What causes tailbone pain, and how can I ease it?
Answer From Margaret Moutvic, M.D .
Tailbone pain — pain that occurs in or around the bony social organization at the bottomland of the spine ( coccyx ) — can be caused by trauma to the coccyx during a fall, prolonged sitting on a hard or minute surface, degenerative articulation changes, or vaginal childbirth .
Tailbone pain can feel dull and aching but typically becomes crisp during certain activities, such as sitting, rising from a seated to a standing stead or drawn-out standing. Defecation and sex besides might become atrocious. For women, tailbone annoyance can make menstruation uncomfortable american samoa well.
Tailbone pain, besides called coccydynia or coccygodynia, normally goes aside on its own within a few weeks or months. To lessen tailbone pain in the meanwhile, it might help to :
- Lean forward while sitting down
- Sit on a doughnut-shaped pillow or wedge (V-shaped) cushion
- Apply heat or ice to the affected area
- Take over-the-counter pain relievers, such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or aspirin
If your tailbone pain does n’t improve ( chronic coccydynia ), consult your doctor. He or she might do a rectal examination to rule out any early conditions. Your repair might recommend using magnetic rapport visualize ( MRI ) to find out if you have a fracture, degenerative changes or, in rare cases, a tumor .
potential treatments for chronic tailbone pain might include :
- Physical therapy. A physical therapist might show you how to do pelvic floor relaxation techniques, such as breathing deeply and completely relaxing your pelvic floor — as you would while urinating or defecating.
- Manipulation. Massaging the muscles attached to the tailbone might help ease pain. Manipulation is typically done through the rectum.
- Medication. An injection of a local anesthetic into the tailbone can relieve pain for a few weeks. Certain antidepressants or anti-epileptic medications might relieve tailbone pain as well.
- Surgery. During a procedure known as a coccygectomy, the coccyx is surgically removed. This option is typically only recommended when all other treatments fail.
Margaret Moutvic, M.D .
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- Fletcher RH. Coccydynia (coccygodynia). http://www.uptodate.com/home. Accessed April 2, 2015.
- Frontera WR. Coccydynia. In: Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 3rd ed. Philadelphia, Pa.: Saunders Elsevier; 2015. http://www.clinicalkey.com. Accessed April 2, 2015.
- Waldman SD. Coccydynia. In: Pain Management. 2nd ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.clinicalkey.com. Accessed April 2, 2015.
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