Tailbone Pain: Causes and When to Seek Help

Tailbone pain

Hello, doctor.
I have a small question to ask.
I have been experiencing soreness in my spine (coccyx area) for over two years.
Recently, the soreness has become so severe that I find it difficult to sleep through the night.
I also feel discomfort while sitting, which has made daily life quite inconvenient.
I would like to seek your advice on which specialty I should consult.
Given my situation, what could possibly be the issue? Thank you for your consultation, doctor.

Xiao Ping, 30~39 year old female. Ask Date: 2010/04/21

Dr. Zhou Lizhi reply Orthopedics

Coccydynia is often associated with a history of trauma, particularly due to direct impact to the buttocks, which can result in coccygeal dislocation or fracture.
Typically, conservative treatment is employed, but patients who sit for prolonged periods or experience changes in weather may experience soreness and discomfort.
Additionally, certain conditions may warrant an X-ray examination in an orthopedic clinic to rule out other underlying diseases.

Reply Date: 2010/04/21

More Info

Tailbone pain, medically known as coccydynia, can be a frustrating and debilitating condition that significantly impacts daily life. Understanding the potential causes and knowing when to seek medical help is crucial for effective management and relief.

Causes of Tailbone Pain
1. Trauma or Injury: One of the most common causes of tailbone pain is trauma, such as falling or sitting down hard. This can lead to bruising, fractures, or inflammation of the coccyx (tailbone).

2. Poor Posture: Prolonged sitting, especially on hard surfaces, can put excessive pressure on the tailbone. Poor posture while sitting can exacerbate this issue, leading to discomfort and pain.

3. Muscle Strain: Strain in the muscles and ligaments surrounding the coccyx can also contribute to pain. This can occur from activities that involve repetitive movements or prolonged sitting.

4. Infections or Tumors: In rare cases, infections or tumors in the area can cause tailbone pain. These conditions may require immediate medical attention.

5. Coccydynia of Unknown Origin: Sometimes, the exact cause of tailbone pain cannot be identified. This can be frustrating, but it is not uncommon.

Symptoms of Tailbone Pain
Symptoms often include:
- Pain localized to the tailbone area, which may worsen with sitting, standing, or moving from a seated position.

- Discomfort during bowel movements.

- Pain that may radiate to the lower back, hips, or legs.

- Tenderness when pressure is applied to the tailbone.

When to Seek Help
If you have been experiencing tailbone pain for more than a few weeks, or if the pain is severe and affecting your quality of life, it is important to seek medical attention. You should consider consulting with a healthcare provider who specializes in musculoskeletal issues, such as an orthopedic doctor or a pain management specialist. They can perform a thorough examination, which may include imaging studies like X-rays or MRIs, to determine the underlying cause of your pain.

Treatment Options
1. Conservative Management: Most cases of tailbone pain can be managed with conservative treatments:
- Pain Relief Medications: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.

- Heat Therapy: Applying heat to the affected area can alleviate discomfort.

- Cushions: Using a cushion designed to relieve pressure on the tailbone while sitting can be beneficial.

2. Physical Therapy: A physical therapist can provide exercises to strengthen the muscles around the coccyx and improve posture, which may help alleviate pain.

3. Injections: In cases where conservative treatments are ineffective, a healthcare provider may recommend corticosteroid injections to reduce inflammation and pain.

4. Surgery: In rare and severe cases, surgical removal of the coccyx (coccygectomy) may be considered, but this is typically a last resort.

Conclusion
Tailbone pain can stem from various causes, and understanding these can help in seeking appropriate treatment. If you have been experiencing persistent pain for over two years, as you mentioned, it is advisable to consult a specialist who can provide a comprehensive evaluation and tailored treatment plan. Early intervention can lead to better outcomes and improved quality of life.

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