Published on Aug 27, 2013 and last reviewed on May 15, 2019 - 1 min read
This article is a simple patient education material on tailbone pain, its causes, symptoms, ways to avoid it, and cure.
Pain in the tailbone can frustrate, irritate, and embarrass many patients while getting the treatment. This condition can be cured and is preventable if proper care is taken. Any irritation (inflammation) of the bony area (tailbone) situated between the folds of the buttocks is referred to as coccydynia.
The usual complaint is a pain at the bottom region of the back on sitting. It is usually caused by injury, pregnancy, or chronic pressure on the tailbone due to sitting long hours, for example, in the case of cab drivers. Sometimes, tailbone pain occurs in patients with chronic constipation as well. In one-third of the cases, the cause is not known.
Coccydynia is usually diagnosed based on the typical complaints and sometimes by an X-ray. A clinician can diagnose the condition by examination and eliciting tenderness in the local region. It is necessary to directly visualize the tailbone region to rule out other causes and any infection. Sometimes, infection of the hair follicles in the tailbone region can mimic coccydynia.
This condition usually frustrates patients and impairs the quality of life. Sometimes, patients feel embarrassed to get the treatment done. Treatment is usually by activity modification, anti-inflammatory medications, and local injections. Surgery is rarely indicated in non-responsive cases.
Oral anti-inflammatory medications and local application of pain gels may relieve the symptoms. Local trigger injections with low-dose steroid preparations will aid in complete relief in a majority of cases. These local injections can be given by the doctor in the outpatient department. In rare cases, surgical treatment by removal of coccyx may be required in those cases not responding to conservative methods.
Query: Hello doctor, I had a spinal tap done two weeks ago, and a blood patch three days later. The blood patch worked but, I still get headaches and do not feel well at all. I have a swollen bump on my tailbone that hurts. I saw my doctor who did not seem too sure about it but, said there did not seem to ... Read Full »
Answer: Hello,Welcome to icliniq.com.You most probably experienced a post dural puncture headache (PDPH), for which you were administered an epidural blood patch.Your signs and symptoms are more suggestive of a meningeal irritation due to some infection. I would suggest you consult a neurophysician for the... Read Full »
Query: Hello doctor,I am a 25 year old female, and I weigh 175 lbs and 5.7 feet tall. I have noticed for the past few months, that sitting is becoming increasingly uncomfortable. I get a sharp pain in my tailbone if I sit for even 30 minutes to an hour. The pain when I straighten up again can cause me to ... Read Full »
Answer: Hello, Welcome to icliniq.com. You describe a condition called coccydynia. I suggest you try doing the following. Avoid soft cushiony seats where one would sink into. Sitting on firm seats is more comfortable than soft ones. Sit forwards rather than back, and by this I mean that avoid slouching into... Read Full »
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