Tailbone Pain: Should You See an Orthopedist or a Rehabilitation Specialist?

Coccydynia

Since the end of June, I have been experiencing pain in my coccyx when sitting, whether watching movies or sitting on the bed, to the point that I have to keep shifting positions.
Should I see an orthopedic specialist or a rehabilitation specialist?

Katrina, 20~29 year old female. Ask Date: 2015/11/16

Dr. Zhou Jianwen reply Rehabilitation

Orthopedics or Rehabilitation Medicine are both acceptable.

Reply Date: 2015/11/16

More Info

Tailbone pain, or coccydynia, can be quite debilitating and may arise from various causes, including trauma, prolonged sitting, or even underlying conditions such as infections or cysts. Given your symptoms of pain while sitting, it is essential to approach this issue with a comprehensive understanding of potential underlying causes and treatment options.

When deciding whether to see an orthopedist or a rehabilitation specialist, it is crucial to consider the nature of your pain and any previous treatments you have undergone. An orthopedist specializes in diagnosing and treating bone and joint disorders, which includes conditions affecting the tailbone. If your pain is severe, persistent, or associated with trauma (such as a fall), it may be beneficial to consult an orthopedist first. They can perform imaging studies, such as X-rays or MRIs, to rule out fractures, dislocations, or other structural issues that may require surgical intervention.

On the other hand, if your pain is more chronic and related to muscle tension, posture, or overuse, a rehabilitation specialist may be more appropriate. Rehabilitation specialists focus on non-surgical treatments, including physical therapy, pain management techniques, and lifestyle modifications. They can help you develop a tailored exercise program to strengthen the muscles around the pelvis and improve your posture, which may alleviate some of the pressure on the tailbone.

In your case, since you have been experiencing pain while sitting for an extended period, it may be beneficial to start with an orthopedist to rule out any serious underlying conditions. If the orthopedist determines that there are no significant structural issues, they may refer you to a rehabilitation specialist for further management.

In terms of immediate relief, there are several strategies you can employ while waiting for your appointment. Using a cushion or a specially designed tailbone pillow can help reduce pressure when sitting. Additionally, practicing good posture and taking frequent breaks to stand or walk can alleviate discomfort. Over-the-counter pain medications, such as NSAIDs (non-steroidal anti-inflammatory drugs), can also help manage pain and inflammation.

If you find that your symptoms are worsening or if you experience additional symptoms such as numbness, tingling, or bowel/bladder issues, it is essential to seek medical attention promptly. These could indicate more serious conditions that may require immediate intervention.

In summary, the decision to see an orthopedist or a rehabilitation specialist depends on the nature of your pain and any previous treatments. Starting with an orthopedist may be the best approach to rule out any serious issues, followed by rehabilitation for ongoing management. Remember to practice self-care measures in the meantime, and do not hesitate to seek immediate care if your symptoms worsen.

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