Tailbone Injuries: Symptoms, Risks, and Home Care Tips - Orthopedics

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Coccyx injury?


Hello, doctor.
I fell while skateboarding and landed on my back.
At that moment, I felt pain and numbness in my lower back (the area connecting both kidneys) and experienced shortness of breath.
After resting, I was able to stand and walk.
A day later, I don't feel any pain in my bones or muscles, but there is slight pain in the area around my kidneys, similar to a muscle strain.
I would like to ask, is this purely a muscle strain in my lower back, or could there be an injury to my kidneys? Are there clinical cases where a fall on the coccyx has resulted in kidney injury? Additionally, besides seeking medical treatment, what should I pay attention to in terms of home care? Thank you for your guidance.

Xiao Ji, 30~39 year old female. Ask Date: 2011/10/01

Dr. Shi Guozheng reply Orthopedics


Falling to the ground typically transmits force to the lumbar spine.
If there is pain, it is important to be cautious about the possibility of a fracture.
Generally, this type of situation does not injure the kidneys.
If there are any concerns, it is best to consult an orthopedic physician for an evaluation.

Reply Date: 2011/10/01

More Info


Tailbone injuries, also known as coccydynia, can be quite painful and may arise from various incidents, such as falls, direct trauma, or prolonged sitting. Understanding the symptoms, risks, and home care tips is essential for effective recovery.

Symptoms of Tailbone Injuries
The primary symptom of a tailbone injury is pain in the coccyx area, which can be exacerbated by sitting, standing, or moving from a sitting to a standing position. Other symptoms may include:
- Pain during bowel movements or sexual intercourse.

- Swelling or tenderness in the coccyx area.

- Discomfort while sitting, which may improve when standing or lying down.

- Radiating pain to the lower back or hips.

In your case, the pain you experienced in the lower back and the kidney area after falling while skateboarding could be indicative of a few things. While it is possible that you simply strained your back (often referred to as "throwing your back out"), it is also important to consider the possibility of bruising or injury to the tailbone itself. The kidneys are located higher in the back, so direct trauma to the tailbone is less likely to cause kidney injury; however, it is not impossible, especially if there was significant force involved.


Risks Associated with Tailbone Injuries
Tailbone injuries can lead to chronic pain if not treated properly. Risks include:
- Development of chronic coccydynia, which can persist for months or even years.

- Increased sensitivity in the coccyx area, making it difficult to sit comfortably.

- Potential for secondary issues, such as muscle spasms in the lower back or pelvis due to compensatory movements.


Home Care Tips for Tailbone Injuries
1. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help reduce pain and inflammation. Always follow the recommended dosages.

2. Ice Therapy: Applying ice packs to the affected area for 15-20 minutes several times a day can help reduce swelling and numb the pain.

3. Cushioned Seating: Use a donut-shaped cushion or a gel seat cushion when sitting to relieve pressure on the tailbone. This can significantly improve comfort levels.

4. Avoid Prolonged Sitting: Try to limit the time spent sitting, especially on hard surfaces. When you do sit, shift your weight frequently to avoid putting too much pressure on the coccyx.

5. Gentle Stretching: Engage in gentle stretching exercises for the lower back and hips to alleviate tension. However, avoid any movements that exacerbate the pain.

6. Heat Therapy: After the initial swelling has gone down (usually after 48 hours), applying heat can help relax tight muscles around the coccyx.

7. Posture Awareness: Maintain good posture while sitting and standing to minimize strain on the lower back and tailbone.

8. Consult a Healthcare Provider: If pain persists or worsens, it is crucial to seek medical attention. A healthcare provider may recommend physical therapy, corticosteroid injections, or other treatments based on the severity of the injury.


Conclusion
In summary, while your symptoms may suggest a simple strain, it is essential to monitor your condition closely. If you experience worsening pain, difficulty with mobility, or any new symptoms, consult a healthcare professional for a thorough evaluation. Home care strategies can significantly aid in recovery, but professional guidance is invaluable, especially if there are concerns about potential kidney injury or other complications. Remember to listen to your body and give it the time it needs to heal.

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