Coccydynia
Hello, doctor! I am currently traveling abroad.
Yesterday, while playing on a slide in an ice palace, I accidentally hit the bottom of my tailbone due to a hole in the slide.
Now, it hurts to walk, it hurts even more to sit, and going up and down stairs is even more difficult.
I still have nearly seven days before I return to Taiwan.
Can I take Tylenol (acetaminophen) or painkillers now? Which one is more suitable for my symptoms? My flight time is almost 20 hours; how can I alleviate the pain while sitting on the plane? I am very worried since I cannot see a doctor immediately while abroad.
Thank you for your patient response!
Meimei, 30~39 year old female. Ask Date: 2016/03/12
Dr. Shi Guozheng reply Orthopedics
You can take Tylenol or choose another pain reliever; either one is sufficient.
To alleviate pain, it is important to avoid putting pressure on the affected area.
Typically, recovery takes about four to six weeks.
Reply Date: 2016/03/12
More Info
Managing coccyx pain while traveling can be quite challenging, especially after an injury like yours. The coccyx, or tailbone, is a small bone at the base of the spine that can become painful due to trauma, prolonged sitting, or other factors. Here are some tips and pain relief options to help you manage your discomfort during your travels.
Pain Relief Options
1. Over-the-Counter Pain Relievers:
- Acetaminophen (Tylenol): This is a good option for mild to moderate pain relief. It works by blocking pain signals in the brain and is generally well-tolerated. You can take it as needed, but be sure to follow the dosage instructions on the package.
- NSAIDs (Non-Steroidal Anti-Inflammatory Drugs): Medications like ibuprofen (Advil, Motrin) or naproxen (Aleve) can help reduce inflammation and relieve pain. These are often more effective for pain associated with inflammation, such as what you might experience after an injury. However, be cautious if you have any history of gastrointestinal issues, as NSAIDs can irritate the stomach lining.
2. Topical Analgesics: Creams or gels containing menthol or capsaicin can provide localized pain relief. These can be applied directly to the area around the coccyx and may help alleviate discomfort.
3. Cold Therapy: If you have access to ice packs or even a bag of frozen vegetables, applying cold to the area for 15-20 minutes can help reduce swelling and numb the pain. Just be sure to wrap the ice pack in a cloth to protect your skin.
Tips for Traveling
1. Cushioning: When sitting, especially on a plane, use a cushion or a rolled-up towel to relieve pressure on the coccyx. There are specially designed coccyx cushions available that have a cut-out section to reduce pressure on the tailbone.
2. Frequent Breaks: If possible, get up and walk around during your flight. This can help improve circulation and reduce stiffness. If you’re unable to get up frequently, try shifting your weight from side to side while seated.
3. Posture: Maintain good posture while sitting. Sit up straight and avoid slouching, as this can put additional pressure on the coccyx.
4. Pain Management During the Flight: Before your flight, consider taking an NSAID or acetaminophen to help manage pain during the journey. If you’re concerned about the duration of the flight, you might want to take a dose about 30-60 minutes before boarding.
5. Hydration and Nutrition: Staying hydrated and eating light meals can help you feel better overall during your travels. Avoiding heavy meals can also help reduce discomfort while sitting.
When to Seek Medical Attention
While it’s understandable that you may not be able to see a doctor immediately, keep an eye on your symptoms. If you experience severe pain, swelling, bruising, or if you have difficulty moving, it may be necessary to seek medical attention sooner rather than later. Additionally, if you notice any signs of infection (such as fever or increased redness around the area), it’s important to get evaluated.
Conclusion
Traveling with coccyx pain can be uncomfortable, but with the right pain management strategies and adjustments, you can make your journey more bearable. Acetaminophen or NSAIDs can be effective for pain relief, and using cushions and maintaining good posture can help alleviate discomfort during your flight. Remember to listen to your body and take breaks as needed. Safe travels, and I hope you feel better soon!
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