Coccyx Abnormal Growth After a Fall: What to Do? - Orthopedics

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Fall ~ Coccygeal abnormal growth


Hello, during the last semester, I fell in a heavy rain and landed directly on my tailbone.
After school, I went to see a traditional Chinese medicine practitioner who helped me with heat therapy and applied some patches.
After that, the pain went away, so I didn't go back.
Now I’ve noticed that the area around my coccyx is bending downwards and seems to be elongating.
I'm really worried that it will continue to protrude more.
What should I do? I'm currently in the first year of high school.

Daniel, 10~19 year old female. Ask Date: 2007/04/22

Dr. Li Wenlin reply Orthopedics


Hello: In response to your question, the coccyx naturally has a slight curvature.
Even if an injury causes an increase in the angle, it has no clinical significance.
If you still have concerns, please consult an orthopedic specialist nearby.
Wishing you all the best!

Reply Date: 2007/04/22

More Info


Hello! It sounds like you are experiencing some concerning symptoms after your fall, particularly with the abnormal growth of your coccyx (tailbone). Let’s break down your situation and discuss what steps you can take.

First, it’s important to understand that the coccyx is naturally curved, and some degree of curvature is normal. However, if you notice that it is bending more than usual or appears to be growing longer, it could indicate a few possibilities, such as a coccygeal fracture or a condition known as coccygodynia, which is pain in the coccyx area. In some cases, trauma can lead to changes in the structure of the coccyx, which might cause discomfort or concern about its appearance.

Given that you mentioned you initially had pain that subsided after treatment, it’s possible that the injury may have healed in a way that is now causing the coccyx to appear abnormal. However, if you are feeling anxious about this change, it is crucial to seek further evaluation. Here are some steps you can consider:
1. Consult a Specialist: Since you are still in high school, I recommend discussing your concerns with a parent or guardian and seeking a referral to an orthopedic specialist or a physician who specializes in spinal issues. They can perform a physical examination and may recommend imaging studies, such as an X-ray or MRI, to assess the coccyx and surrounding structures.

2. Monitor Symptoms: Keep track of any symptoms you may experience, such as pain, discomfort while sitting, or any changes in bowel or bladder function. This information will be valuable for your doctor.

3. Physical Therapy: If your doctor determines that there is no significant injury but you are experiencing discomfort, they may recommend physical therapy. A physical therapist can provide exercises to strengthen the muscles around the coccyx and improve flexibility, which may help alleviate any discomfort.

4. Pain Management: If you experience pain, over-the-counter pain relievers such as ibuprofen or acetaminophen may help. However, consult with a healthcare provider before starting any medication.

5. Avoid Prolonged Sitting: If sitting causes discomfort, consider using a cushion or a doughnut-shaped pillow to relieve pressure on the coccyx. Additionally, try to avoid sitting for long periods.

6. Surgical Considerations: In rare cases where there is significant pain or structural issues that do not improve with conservative treatment, surgical options may be discussed. However, this is usually a last resort and would require thorough evaluation by a specialist.

7. Education and Awareness: Since you are still in school, it’s essential to educate yourself about your condition. Understanding the anatomy and potential issues related to the coccyx can help you communicate effectively with your healthcare provider.

In summary, while it’s understandable to be concerned about changes in your coccyx after a fall, many cases can be managed effectively with proper medical guidance. Don’t hesitate to seek help from a healthcare professional who can provide a thorough evaluation and appropriate treatment options. Your health and well-being are important, and addressing these concerns early can lead to better outcomes.

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