Treatment Options for Coccyx Fracture in Seniors: Rehab vs Surgery
Fracture of the first coccygeal vertebra (coccyx) - what treatment is recommended? Hello, doctor. My mother is in her 70s and generally mobile, but recently she fell backward while standing at home in the morning (suspected due to low blood pressure and dizziness; her blood press...
Dr. Chen Bochen Reply:
1. The fracture of the first lumbar vertebra seen on X-ray may not necessarily be an acute fracture; it could also be an old injury or a chronic deformity due to osteoporosis. 2. To determine whether the fracture was caused by the recent fall, an MRI is needed, which can also ass...[Read More] Treatment Options for Coccyx Fracture in Seniors: Rehab vs Surgery
Understanding Tailbone Pain: Recovery Time and Treatment Options
I fell hard off a chair last week? Hello, doctor. I injured my coccyx almost two weeks ago and have visited two clinics. Both said that the pain would last for a month and did not take X-rays. When I asked the second doctor if it could be a fracture or a bone issue, he replied th...
Dr. Zhan Xian Reply:
Hello, if the pain does not improve, please visit the orthopedic outpatient clinic.[Read More] Understanding Tailbone Pain: Recovery Time and Treatment Options
Understanding Sacral Fractures and Disc Narrowing After Trauma
Decreased curvature of the sacrococcygeal region, S3 fracture, L5/S1 disc space narrowing, and pubic symphysis diastasis? Dear Dr. Zhan, Thank you very much for your response. It has been 20 days since the car accident on December 28, 2020. Two days after the incident, I underwe...
Dr. Zhan Xian Reply:
Mr. Bruce, if the pubic symphysis is separated by 1.8 cm and the pelvic structure is stable, conservative treatment is possible. Your injury requires time to heal, so please take a gradual approach and do not rush. Walking too much at the beginning may actually hinder bone healin...[Read More] Understanding Sacral Fractures and Disc Narrowing After Trauma
Managing Tailbone Pain: When to Seek Medical Attention
Coccydynia (tailbone pain) issues? Hello: Over ten years ago, I fell down the stairs and landed on my buttocks. After treatment, I didn't pay much attention since the pain subsided. However, in recent months, after prolonged sitting or riding a motorcycle for extended period...
Dr. Wang Shouji Reply:
Hello, this is regarding your coccyx contusion that has not fully healed. It is recommended to apply heat therapy, adjust your sitting posture, avoid prolonged sitting, and refrain from sitting on hard surfaces. If you still experience discomfort, it is advised to consult a hospi...[Read More] Managing Tailbone Pain: When to Seek Medical Attention
Understanding Sacral and Lumbar Injuries: Treatment Options After a Car Accident
Decreased sacral and coccygeal curvature, S3 fracture, L5/S1 disc space narrowing, pubic symphysis diastasis? Dear Dr. Zhan, I am currently working in Southeast Asia and had a car accident two weeks ago, resulting in ruptures of my liver and spleen. I underwent transarterial emb...
Dr. Zhan Xian Reply:
Hello Mr. Bruce, whether surgical treatment for the pelvis is necessary mainly depends on the stability of the pelvic fracture. Since we only have a written report without imaging, it is difficult to assess the extent of the pubic symphysis separation and whether there is any dis...[Read More] Understanding Sacral and Lumbar Injuries: Treatment Options After a Car Accident
Understanding Coccyx Pain After Exercise: Causes and When to Seek Help
Coccydynia after exercise? Hello Doctor: I haven't exercised for a long time, and yesterday I went to the gym to work out. I did sit-ups, lying flat with my legs raised and lowered without letting my feet touch the ground, which is an abdominal muscle workout. However, when ...
Dr. Chen Bochen Reply:
1) Should I go to an orthopedic specialist for an X-ray? No, bones do not spontaneously dislocate due to minor exertion; the human body is not that fragile. 2) Could this soreness be due to a muscle strain, specifically because of its location at the coccyx? The coccyx has many...[Read More] Understanding Coccyx Pain After Exercise: Causes and When to Seek Help
Understanding Coccyx Issues: Pain, Tumors, and Treatment Options
Coccygeal issues Hello Doctor: I have found a hard lump just below my coccyx (slightly to the left, near the anus) that is painful when pressed. I had an X-ray, and the doctor said it might be a misaligned coccyx and prescribed pain medication for me. Can an X-ray detect if the l...
