Effective Rehabilitation Exercises for Tailbone Fractures - Rehabilitation

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Coccygeal fracture


Hello Doctor: A month ago, I accidentally slipped down the stairs and injured my coccyx.
I had an X-ray, and the doctor said it was a coccygeal fracture.
Currently, I take warm baths 4-5 days a week and supplement with calcium and vitamins.
Sometimes, after performing specific movements, I experience pain when turning over in bed at night.
I would like to know if there are any rehabilitation exercises I can do to help.
Thank you.

lazybones, 20~29 year old female. Ask Date: 2012/02/13

Dr. Lin Zhiwei reply Rehabilitation


Thank you for your question.
Here is my response: Coccygeal fractures are typically caused by external forces, and the symptoms primarily include pain in the coccyx area, which can often persist for several months.
Treatment may involve the use of analgesics and applying ice to the painful area.
In daily life, it is advisable to choose hard chairs or use a donut-shaped cushion to reduce pressure on the coccyx.
Once the pain subsides, gentle stretching exercises for the lower back may be attempted.
This is just my personal opinion for your reference.
If symptoms persist or worsen, please seek medical attention at a healthcare facility.
Wishing you a speedy recovery!

Reply Date: 2012/02/13

More Info


Rehabilitation after a tailbone fracture, or coccyx fracture, can be a challenging process, but with the right approach, you can effectively manage pain and regain mobility. It's great to hear that you are already taking steps to care for yourself by soaking in warm baths and supplementing with calcium and vitamins. These practices can help promote healing, but incorporating specific rehabilitation exercises can further enhance your recovery.


Understanding Tailbone Fractures
Tailbone fractures typically occur due to trauma, such as a fall or prolonged sitting on a hard surface. Symptoms often include localized pain, especially when sitting, standing, or transitioning positions. The healing process can take several weeks to months, depending on the severity of the fracture and individual healing rates.


Rehabilitation Exercises
Once you have received medical clearance from your healthcare provider, you can begin incorporating gentle rehabilitation exercises into your routine. Here are some effective exercises that can help:
1. Pelvic Tilts: This exercise helps strengthen the pelvic floor and lower back muscles. Lie on your back with your knees bent and feet flat on the floor. Gently tilt your pelvis upward, flattening your lower back against the floor. Hold for a few seconds, then relax. Repeat 10-15 times.

2. Knee-to-Chest Stretch: This stretch can help relieve tension in the lower back and tailbone area. Lie on your back and bring one knee toward your chest, holding it with both hands. Hold for 20-30 seconds, then switch legs. Repeat 2-3 times for each leg.

3. Seated Forward Bend: While sitting on the floor with your legs extended in front of you, gently reach forward toward your toes. This stretch can help improve flexibility in your lower back and hamstrings. Hold for 20-30 seconds and repeat 2-3 times.

4. Gentle Hip Flexor Stretch: Kneel on one knee with the other foot in front, forming a 90-degree angle. Gently push your hips forward to stretch the hip flexor of the kneeling leg. Hold for 20-30 seconds and switch sides. Repeat 2-3 times.

5. Walking: As you start to feel more comfortable, incorporate short walks into your routine. Walking can help improve circulation and promote healing. Start with a few minutes and gradually increase the duration as tolerated.


Additional Tips for Recovery
- Use Supportive Cushions: When sitting, consider using a cushion or a "donut" pillow to relieve pressure on the tailbone. This can help reduce pain during daily activities.

- Ice Therapy: Applying ice packs to the affected area for 15-20 minutes can help reduce inflammation and pain, especially after exercises.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage discomfort. Always consult with your healthcare provider before starting any medication.

- Listen to Your Body: It’s crucial to pay attention to your body’s signals. If an exercise causes significant pain, stop and consult your healthcare provider. Gradual progression is key to avoiding setbacks.


Conclusion
Rehabilitation after a tailbone fracture requires patience and consistency. Incorporating gentle exercises, maintaining proper posture, and using supportive measures can significantly aid in your recovery. Always consult with your healthcare provider or a physical therapist before starting any new exercise regimen to ensure it is appropriate for your specific condition. With time and effort, you can regain strength and mobility, leading to a successful recovery.

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