Tailbone Fracture After Car Accident: Treatment Options Explained

Coccyx fracture from a car accident?

Hello doctor, I have a coccyx fracture due to a car accident.
I went to the hospital for an examination.
The first doctor said it can only heal on its own over time.
The second doctor mentioned that a manual reduction procedure could be performed by inserting a finger into the rectum, followed by a PRP injection.
I would like to ask if I should proceed with the PRP injection or if there are other treatment options available.
Thank you!

An An, 20~29 year old female. Ask Date: 2021/12/03

Dr. Chen Bochen reply Orthopedics

According to orthopedic textbooks, it is recommended to initially manage coccyx fractures conservatively for one month, using pain relief, stool softeners, and soft cushions.
If the pain persists for more than 1-2 months, then injection therapy may be considered.

Reply Date: 2021/12/03

More Info

Tailbone fractures, also known as coccygeal fractures, can be quite painful and may significantly affect your quality of life, especially after a car accident. The treatment options for a tailbone fracture largely depend on the severity of the fracture, the presence of any displacement, and the symptoms you are experiencing.

In general, if the fracture is non-displaced (meaning the bones have not moved out of alignment), conservative treatment is usually recommended. This includes rest, pain management with over-the-counter pain relievers (such as ibuprofen or acetaminophen), and avoiding activities that put pressure on the tailbone, such as sitting for long periods. Using a cushion or a specialized "donut" pillow can help alleviate pressure when sitting.

If the fracture is displaced or if conservative measures do not relieve your pain, more invasive options may be considered. One such option is manual reduction, which involves a physician using their fingers to manipulate the coccyx back into place through the rectum. This procedure is generally performed under anesthesia and can provide relief for some patients. However, it is important to discuss the risks and benefits of this procedure with your doctor, as it may not be suitable for everyone.

Platelet-rich plasma (PRP) therapy is another treatment option that has gained popularity in recent years. PRP involves drawing a small amount of your blood, processing it to concentrate the platelets, and then injecting it into the injured area. The idea is that the growth factors in the platelets can promote healing and reduce inflammation. While some studies suggest that PRP may be beneficial for certain musculoskeletal injuries, its effectiveness specifically for tailbone fractures is not well-established. Therefore, it is crucial to have a thorough discussion with your healthcare provider about whether PRP is appropriate for your situation.

In addition to these treatments, physical therapy may be recommended to help strengthen the surrounding muscles and improve mobility. A physical therapist can provide exercises tailored to your specific needs and help you manage pain.

Ultimately, the best course of action depends on your individual circumstances, including the nature of your fracture and your overall health. It is essential to have open communication with your healthcare providers, ask questions about the risks and benefits of each treatment option, and express any concerns you may have.

In conclusion, while conservative management is often the first line of treatment for tailbone fractures, options like manual reduction and PRP therapy may be considered based on your specific case. Always consult with a qualified healthcare professional to determine the most appropriate treatment plan for your recovery.

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