what is the fastest way to heal a bruised tailbone?
Overview
What is tailbone pain (coccydynia)?
Tailbone pain, called "coccydynia," is pain in and effectually the minor triangular bone at the very lesser of your spinal column, higher up the cleft of your buttocks.
The term "coccyx" comes from the Greek discussion for "cuckoo" as it resembles a bird's beak with the tip pointed down. "Dynia" means "pain," so "coccydynia" literally ways "pain of the coccyx." And considering the os corresponds to the location of an brute'south tail, it'southward called the "tailbone."
What is the tailbone/coccyx?
Your coccyx is fabricated up of three to 5 fused vertebrae (bones). It lies beneath the sacrum, a bone structure at the base of your spine. Several tendons, muscles and ligaments connect to it. Both the coccyx and the ischial tuberosities (two bones that make upward the bottom of your pelvis) comport your weight when you sit down. Two-thirds of adults have a coccyx that curves a bit instead of pointing straight downward, but one that is curved too far is abnormal and, therefore, painful.
Why does my tailbone hurt?
Tailbone pain ranges from a dull ache to a fierce stab. It can final for weeks, months or sometimes longer. There are iii types of events that crusade tailbone pain:
- External Trauma: A bruised, cleaved or dislocated coccyx caused by a fall.
- Internal Trauma: Trauma acquired by a difficult childbirth or from sitting on a narrow or hard surface for too long.
- Others: Infection, abscess and tumors.
Interestingly, for one-third of those with coccydynia, the cause is unknown.
Is tailbone pain (coccydynia) permanent?
No. Tailbone pain is rarely lifelong.
How common is tailbone pain (coccydynia)?
Tailbone pain is common.
Women are five times more than probable than men to develop coccydynia. Adults and adolescents get it more oftentimes than children. Obese persons are iii times more susceptible than those at the platonic weight co-ordinate to the BMI (Body Mass Index) scale. You're also more vulnerable if you lose weight too quickly.
Symptoms and Causes
What causes tailbone hurting (coccydynia)?
Falling
Who hasn't fallen backwards onto their behind? Possibly your feet slipped out from under yous on the water ice. Maybe you lot brutal off a ladder. Or, maybe y'all were leaning too far back in your office chair and took a tumble. If yous take a really bad fall you can bruise, break (fracture) or dislocate (knock out of identify) your tailbone (coccyx).
Repetitive Strain Injury (RSI)
Sports similar bicycling and rowing crave y'all to lean back and forth and stretch your spine. Likewise much of that repeated motility can strain the tissues effectually your coccyx.
Pregnancy/Childbirth
During the tertiary trimester of pregnancy, a woman'south body secretes hormones that soften the surface area between the sacrum and the coccyx. This enables the coccyx to movement as necessary during childbirth. This is a natural process but, unfortunately, such movement may stretch the muscles and ligaments around the coccyx also far, causing additional pain. Such a strain on those soft tissues keeps them from supporting your coccyx at the correct angle.
Obesity
Extra weight applies boosted pressure to the coccyx. This can crusade the coccyx to lean backward. Your tailbone will hurt if it is out of position.
Underweight
If you lot don't have plenty fatty in your buttocks to prevent your coccyx from rubbing against the muscles, ligaments and tendons, that tin can cause. The rubbing inflames the soft tissues.
Sitting
Just this elementary act can increase coccyx hurting, especially if you're sitting on a hard or narrow surface. Practise your best to get up ofttimes, stretch and take a curt walk. Better yet, find yourself a softer, more than comfortable place to sit down or use a cushioned seat.
Cancer
Only in rare cases is tailbone pain a sign of cancer. It is extremely unlikely.
What are the symptoms of tailbone pain (coccydynia)?
- The symptoms of coccydynia include:
- Achy or piercing pain in the tailbone.
- More than astringent hurting when changing from sitting to standing up.
- More than severe pain when sitting for long periods of fourth dimension.
- Hurting during bowel movements.
- Pain during sex.
Other related symptoms that may occur with coccydynia include:
- Depression.
- Anxiety.
- Poor sleep.
- Painful buttocks.
- Dorsum hurting.
Is tailbone pain (coccydynia) a sign of pregnancy?
As the fetus grows, its weight does put force per unit area on your pelvic infinite, causing pain in that general area.
Can tailbone pain (coccydynia) cause rectal pain?
Yeah, chronic coccydynia is one of the causes of rectal pain.
Does flow cause tailbone pain (coccydynia)?
Tailbone pain is typically worse when a woman is menstruating.
Diagnosis and Tests
How is coccydynia (tailbone pain) diagnosed?
Get-go, after getting your general medical history, your healthcare provider will ask y'all about any recent traumas including a fall or childbirth. Next he/she will exercise a visual examination of the expanse checking for an obvious fracture, deformity, mass or an abscess (infection).
What tests are used to diagnose tailbone hurting (coccydynia)?
To check for a fracture:
- X-ray.
- CT scan.
To check for inflammation and chordoma (a rare type of malignant tumor of the spine):
- MRI.
- Bone scan.
Management and Treatment
How is coccydynia (tailbone hurting) treated?
