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What is coccydynia?
- Coccydynia is commonly known as tailbone pain. Tailbone is the lowest part of vertebral column.
- Coccydynia is a condition when pain and tenderness occur in or aroundthe bottom of spine, and patient feels it in between the buttocks.
- Sitting often worsens the pain.
Who are likely to get affected?
- Females are5times more likely to develop coccydynia as compared to males.
- Adolescent and adults are more likely to develop coccydynia as compared to children.
Possible tailbone pain causes
- Backward Fall: a bad fall can bruise, dislocation or break the tailbone.
- Repetitive strain Injury: In few sportslike cycling and rowing, where repeated leaning back and forth movement occurs can strain the tissues around tail bone.
- Pregnancy or childbirth: During pregnancy or childbirth, tissues around the pelvis become stretched. Sometimes because of excessive stretch, tail bone does not get ample support and starts causing pain. It’s rare, but the bones in your coccyx could break during delivery.
- Obesity: Extra weight places additional stress on tail bone and it can lean backward resulting in pain.
- Being underweight: Due to lack of cushioning under the butt, tail bone can get rubbed against soft tissues and can cause inflammation and pain.
- Prolonged sitting: Prolonged sitting can place excess pressure on tail bone, especially if sitting on a hardsurface or narrow surface or in an uncomfortable position for too long.
- Ligament or muscle damage: Ligament or muscle damage or muscle weakness can cause the coccyx to assume an abnormal position, thus causing pain.
- Hemorrhoids: If you have hemorrhoids, the tissue that cushions and protects your anal opening gets inflamed and muscles pull on your coccyx. That can cause tailbone pain.
- Tumour or any infection can also cause coccydynia
Sign and Symptoms
- Type: Dull ache or Sharp shooting pain in and around tail bone
- Aggravating factor: prolonged sitting, leaning back while sitting, getting up from a seated position, during defecation, during copulation, during coughing or increased pain during menstruation in females.
- This pain can radiate to low back, buttocks or rarely till thighs.
How to get rid of this pain?
- Conservative treatments are the gold standard when treating coccydynia, being successful for 90% of cases. NSAIDs, activity modification, ergonomic adjustments, and physiotherapy.
- Non-conservative approach: A coccygectomy, which is the removal of a section or all of the coccyx, is the most common surgical treatment performed.
How Synchrony can help you in Tailbone Pain
Patients diagnosed with Coccydynia are advised to avoid factors that might provoke the pain. The initial line of Physiotherapy treatment will include making certain adjustments such as applying donut cushion when one is sitting for extended periods. This helps reduce localized pressure and improve his posture. Other modes include:
- Mobilizations:This can help realign the posture of the coccyx. Initially, there might be tenderness; hence, it is advised to start with rotational mobilization. To start with, either side should be mobilized first.
- Manipulation:It can be done intra-rectal and when the patient is lying in a lateral position. The coccyx is repeatedly extended and flexed with the help of the index finger. However, care must be taken so as not to hurt the rectal mucosa.
- Massage:Massaging the coccygeus muscles has also been proven to relieve pain. Biofeedback can also be integrated with it to avoid incidences of muscle pull on the coccyx.
- Strength Training:Muscles around tail bone can be strengthened to provide good stability to tail bone and help in alleviating pain.
If you wish to discuss any specific problem, you can consult us at Synchrony chiropractic and sports physiotherapy clinic.
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