Dr. Chen Bochen Reply:
Hello: The treatment methods are quite simple (backed by real medical research): 1. Avoid constant pressure; excessive stimulation will delay healing. 2. If sitting causes pain, use a cushion. 3. If bowel movements are painful, increase vegetable intake, drink more water, or take...[Read More] Understanding Coccyx Issues: Pain, Tumors, and Treatment Options
Is It Normal to Feel the Coccyx Through the Vaginal Wall?
The coccyx can be palpated through the vaginal canal? A few months ago, I had a fall and experienced pain in my coccyx, but the pain subsided after a few days, and I didn't seek further medical attention. Today, I noticed that I can feel the coccyx bone through the posterior...
Dr. Chen Bochen Reply:
Hello, the vagina is separated from the coccyx by the rectum, and the distance is quite significant. What you are feeling is likely not the coccyx. The soreness you are experiencing may be due to ligament strain. It is advisable not to do this frequently, as it could lead to infl...[Read More] Is It Normal to Feel the Coccyx Through the Vaginal Wall?
Understanding Coccydynia: What to Do About a Tailbone Lump
Coccygeal mass I seem to have an unusually long coccyx, which I can feel when sitting. About five or six years ago, I discovered a lump below the coccyx that is neither painful nor itchy, but it is located on the left side of the gluteal cleft, causing some asymmetry. I visited a...
Dr. Chen Bochen Reply:
Hello, if a tumor exceeds 4 centimeters, it is recommended to follow up every five years. If there are symptoms such as rapid growth, pain, or inflammation in the short term, it is important to seek medical attention sooner.[Read More] Understanding Coccydynia: What to Do About a Tailbone Lump
Understanding Tailbone Pain: Causes, Recovery, and When to Seek Help
Experiencing pain near the coccyx when rising? In late June, I traveled for five days in Hualien and Taitung by tour bus. The first two days were fine, but starting on the third day, I experienced pain when trying to stand up after sitting down. Initially, I thought it was due to...
Dr. Chen Bochen Reply:
Hello, Ms. Lin. The coccyx has many ligaments and pelvic floor muscles connected to it. Inflammation in this area is not easy to resolve and can recur frequently. I recommend the following: 1. Avoid prolonged sitting. 2. Pay attention to your sitting posture; make sure to sit ful...[Read More] Understanding Tailbone Pain: Causes, Recovery, and When to Seek Help
Understanding Coccyx Pain: Causes, Symptoms, and Treatment Options
Coccygeal issues I injured my coccyx some time ago, and it still hurts occasionally, especially when I exert myself. I have seen a doctor who said that there shouldn't be any issues and did not order an X-ray. It should be fine, right? Thank you.
Dr. Zhan Xian Reply:
If you still experience pain, please visit the orthopedic outpatient clinic![Read More] Understanding Coccyx Pain: Causes, Symptoms, and Treatment Options
Managing Swelling and Pain After Tibial Fracture Surgery: A Patient's Journey
Swelling five months after tibial fracture surgery? I apologize for the intrusion, Doctor. I was in a car accident on March 1st of this year, resulting in a fracture of the left tibia, which was repaired with plates and screws. I also fractured my coccyx, and my attending physici...
Dr. You Dianqi Reply:
Hello, regarding these questions, in order to provide accurate information, it may be necessary to review the imaging and physical examination from the time of your injury as well as your current recovery status. Additionally, these questions should be addressed by your attending...[Read More] Managing Swelling and Pain After Tibial Fracture Surgery: A Patient's Journey
Understanding Coccydynia: Causes, Treatments, and Recovery Tips
Coccygeal contusion pain? Hello doctor, I slipped on the stairs on a rainy day in May 2019 and bumped the area just above my coccyx against the corner of the stairs. I did not go to the hospital for treatment, so I am not clear about the exact situation. A traditional Chinese med...
Dr. Wang Shouji Reply:
Hello, the X-ray shows an old bone injury and a coccygeal contusion. The focus of treatment in the first three months is to avoid activities that may aggravate the pain, as this can lead to some of the sequelae you mentioned. It is recommended that you visit the hospital for a ch...[Read More] Understanding Coccydynia: Causes, Treatments, and Recovery Tips
Can You Still Experience Paralysis After a Fall Days Later?
