Coccyx Numbness: When to See a Specialist - Orthopedics

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Coccyx numbness, or numbness in the tailbone area, can be a concerning symptom, especially when it appears without a clear cause, such as an injury. Given your description of the numbness occurring after bending over to wash your hair, along with the recent development of leg twitching at night, it’s essential to approach this situation carefully.

The coccyx, or tailbone, is located at the base of the spine and can be affected by various conditions, including nerve compression, trauma, or even referred pain from other areas of the spine. The narrowing of the intervertebral disc space at the fifth or sixth lumbar vertebra, as noted in your X-ray report, could potentially contribute to nerve-related symptoms, including numbness in the coccyx area. This narrowing may indicate disc degeneration or herniation, which can lead to nerve root compression.

When considering whether to see a specialist, it is crucial to evaluate the severity and persistence of your symptoms. If the numbness is intermittent and not accompanied by significant pain, weakness, or loss of bowel or bladder control, it may not require immediate intervention. However, if the numbness worsens, becomes constant, or is associated with other neurological symptoms, it is advisable to seek further evaluation.

In your case, since you have already been referred to an orthopedic specialist, it may be beneficial to follow up with them. Orthopedic doctors can assess the structural aspects of your spine and coccyx and determine if any interventions, such as physical therapy, medication, or possibly surgery, are necessary. They may also recommend imaging studies, such as an MRI, to get a clearer picture of the soft tissues and nerves in the area.

Additionally, if you notice any new symptoms, such as increased pain, changes in sensation, or weakness in your legs, it would be prudent to return to the neurologist for a more comprehensive evaluation. Neurologists specialize in conditions affecting the nervous system and can provide insights into whether your symptoms are related to nerve compression or other neurological issues.

In summary, while it may not be urgent to see a specialist immediately, monitoring your symptoms closely is essential. If you experience any changes or worsening of your condition, do not hesitate to seek medical advice. It’s always better to err on the side of caution when it comes to neurological symptoms. Regular follow-ups with your healthcare providers will ensure that any underlying issues are addressed promptly, allowing you to manage your symptoms effectively and maintain your quality of life.