Managing Tailbone Pain After Childbirth: Seeking the Right Treatment - Rehabilitation

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Pain at the lower back near the tailbone?


Hello, doctor.
Ever since I gave birth to my first child a year and a half ago, I have been suffering from persistent pain at the lower end of my back (specifically, the tailbone area).
Due to abnormal uterine contractions, I was hospitalized for bed rest and received tocolytic injections from around 27 weeks until I was discharged at 36 weeks, spending nearly two months lying on a small hospital bed.
I experienced daily back and lower back pain during that time.
I had a spinal anesthesia for my cesarean section, and I had a strong reaction to the anesthetic.
Since then, I have been in constant pain, which worsens with fatigue, and even slight pressure causes significant discomfort.
Additionally, after holding my baby for an extended period, I developed hemorrhoids, and I'm unsure if there's a connection.
I would like to ask the doctor how I should address these issues and which specialty I should consult.

CL, 40~49 year old female. Ask Date: 2010/07/12

Dr. Chen Wayda reply Rehabilitation


Rehabilitation medicine may be more appropriate.

Reply Date: 2010/07/12

More Info


Managing tailbone pain after childbirth can be a challenging experience, especially when it has persisted for an extended period. Your situation, which involves pain in the tailbone area following a cesarean section and the complications of prolonged bed rest during pregnancy, is not uncommon. Here’s a comprehensive approach to understanding and managing your symptoms.


Understanding Tailbone Pain Post-Childbirth
Tailbone pain, medically known as coccydynia, can arise from various factors, particularly after childbirth. The trauma of delivery, especially through a cesarean section, can lead to inflammation or injury in the coccyx area. Additionally, prolonged periods of immobility, such as lying in a hospital bed for weeks, can contribute to muscle stiffness and discomfort in the lower back and tailbone.

Your description of pain worsening with fatigue and pressure suggests that there may be underlying issues related to muscle tension, inflammation, or even nerve irritation in the area. The fact that you also experienced hemorrhoids after carrying your child for extended periods indicates that there may be additional strain on your pelvic floor muscles, which can exacerbate tailbone pain.


Recommended Treatment Options
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage inflammation and pain. If these do not provide sufficient relief, consulting with a healthcare provider for prescription medications or topical analgesics may be beneficial.

2. Physical Therapy: Engaging in physical therapy can be particularly effective for tailbone pain. A physical therapist can guide you through exercises that strengthen the pelvic floor and lower back muscles, improve flexibility, and alleviate tension in the coccyx area. They may also employ techniques such as manual therapy or ultrasound therapy to reduce pain.

3. Heat and Cold Therapy: Applying heat or cold packs to the affected area can provide temporary relief. Heat can help relax tight muscles, while cold therapy can reduce inflammation.

4. Cushions and Positioning: Using a coccyx cushion or a wedge-shaped pillow when sitting can help relieve pressure on the tailbone. Additionally, being mindful of your posture while sitting and standing can help reduce discomfort.

5. Avoiding Prolonged Sitting: If possible, try to avoid sitting for extended periods. Taking breaks to stand or walk can help alleviate pressure on the coccyx.

6. Consulting Specialists: Given your symptoms, it may be beneficial to consult with a pain management specialist or a chiropractor who has experience with postpartum issues. They can provide tailored treatment options based on your specific condition.


Addressing Hemorrhoids
Regarding your hemorrhoids, they can indeed be related to the strain of carrying a child and the pressure exerted during delivery. To manage this condition, consider the following:
- Dietary Changes: Increasing fiber intake can help prevent constipation, which is a common cause of hemorrhoids. Foods rich in fiber include fruits, vegetables, whole grains, and legumes.

- Hydration: Drinking plenty of water can also aid in digestion and prevent constipation.

- Topical Treatments: Over-the-counter creams or ointments specifically designed for hemorrhoids can provide relief from discomfort and itching.

- Sitz Baths: Soaking in warm water can help soothe the area and reduce inflammation.


Future Considerations
As you continue to manage your pain, it’s essential to monitor your symptoms. If your pain persists or worsens, or if you experience new symptoms such as numbness or bowel/bladder issues, it’s crucial to seek medical attention promptly.
In summary, managing tailbone pain after childbirth involves a combination of pain management strategies, physical therapy, and lifestyle modifications. Consulting with healthcare professionals who specialize in postpartum care can provide you with the best treatment options tailored to your needs. Remember, recovery takes time, and addressing both your tailbone pain and any related issues like hemorrhoids will be key to improving your overall quality of life.

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