Coccydynia refers to the pain in and around the coccyx, or more commonly known as the tailbone. Coccydynia is typically characterized by a localized pain that progressively worsens while sitting that puts pressure or strain on the spine’s bottom. Coccydynia is more common in women than in men usually as a result of trauma to the tailbone and surrounding area, such as a from a bad fall or from childbirth. In some instances, Coccydynia may be a result of infection or tumors near the coccyx.
Coccydynia generally leads to localized pain and tenderness on the coccyx. Typically, this pain is non-radiating and does not travel to other parts of the body near the tailbone, such as the pelvis or the lower limbs. There is a general aching and soreness that can range from mild to severe, depending on the severity. Coccydynia causes increased pain while sitting. This is due to the added weight and pressure on the tailbone while an individual is seated. Sitting on hard surfaces or leaning against a wall puts a lot of pressure on the coccyx, making the condition exceedingly painful. Patients experience extreme pain while transitioning from a sitting to a standing position. The rotation in the pelvic region can cause excruciating pain. Coccydynia can also cause painful bowel movements and sexual intercourse.
The commonest cause of Coccydynia is a direct injury to the tailbone, leading to inflammation surrounding the area, which causes pain and discomfort. Coccydynia can be due to anatomical abnormalities in rare cases. Hyper-mobility of coccyx can put stress on the ligaments due to excessive movement. This may cause spasm of the pelvis floor ligaments and muscles, leading to Coccydynia.
Diagnosis of Coccydynia is typically made by reviewing the patient’s medical history and a physical examination. On examination there may be tenderness, hyper-mobility ,bony abnormality of the coccyx ,cysts or tumors. A rectal examination may be required to investigate further. In case of injuries or trauma, X-Ray, CT, MRI imaging or scanning may be required to investigate the source of the pain and discomfort.
Treatment of Coccydynia may involve the use of pain medications, steroid injections or in severe cases surgery. The doctor may prescribe Non-steroidal anti-inflammatory drugs (NSAIDs) to help reduce inflammation and pain around the tailbone. The application of ice packs through the day can also help reduce inflammation as an initial step after injury. Heat through heating pads or hot water bottles may also be used to help reduce inflammation. The use of supportive pillows or donut seat while sitting can help lessen the tail bone’s stress making recovery easier. The doctor may dictate some dietary changes to ease bowel movements.Call us for consultation if you suffer from this condition for consultation at 570-323-3106