Is it possible to experience paralysis four days after a fall? After the fall, I don't feel any pain when I touch my spine, but I'm worried about the possibility of paralysis. Sometimes, I experience pain on the top of my right foot, and at times my foot feels numb.
Dr. Chen Bochen Reply:
Hello: In short, absolutely not. An injury that could potentially cause paralysis is already severe at the moment of injury, to the extent that you cannot ignore it; it won't just feel "painful" or "numb." However, if your symptoms continue to worsen, see...[Read More] Can You Still Experience Paralysis After a Fall Days Later?
Is No Pain After Coccyx Injury a Sign of No Serious Damage?
Does not feeling pain after a coccyx injury mean that there is definitely no problem? Doctor: I would like to ask, I fell and hit the area near my coccyx four days ago. However, I don't feel any pain when walking; I just feel that my left leg doesn't move as smoothly, b...
Dr. Chen Bochen Reply:
Hello, child: If the coccyx is injured, whether it's a fracture, a fissure, a dislocation/subluxation, or even just a bruise, it can cause pain that you cannot ignore. So if you are not in pain, there's no need to worry too much! If you continue to have difficulty walki...[Read More] Is No Pain After Coccyx Injury a Sign of No Serious Damage?
Relieving Coccyx Pain: Tips for Side Sleepers and Back Pain Relief
Coccygeal issues The pain in the coccyx started two days after lying flat while sleeping, but it does not hurt when sitting; the discomfort is only felt when lying down. Switching to a side-lying position increases the pain. How can I alleviate this?
Dr. Chen Bochen Reply:
Hello, this issue is usually caused by tightness in the lower back fascia and muscle spasms. There are two methods to relieve it: 1. When lying flat, place two pillows under your knees. 2. When lying on your side, curl up like a shrimp while hugging a pillow. Additionally, combin...[Read More] Relieving Coccyx Pain: Tips for Side Sleepers and Back Pain Relief
Managing Coccyx Pain: Recovery Tips for Athletes After Injury
Coccydynia As a player, I fell and hit my coccyx during a match. A few days later, I started feeling discomfort, particularly pain when bending over. Sometimes, I also experience pain when coughing or sneezing. I went to the hospital for an X-ray, and the doctor said there were n...
Dr. Chen Bochen Reply:
Hello, Zhengyi. The coccyx has many ligaments attached to it, and when it is injured, the ligaments can become inflamed, leading to discomfort when sneezing, using the restroom, or bending down and standing up. Generally, it takes about a month to recover around 70-80%. Taking an...[Read More] Managing Coccyx Pain: Recovery Tips for Athletes After Injury
Understanding Coccyx Dislocation: Treatment Options and Risks
Coccygeal displacement Dear Doctor, I was in a car accident on May 13, 2020, and since then, I have been experiencing pain in my coccyx. On May 19, 2020, I returned to my original hospital for an X-ray, and the doctor informed me that my coccyx was slightly displaced and that s...
Dr. Shi Guozheng Reply:
It is not possible to realign the bone using only the attachments, and there is no necessity for that. Typically, surgery is not required; the family's statement seems to be incorrect. Since the injury is only two weeks old, some pain is expected. Conservative treatment will...[Read More] Understanding Coccyx Dislocation: Treatment Options and Risks
Understanding Bone Protrusion Above the Buttocks: Causes and Solutions
Prominent bone above the buttocks? The protrusion of the bone above the buttock could be related to several conditions, such as a bony prominence or a condition like sacral or coccygeal pain. The discomfort you experience when lying on a hard surface, like a wooden board, may ind...
Dr. Chen Yongxue Reply:
Hello, what is the protruding bone above the buttock crease? ==> It is the coccyx; it is not a disease. When I sleep on a soft bed, I don't feel it, but if I sleep on a wooden board without a mattress, the bone above my buttocks presses down, making it impossible to lie f...[Read More] Understanding Bone Protrusion Above the Buttocks: Causes and Solutions
Understanding Strains and Fractures: When to Seek Orthopedic Advice
Inquire about the possibility of a strain or fracture? Hello, Doctor. While I was mopping the floor, I accidentally slipped a bit, but I didn't fall; I just twisted my body and spread my legs. I'm not sure if this could have caused a strain in my lower back or a fractur...
Dr. Shi Guozheng Reply:
It is normal to hear sounds; a strain is possible, but it is not easy for a bone to dislocate.[Read More] Understanding Strains and Fractures: When to Seek Orthopedic Advice