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

Frequently Asked Questions (FAQs)

What is pain in the tailbone called?
Coccydynia.

Where is the tailbone located?
At the bottom of the spine.

What are common causes of tailbone pain?
Falls, direct blows, or prolonged sitting.

Can medical conditions cause tailbone pain?
Possibly, including infections or tumors.

Is tailbone pain usually severe?
Not always, but can be mild to severe.

How is tailbone pain typically diagnosed?
Through physical examination and medical history.

Are imaging tests used to diagnose tailbone pain?
Sometimes, such as X-rays or MRI scans.

Can tailbone pain be treated at home?
Often, with rest, ice, and over-the-counter pain relievers.

When should a doctor be consulted for tailbone pain?
If pain is severe, persistent, or worsening.

Are there specialist doctors for tailbone pain?
Possibly, including orthopedic or pain management specialists.