Skull and Tailbone Changes: When to Seek Medical Advice

Head bone issues?

1.
Doctor, may I ask if the skull continues to grow at my age? I recently noticed that my head shape is pointed after getting a haircut, and I'm not sure if it has changed recently.
I never felt this way before and I'm worried it might continue to grow more pointed.
2.
I have noticed that one side of my head is more tilted than the other, and the midline of my scalp feels a bit off.
Recently, I haven't experienced any specific symptoms in my head.
Is this normal?
3.
Recently, I've experienced noticeable tenderness when sitting on my coccyx, which I haven't encountered before.
Upon examining my coccyx, I noticed it feels protruded.
What could cause this noticeable sensation in the coccyx, and do I need to seek medical attention?
4.
In the past few months, I've noticed a prominence at the occipital bone at the back of my head.
I consulted an orthopedic doctor, but he told me that bone issues are usually minor.
However, I still find myself touching it because I never felt it before.
What could be the cause of this condition?

Li Xiansheng, 20~29 year old female. Ask Date: 2023/11/21

Dr. Chen Bochen reply Orthopedics

Your concerns are quite common and are often due to things that were previously overlooked.
You can document the location and size of these bones, and if there are no changes after three months, there is no need to worry.
However, if you are still very anxious, you can consider paying for a health check-up or a CT scan.

Reply Date: 2023/11/21

More Info

When it comes to changes in the skull and tailbone, it's essential to understand the normal aging process and when to seek medical advice. Let's address your concerns one by one.

1. Skull Growth in Adulthood: Generally, the human skull is composed of several bones that fuse together as a person matures. By the late teenage years to early twenties, the skull bones typically have fused completely, meaning significant growth is unlikely. However, subtle changes can occur due to various factors, including weight gain, muscle development, or even changes in posture. If you notice a significant change in the shape of your head, it may be worth consulting a healthcare professional to rule out any underlying conditions.

2. Asymmetry in the Skull: It's not uncommon for individuals to have slight asymmetries in their skull shape. These can become more noticeable with age or changes in body composition. If you feel that one side of your head appears more prominent or tilted, it could be due to muscle tension, posture, or even habitual sleeping positions. If there are no accompanying symptoms such as pain, headaches, or neurological issues, it may not be a cause for concern. However, if the asymmetry is pronounced or accompanied by other symptoms, a consultation with a specialist may be warranted.

3. Tailbone Pain: Experiencing pain in the tailbone (coccyx) can be due to several reasons, including trauma, prolonged sitting, or even conditions like coccydynia, which is inflammation of the coccyx. The fact that you have recently noticed tenderness and a protrusion could indicate inflammation or a change in the structure of the coccyx. If the pain persists or worsens, or if you experience other symptoms such as numbness or radiating pain, it is advisable to seek medical attention. A healthcare provider can perform a physical examination and may recommend imaging studies if necessary.

4. Changes in the Occipital Bone: The occipital bone is located at the back of the skull and can become more prominent due to various factors, including muscle tension, weight changes, or even benign bone growths. If a healthcare provider has assessed the situation and deemed it a minor issue, it may not require immediate intervention. However, if you notice changes in size, shape, or if it becomes painful, it’s essential to follow up with a healthcare professional. They can provide reassurance or further evaluation if necessary.

In summary, while some changes in the skull and tailbone can be normal, significant alterations or discomfort should not be ignored. It’s always best to consult with a healthcare provider if you have concerns about your body’s changes, especially if they are accompanied by pain or other symptoms. Regular check-ups can help monitor any changes and ensure that you maintain good health.

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