Pain (Tailbone)

Pain in the tailbone, also known as coccydynia, is a condition characterized by discomfort or pain in the coccyx, which is the bony structure located at the bottom of the spine.

Causes

• Trauma: A fall onto the buttocks or a direct blow to the tailbone can cause pain and bruising.
• Prolonged sitting: Sitting for long periods, especially on a hard surface, can put pressure on the tailbone and lead to pain.
• Childbirth: Women may experience tailbone pain during or after childbirth due to the pressure exerted on the coccyx during delivery.
• Obesity: Excess weight can put additional strain on the tailbone, leading to pain and discomfort.
• Poor posture: Slouching or leaning forward can put pressure on the tailbone and contribute to pain.

Symptoms

• Pain or tenderness in the tailbone area
• Pain when sitting, especially on a hard surface
• Pain when standing up from a seated position
• Pain during bowel movements or urination
• Swelling or bruising in the affected area

Diagnosis

Diagnosis of tailbone pain typically involves a physical examination and medical history. The doctor may perform a rectal exam to check for any abnormalities in the coccyx or surrounding tissues.

Treatment

• Rest and ice: Avoiding activities that exacerbate the pain and applying ice to the affected area can help reduce discomfort.
• Pain relief medications: Over-the-counter pain relievers, such as acetaminophen or ibuprofen, can help manage pain and inflammation.
• Physical therapy: Stretching and strengthening exercises can help improve posture and reduce pressure on the tailbone.
• Cushioning: Using a cushion or donut-shaped pillow when sitting can help reduce pressure on the tailbone.
• Surgery: In severe cases, surgery may be necessary to remove the coccyx (coccygectomy) or repair any damaged tissues.

Prevention

• Maintaining a healthy weight
• Practicing good posture
• Avoiding prolonged sitting
• Using proper lifting techniques to avoid straining the back and tailbone
• Wearing protective gear during sports or activities that involve falls or direct blows to the buttocks