Most people recover without undergoing any sort of handling. Of those who do require treatment, 90% only need to apply at-home remedies.
At-home remedies for tailbone hurting (coccydynia) include:
- Taking a NSAID like ibuprofen to reduce pain and swelling.
- Decreasing sitting time. Lean forwards if you take to sit.
- Taking a hot bath to relax muscles and ease pain.
- Using a wedge-shaped gel cushion or coccygeal cushion (a "donut" pillow) when sitting.
- Taking stool softeners to reduce pain during bowel movements.
- Stretching and strengthening the muscles of your lower back and pelvis.
- Applying hot or cold packs to your lower back. Apply for no longer than twenty to 30 minutes, several times a day.
- Wearing loose-fitting clothing.
Outpatient treatments for tailbone pain (coccydynia) include:
- Blocking the nerve supply of the area — a Coccygeal nerve cake — using numbing medications and steroids to subtract the inflammation.
- Massage therapy (usually only provides temporary relief).
- Stretching exercises and posture comeback guided by a physical therapist.
- Acupuncture.
- TENS (transcutaneous electric nerve stimulation).
Surgical options include:
- Fractional coccygectomy (removal of function of the coccyx — extremely rare).
- Total coccygectomy (removal of the entire coccyx — extremely rare).
Recovery time from a coccygectomy can take a few months — peradventure a year. Unfortunately, there's no guarantee that the hurting will go away fifty-fifty if the bone is gone. Again, this procedure is rare.
Other symptoms that could occur along with coccydynia, such as low, anxiety and sciatica, should also exist addressed and treated as well.
How is tailbone pain (coccydynia) treated when a adult female is pregnant?
When you lot are pregnant, it's normal to have tailbone pain. Pain comes from sitting for long periods of time, just tin can also occur when continuing and walking. This is because the growing fetus is putting force per unit area on the bone. Physical therapists recommend yous prevarication on your side when yous sleep and sit on a coccyx cushion. Both will help relieve some of the pain by taking pressure off of your coccyx.
Does walking help tailbone pain (coccydynia)?
Yes. Standing up and walking around decreases pressure on your coccyx, reducing pain.
How should I sleep with tailbone pain (coccydynia)?
Sitting, driving, angle and sleep are all affected by tailbone hurting. In severe cases it tin vastly decrease your quality of life. Lie on your side to reduce tailbone pain.
Can a chiropractor assist with tailbone pain (coccydynia)?
Yes. A chiropractor can aid right the misalignment of a coccyx that leans too far forrard or back.
Prevention
How can I reduce my run a risk of tailbone pain (coccydynia)?
You lot tin can reduce your risk of tailbone pain by:
- Avoiding falling. Keep your floors and pathways free of loose objects, debris and cords. Brand sure all stairs are well lit and include rails. Don't walk while looking at your cellphone.
- Fugitive activities that worsen symptoms such as cycling and sitting for long periods of time.
Outlook / Prognosis
What tin I expect if I have tailbone pain (coccydynia)?
Slow pain, hard pain, stabbing hurting, and any other amount and severity of pain in between. Your pain will exist worse when y'all sit and stand up, and as well when y'all have a bowel movement and accept sexual intercourse.
How long will I accept tailbone pain (coccydynia)?
Only a few days or weeks, typically. Less fourth dimension if you utilise your at-home remedies.
When can I go back to work/schoolhouse?
Tailbone pain is uncomfortable simply information technology shouldn't go along you from your daily activities. If it does, contact your healthcare provider and make an appointment right away.
What is the outlook for tailbone hurting (coccydynia)?
Tailbone pain is non something you lot but have to live with. Follow the at-home remedy recommendations and check with your healthcare provider about outpatient options.
Living With
How do I have intendance of myself?
Don't sit for long periods of time without standing upwardly, take a curt walk or do a couple quick stretches. If you love to ride your bike, cut back for at present. Prevarication on your side when y'all sleep. Spend more fourth dimension on your anxiety! Employ the calm remedies and stay in contact with your healthcare provider.
When should I meet my healthcare provider?
Encounter your healthcare provider if your severe tailbone pain does not improve inside a few weeks. Also see him/her if your at-home remedies don't work.
What questions should I ask my doctor?
- What's the cause of my tailbone pain?
- How long exercise you recall information technology will take for my pain to go away?
- What over-the-counter medications do you lot recommend?
- What type/brand of donut cushion do you recommend?
- Which at-home remedies do yous recommend?
- Do y'all retrieve I need surgery?
- What else tin I do to decrease my hurting?
- Is there a chiropractor you recommend?
- What other medical professionals could aid with my tailbone pain?
A note from Cleveland Clinic
Tailbone pain is uncomfortable simply temporary. Go along vigilant. Take your medications equally prescribed, apply your ice packs, accept hot baths, get a donut (the absorber and, well, you might also become the chocolate glazed i as well) and spend more time on your anxiety and keep those feet moving. Don't let your coccydynia get unbearable earlier you contact your healthcare provider!
Source: https://my.clevelandclinic.org/health/diseases/10436-coccydynia-tailbone-pain
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