Can You Extend Your Recovery Period for a Tailbone Fracture? - Orthopedics

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Coccygeal fracture


I was diagnosed with a coccyx fracture in early February, and the doctor prescribed a two-week rest period.
After returning to work two weeks later, I experienced increased discomfort in my buttocks due to the need to lift heavy objects and perform bending movements.
Can I ask the doctor for an extension of my rest period?

Xie Xiaoyu, 20~29 year old female. Ask Date: 2024/02/20

Dr. Shi Guozheng reply Orthopedics


Can the doctor prescribe a few days of rest based on the patient's condition?

Reply Date: 2024/02/20

More Info


Recovering from a tailbone fracture, also known as a coccyx fracture, can be a challenging process, especially if your work involves physical activities such as lifting heavy objects, bending, or prolonged sitting. The initial recovery period prescribed by your doctor is typically around two weeks, but this can vary significantly depending on the severity of the fracture and your individual healing process.

If you find that your symptoms have not improved or have worsened after returning to work, it is absolutely reasonable to consult your physician about extending your recovery period. It is important to communicate openly with your healthcare provider about your symptoms, including any pain or discomfort you experience while performing your job duties. Your doctor may consider extending your sick leave if they believe that returning to work could hinder your recovery or exacerbate your condition.

Tailbone fractures can take anywhere from six weeks to several months to heal completely, depending on various factors such as age, overall health, and the extent of the injury. During this time, it is crucial to manage your pain and avoid activities that could aggravate the injury. If you are experiencing increased discomfort when lifting or bending, it may be a sign that your body is not ready for those activities yet.

In addition to seeking an extension of your recovery period, there are several strategies you can implement to facilitate healing and manage pain:
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help alleviate discomfort. Always follow your doctor's recommendations regarding medication.

2. Sitting Position: When sitting, consider using a cushion or a "donut" pillow designed to relieve pressure on the tailbone. This can help reduce pain while sitting for extended periods.

3. Activity Modification: Avoid activities that put pressure on your tailbone, such as prolonged sitting or heavy lifting. If your job requires physical activity, discuss with your employer the possibility of modifying your duties temporarily.

4. Physical Therapy: If your doctor recommends it, physical therapy can be beneficial. A physical therapist can provide exercises that strengthen the muscles around the tailbone and improve flexibility, which may help alleviate pain.

5. Heat and Cold Therapy: Applying ice packs to the affected area can help reduce swelling and numb pain, especially in the initial stages after the injury. After a few days, switching to heat therapy can help relax tight muscles and improve blood flow to the area.

6. Gradual Return to Activity: Once your pain decreases, gradually reintroduce activities. Start with light movements and avoid any actions that cause pain.

7. Follow-Up Appointments: Keep regular follow-up appointments with your doctor to monitor your healing progress. If you notice any changes or worsening symptoms, inform your doctor immediately.

In summary, if you are experiencing persistent pain or discomfort after returning to work following a tailbone fracture, it is advisable to consult your physician about extending your recovery period. Your health and well-being should be the priority, and your doctor can provide guidance tailored to your specific situation. Remember, healing takes time, and it is essential to listen to your body and allow it the necessary time to recover fully.

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