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Coccyx Pain

Coccyx (Tailbone) Pain

Coccyx pain is a term used to describe pain felt in the hip region. The buttock is one of the bony prominences in the upper part of the pelvis, located between the hip joint and the upper thigh bone. The pain can result from injury or discomfort in the hip joint, hip muscles, or surrounding tissues. There are various factors that can cause pain in the hip area, and the treatment for each condition may vary.

Causes

Coccyx pain can occur as a result of the strain on the coccyx joint during childbirth, leading to damage to the joint. In my patients with coccyx pain, it is often associated with the presence of large babies during delivery.

Trauma:

It occurs as a result of a hard fall onto the buttocks.

Repetitive minor strains:

Prolonged sitting on a hard surface. Engaging in activities such as horseback riding or cycling for prolonged and repetitive periods.

Diagnosis Methods

Clinical Examination:

It involves applying pressure to the coccyx with a finger, causing pain.

Imaging Techniques:

Imaging methods such as X-ray and MRI are used to visualize the coccyx region.

Treatment Methods

Conservative Methods

Donut cushion and Medications:

Using a cushion to relieve pressure and taking pain relievers.

Corticosteroid injection:

Administered under guidance (such as fluoroscopy) to reduce inflammation.

Surgical Method:

Surgery may be considered if conservative treatments are ineffective, involving removal of the coccyx.

It’s important to determine the cause of coccydynia to determine the appropriate treatment. Diagnosis is typically based on examination and imaging tests.

Pain relievers and anti-inflammatory drugs are used to alleviate coccyx pain, but long-term use can have side effects.

Physical therapy is another method for treating coccydynia. Focusing on strengthening muscles, improving flexibility, and reducing pain.

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