Could Volleyball Collision Cause Tailbone Injury? Your Pain - Orthopedics

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Due to a collision while playing volleyball, I fell and landed on my buttocks?


Hello doctor, on September 23rd, I collided with someone while playing volleyball and fell, landing on my buttocks.
I applied ice initially.
Today, the pain has decreased a bit and is within tolerable limits, but I still feel pain when walking.
When sitting on a chair, if I put pressure on the bone above the anus, it still hurts.
I also experience pain when exerting pressure on my left hip.
Could this be due to a possible bone fracture?

Hsun, 10~19 year old female. Ask Date: 2022/09/26

Dr. Chen Bochen reply Orthopedics


Hello, the pain you described in that area is usually caused by inflammation of the ligaments connecting to the coccyx.
It typically takes about 3-4 weeks to heal, but if there is a fracture, it may take 1-2 months to recover.
Generally, surgical treatment is not required.

Reply Date: 2022/09/26

More Info


Injuries sustained during sports activities, such as volleyball, can indeed lead to various types of trauma, including tailbone injuries. The tailbone, or coccyx, is a small triangular bone at the base of the spine that can be particularly vulnerable to impact, especially during falls. When you collided with another player and landed on your buttocks, the force of the impact could have caused bruising, inflammation, or even a fracture of the coccyx.

Your symptoms, which include pain when sitting, walking, or applying pressure to the area, are consistent with a coccygeal injury. While the pain has diminished somewhat, the persistence of discomfort suggests that there may be underlying issues that need to be addressed. Here are some key points to consider regarding your injury:
1. Types of Injuries: Tailbone injuries can range from bruising (coccydynia) to fractures. Bruising is more common and can be quite painful, especially when sitting or moving. A fracture, while less common, can occur from a significant impact and may require more intensive treatment.

2. Symptoms: The pain you describe, particularly when sitting or applying pressure to the area, is characteristic of a coccyx injury. Pain that radiates to the left buttock when using that side may also indicate muscle strain or referred pain from the coccyx.

3. Diagnosis: To determine the exact nature of your injury, a medical evaluation is essential. This may include a physical examination and imaging studies, such as X-rays or MRI, to assess for fractures or other damage to the coccyx and surrounding structures.

4. Treatment Options: Treatment for a coccyx injury typically involves conservative measures. These may include:
- Rest: Avoiding activities that exacerbate the pain.

- Ice Therapy: Applying ice packs to the area can help reduce swelling and alleviate pain.

- Pain Relief: Over-the-counter pain medications, such as ibuprofen or acetaminophen, can help manage discomfort.

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

- Physical Therapy: If pain persists, physical therapy may help strengthen the surrounding muscles and improve mobility.

5. When to Seek Further Help: If your pain worsens, if you experience numbness or tingling in your legs, or if you have difficulty moving, it is crucial to seek medical attention promptly. These could be signs of more severe injury or complications.

In conclusion, while it is possible that your volleyball collision caused a tailbone injury, the exact nature of the injury can only be determined through a thorough medical evaluation. Given your ongoing symptoms, I recommend consulting with a healthcare professional who can provide a comprehensive assessment and appropriate treatment plan. Taking care of your injury now can help prevent long-term complications and ensure a quicker return to your normal activities.

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