Managing Pain from Old Injuries: Tips for Recovery and Rehabilitation - Rehabilitation

Share to:

Recurrent pain from an old injury?


Hello Doctor: A few months ago, I fell down the stairs and landed on my buttocks, resulting in a coccyx contusion.
I underwent rehabilitation at the hospital for a week, after which I stopped.
The doctor informed me that the injury site may hurt again during seasonal changes, but said there is no major issue.
I would like to ask:
1.
Would purchasing a small electrical stimulation device for home use, along with heat therapy, help alleviate the pain at the injury site? If I do not pursue this treatment, will I experience any long-term effects as I age?
2.
I often feel soreness in the injured area when sitting for extended periods, and on days with significant temperature fluctuations, I experience pain even when bending over (though the pain is not as severe as it was immediately after the injury).
Should I seek medical attention again? During this period of pain, is it advisable to engage in exercise, yoga, or swimming?
Thank you for taking the time to respond.

Wenwen, 10~19 year old female. Ask Date: 2004/09/14

Dr. Guan Zaoxiang reply Rehabilitation


Hello: A coccyx contusion is indeed difficult to heal completely.
Applying heat and undergoing electrical therapy at home can help alleviate pain and reduce the risk of long-term complications.
However, this does not guarantee full recovery.
If the pain is less than before, it indicates that it is still an old injury and has not worsened, so there may not be an immediate need for further medical attention.
Patients with a coccyx contusion do not have restrictions on swimming or similar activities.
However, high-impact activities that may exacerbate the pain are still not advisable.

Reply Date: 2004/09/14

More Info


Managing pain from old injuries, particularly from a tailbone contusion, can be a challenging process, but there are several strategies that can help alleviate discomfort and promote recovery. Here’s a comprehensive overview based on your questions and the context provided.

1. Home Treatment with Electrical Therapy and Heat: Using a small electrical stimulation device at home can be beneficial for pain management. These devices, often referred to as TENS (Transcutaneous Electrical Nerve Stimulation) units, can help reduce pain by sending electrical impulses that interfere with the transmission of pain signals to the brain. Additionally, heat therapy, such as heating pads or warm baths, can improve blood circulation to the affected area, promote relaxation, and reduce muscle tension. Both methods can be effective in managing pain, especially if used consistently.

However, it’s essential to follow the manufacturer’s instructions for any device you purchase and consult with a healthcare professional to ensure it’s appropriate for your specific condition. If you choose not to engage in any form of rehabilitation or pain management, there is a possibility of developing chronic pain or discomfort as you age, particularly if the injury has not fully healed or if you do not maintain mobility in the affected area.

2. Monitoring Symptoms and Seeking Further Medical Attention: Given that you experience pain when sitting for extended periods and during temperature fluctuations, it may be wise to consult a healthcare provider again. While your initial assessment indicated no significant issues, persistent or worsening symptoms can warrant further evaluation. It’s possible that you may have developed secondary issues, such as muscle imbalances or compensatory patterns due to the initial injury.

3. Exercise and Physical Activity: Engaging in low-impact exercises such as swimming or yoga can be beneficial for recovery. These activities promote flexibility, strengthen supporting muscles, and improve overall physical function without placing excessive strain on the tailbone. Swimming is particularly advantageous as it provides buoyancy, reducing stress on the joints while allowing for a full range of motion. Yoga can also help with flexibility and core strength, which can alleviate pressure on the tailbone.

However, it’s crucial to listen to your body. If certain movements exacerbate your pain, it’s advisable to modify or avoid those activities until you have consulted with a healthcare professional. A physical therapist can provide tailored exercises that focus on strengthening the core and pelvic floor muscles, which can support the tailbone and reduce pain.

4. Long-term Considerations: As you age, maintaining an active lifestyle and addressing any lingering pain or discomfort is vital. Chronic pain can lead to decreased mobility, which in turn can affect overall health and quality of life. Regular check-ups with your healthcare provider, especially if you notice changes in your symptoms, can help manage any potential long-term effects of your injury.

In summary, managing pain from old injuries like a tailbone contusion involves a combination of home treatments, monitoring symptoms, engaging in appropriate physical activities, and maintaining open communication with healthcare providers. By taking proactive steps, you can enhance your recovery and minimize the risk of long-term complications. Always prioritize your comfort and safety, and don’t hesitate to seek professional guidance when needed.

Similar Q&A

Managing Chronic Pain from Old Injuries: Rehabilitation Insights

Hello Dr. Chen: About 12 years ago, I fell off my motorcycle and my right leg was heavily crushed by the bike, resulting in severe bruising and a depression in the tibia. Even now, the area remains sunken. While the cosmetic aspect is secondary, the main issue is that I frequentl...


Dr. Chen Xianchang reply Rehabilitation
1. There may be damage to the periosteum; if overused, pain may recur. 2. You can go to the rehabilitation department for electrical therapy, ultrasound, or laser treatment to improve circulation. 3. Apply heat at home and use a blanket to keep the lower legs warm while sleeping.

[Read More] Managing Chronic Pain from Old Injuries: Rehabilitation Insights


Understanding Chronic Pain from Old Injuries: When to Seek Rehab Care

Twenty years ago, I sustained a significant bruise on the inner side of my calf near the ankle due to a collision with an iron gate. At that time, the bruise appeared to have healed, but I occasionally experienced a dull pain, especially when touched. In recent years, I've n...


Dr. Wang Zhaomin reply Rehabilitation
Please visit an orthopedic or rehabilitation specialist for an accurate diagnosis and to arrange appropriate treatment.

[Read More] Understanding Chronic Pain from Old Injuries: When to Seek Rehab Care


Post-Accident Rehabilitation: Addressing Concerns and Treatment Options

Thank you very much, Dr. Lin, for carefully addressing my concerns. I understand that many medical issues require cooperation between the patient and the physician to achieve the best treatment outcomes. I later explained the situation to my elder family member, but considering t...


Dr. Lin Ruixiang reply Rehabilitation
Dear Mr. J: You have truly worked hard for the health of your family, putting in considerable effort and doing your homework. When it comes to trauma patients, the first step is to treat the injury; once the disease is treated, all problems are resolved. However, reality often p...

[Read More] Post-Accident Rehabilitation: Addressing Concerns and Treatment Options


Rehabilitation Challenges for Elderly Patients After Fractures at Age 80

1. For an elderly person (80 years old) who fractured a bone and is still experiencing pain in the muscles to the point of being unable to sleep, it is advisable to consult an orthopedic specialist. Since the individual is still unable to stand, a physical medicine and rehabilita...


Dr. Yang Zhengfan reply Orthopedics
Please visit the orthopedic outpatient clinic. Thank you!

[Read More] Rehabilitation Challenges for Elderly Patients After Fractures at Age 80


Related FAQ

Old Injury Pain

(Rehabilitation)

Foot Pain

(Rehabilitation)

Coccyx Pain

(Rehabilitation)

Muscle Pain

(Rehabilitation)

Sports Injury

(Rehabilitation)

Back Soreness

(Rehabilitation)

Fracture

(Rehabilitation)

Neck Pain

(Rehabilitation)

Dislocation

(Rehabilitation)

Torticollis

(Rehabilitation)