When seated, avoid sitting on hard surfaces and alternate sitting on each side of the buttocks. Avoid sitting down for long periods of time.Tailbone injuries are often extremely painful, so home remedies aim to control pain and avoid further irritation to the area. Some doctors recommend X-rays in both the standing and seated positions to better determine the presence of a fracture or dislocation. However, X-rays occasionally may not reveal these injuries. X-rays may be taken to determine whether there is a fracture or dislocation.Rarely, if the cause of discomfort is unknown, a local anesthetic may be injected into the tailbone area to determine whether the origin of the pain is from the coccyx or another part of the vertebral column.For this exam, the doctor inserts a finger into your rectum to feel the area of the coccyx and determine if there is a dislocation or a fracture that can be felt and if direct pressure against the coccyx reproduces your pain. The entire vertebral column (spine) may be examined.The cause of a coccyx injury is largely determined based on a medical history and a physical exam. It may be necessary for the doctor to decide if the injury is traumatic or if the pain is caused by other, more serious, problems. If you have the signs and symptoms of a coccyx injury or unexplained discomfort in the tailbone area, contact your doctor. Some women may experience pain during sexual intercourse.Ĭall 911 and avoid moving the person if they have signs of spinal cord injury along with a tailbone injury caused by a fall.Bowel movements and straining are often painful.The pain is generally worse when sitting for prolonged periods of time, or with direct pressure to the tailbone area.If the injury is traumatic, a bruise may be visible in this area.Severe localized pain and tenderness may be felt in the tailbone area.Less common causes of coccyx injuries include bone spurs, compression of nerve roots, injuries to other parts of the spine, local infections, and tumors.Sometimes, the cause of coccyx injuries is unknown.Repetitive straining or friction against the coccyx (as happens in bicycling or rowing) can injure the coccyx.The coccyx can be injured or fractured during childbirth.A direct blow to the tailbone, such as those that occur during contact sports, can injure the coccyx.A fall onto the tailbone in the seated position, usually against a hard surface, is the most common cause of coccyx injuries.Most tailbone injuries are caused by trauma to the coccyx area. The majority of coccyx injuries occur in women, because the female pelvis is broader and the coccyx is more exposed. It is composed of three to five bony segments held in place by joints and ligaments. The coccyx is the triangular bony structure located at the bottom of the vertebral column. Although they may be slow to heal, the majority of coccyx injuries can be managed with cautious treatment.
These injuries may result in a bruise, dislocation, or fracture (break) of the coccyx. A coccyx injury results in pain and discomfort in the tailbone area (the condition is called coccydynia).
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