week or two, while more significant injuries could take several weeks to heal fully. It's essential to listen to your body and not rush back into activities that could aggravate the injury.
Psychological Aspects
It's also important to address any anxiety or fear you may have regarding your injury. It's common to feel apprehensive after a fall, especially if it leads to pain or mobility issues. Here are some strategies to help manage these feelings:
- Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, or yoga can help reduce anxiety and improve your overall sense of well-being.
- Gradual Return to Activity: As you start to feel better, gradually reintroduce activities. This can help build confidence in your body's ability to move without pain.
- Talk to Someone: If your anxiety about the injury is overwhelming, consider speaking with a mental health professional. They can provide strategies to cope with fear and anxiety related to physical injuries.
In summary, while it’s essential to take care of your physical injury with appropriate rest, ice, heat, and pain relief, don’t overlook the psychological aspect of recovery. If symptoms persist or worsen, seeking medical advice is crucial for proper diagnosis and treatment.
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