Tailbone pain, also known as coccydynia, can be a real pain in the, well, you know. It’s that ache or discomfort felt in the very bottom of your spine, right above your buttocks. This article explores common causes of tailbone pain, offers tips for relief, and discusses when to seek medical treatment.
Common Causes of Tailbone Pain
Tailbone pain can stem from various factors, including:
- Falls: A fall onto your buttocks is the most common cause of tailbone pain. This can bruise, dislocate, or even fracture the coccyx.
- Prolonged Sitting: Sitting for extended periods, especially on hard surfaces, can put pressure on the tailbone, leading to pain. Poor posture can exacerbate this issue.
- Repetitive Strain: Activities like cycling or rowing can put repeated stress on the tailbone, causing inflammation and pain.
- Childbirth: During childbirth, the coccyx can be bruised or injured as the baby passes through the birth canal.
- Obesity: Excess weight can put extra pressure on the tailbone, increasing the risk of pain.
- Other Causes: Less common causes include tumors, infections, and referred pain from other areas of the body.
Finding Relief from Tailbone Pain
Most cases of tailbone pain resolve on their own within a few weeks or months. In the meantime, you can try these home remedies to alleviate discomfort:
- Adjust Your Posture: Lean forward while sitting to reduce pressure on your tailbone.
- Use a Cushion: A special cushion, such as a wedge-shaped or donut cushion, can help distribute weight and relieve pressure.
- Apply Heat or Ice: Applying heat or ice packs to the affected area can help reduce inflammation and pain. Alternate between hot and cold for 15-20 minutes at a time.
- Over-the-Counter Pain Relief: Pain relievers like acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can help manage pain.
When to Seek Medical Attention
If your tailbone pain persists for more than a few weeks or worsens despite home care, consult a doctor. Chronic coccydynia, tailbone pain that doesn’t improve, may require further evaluation and treatment.
Medical Treatments for Chronic Tailbone Pain
Your doctor may recommend one or more of the following treatments for chronic tailbone pain:
- Physical Therapy: Pelvic floor relaxation techniques can help ease muscle tension and pain.
- Manual Manipulation: A doctor or physical therapist may manually manipulate the tailbone and surrounding muscles to improve mobility and reduce pain. This often involves internal manipulation through the rectum.
- Medication: Injections of local anesthetics or corticosteroids can provide temporary pain relief.
- Surgery: Coccygectomy, the surgical removal of the coccyx, is a last resort typically reserved for severe cases that haven’t responded to other treatments.
Conclusion
Tailbone pain can be a bothersome condition, but it often resolves with time and simple home remedies. Understanding the causes, practicing good posture, and using supportive cushions can help prevent and alleviate pain. If pain persists, consult your doctor to explore further treatment options.
References:
- Foye PM. Coccydynia (coccygodynia). https//www.uptodate.com/contents/search. Accessed Feb. 18, 2023.
- Dutton M. The sacroiliac joint. In: Dutton’s Orthopaedic Examination, Evaluation, and Intervention. 6th ed. McGraw Hill; 2022. https://accessphysiotherapy.mhmedical.com. Accessed February 18, 2023.
- Benson HT, et al., eds. Buttock and sciatica pain. In: Practical Management of Pain. 6th ed. Elsevier; 2023. https://www.clinicalkey.com. Accessed February 18, 2023.
- Buttaravoli PM, et al., eds. Coccyx fracture. In: Minor Emergencies. 4th ed. Elsevier, 2022. https://www.clinicalkey.com. Accessed February 18, 2023.
- Frontera WR, et al. eds. Coccydynia. In: Essentials of Physical Medicine and Rehabilitation: Musculoskeletal Disorders, Pain, and Rehabilitation. 4th ed. Elsevier; 2019. Accessed February 18, 2023.
