Tailbone Pain: When to Seek Medical Help - Orthopedics

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Coccydynia


I have never experienced this situation before.
On Monday, I felt a slight pain, but it was okay on Tuesday, Wednesday, and Thursday.
However, on Thursday night, I felt a dull pain while sleeping.
On Friday, I noticed swelling and the pain persisted; I feel pain when standing up or sitting down.
I usually have a habit of half-lying in bed while reading.
Should I seek medical attention? Please help me.
A helpless soon-to-be father.

Ping Ping, 30~39 year old female. Ask Date: 2001/01/19

Dr. Shi Guozheng reply Orthopedics


Coccydynia may be caused by improper sitting posture, which continuously exerts pressure on the coccyx, leading to inflammation.
If the symptoms are severe, it is necessary to see a physician and take anti-inflammatory pain relievers for relief.
If the pain is not severe, it typically resolves within five days to a week.
Maintaining proper sitting posture can help prevent recurrence.

Reply Date: 2001/01/19

More Info


Tailbone pain, also known as coccydynia, can be a frustrating and uncomfortable condition, especially for someone who has not experienced it before. Your symptoms, which started with mild pain and progressed to swelling and increased discomfort when sitting or standing, warrant careful consideration.
Firstly, it’s important to understand that tailbone pain can arise from various causes, including trauma (such as a fall), prolonged sitting on hard surfaces, or even repetitive strain from certain activities. In your case, the fact that you have a habit of sitting in bed for extended periods while reading could contribute to discomfort, particularly if your posture is not supportive.
Given the progression of your symptoms—from mild pain to noticeable swelling and pain with movement—it is advisable to seek medical attention. Here are a few reasons why:
1. Diagnosis: A healthcare professional can perform a physical examination and may recommend imaging studies, such as X-rays, to rule out fractures or other underlying issues. This is crucial because while many cases of tailbone pain are benign and resolve with conservative treatment, some may indicate more serious conditions that require intervention.

2. Pain Management: If your pain is severe enough to disrupt your daily activities or sleep, it may be necessary to explore pain management options. Over-the-counter pain relievers like NSAIDs (non-steroidal anti-inflammatory drugs) can help reduce inflammation and alleviate pain. However, a healthcare provider can prescribe stronger medications or recommend other treatments if necessary.

3. Treatment Options: Depending on the diagnosis, treatment may include physical therapy, which can strengthen the muscles around the tailbone and improve posture, or corticosteroid injections to reduce inflammation. In some cases, if conservative measures fail, surgical options may be considered, especially if there is a structural issue with the coccyx.

4. Preventive Measures: A healthcare provider can also offer advice on lifestyle modifications to prevent future episodes of tailbone pain. This may include ergonomic adjustments to your reading environment, such as using a supportive chair or cushion, and incorporating regular breaks to change positions.

5. Monitoring Symptoms: If you notice any worsening of symptoms, such as increased swelling, fever, or changes in bowel habits, it is imperative to seek immediate medical attention, as these could indicate complications.

In conclusion, while it may be tempting to wait and see if your symptoms improve, the combination of swelling and persistent pain, especially with movement, suggests that a visit to a healthcare provider is warranted. They can provide a comprehensive evaluation and tailor a treatment plan to address your specific needs. As a soon-to-be father, it’s essential to prioritize your health so you can be there for your family. Don’t hesitate to seek help; it’s a proactive step towards recovery.

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