Tailbone
What is tail bone (Tail bone) pain?
Coccydynia may be a style of lower back pain felt around the last bone at the bottom of the spine (known because the tail bone or tailbone). Tenderness and pain are practiced at the tip of the tailbone, between the buttocks, which might vary from gentle to severe. The pain is worse once sitting down and a few individuals area unit unable to sit down within the same position for quite a couple of minutes.
What area unit the causes of pain within the tailbone?
The pain and discomfort that arises in coccydynia are because of harm caused to the tail bone or its close tissue. The tailbone is often broken in several ways; the varied causes of coccydynia area unit as follows: Injury – onerous impact to the bottom of the spine (like an associate accidental kick to the spine base whereas taking part in contact sports, falling from a height and landing on the tail bone) will injure the coccyx by bruising it or in severe cases, cause dislocation or fracture.
Coccydynia may also occur because of repetitive strain injury as a result of sports like sport or athletics that involve a continuing position of leaning forward for a protracted amount of your time.
This causes the muscles and ligaments around the tail bone to become stretched and strained, which makes it tough to carry the tail bone in its regular position. Poor posture – dangerous posture, whereas at work or driving, puts excess pressure on the tail bone, inflicting pain and discomfort. Childbirth – this is often one of all the foremost common causes of coccydynia. The lower spine and tail bone become versatile towards the top of the gestation amount, permitting them to bend and provide a manner for the birth|biological process} process. However, overstretching and permanent dislocation of muscles and ligaments around tail bone will occur. Weight problems – Being overweight (excess pressure on tail bone whereas sitting down) and skinny (not enough body part fat to cushion coccyx) will cause coccydynia.
Aging – With age, the bones of the tail bone will fuse along or gristle discs that hold the tail bone in situ upset, putting additional stress on the tail bone. Cancer – Cancer within the bone or willer from another part of the body that spreads into the bone can cause coccydynia. What one has to understand symptoms or signs? The most common symptom of coccydynia is pain and discomfort at the bottom of the spine.
It will create everyday activities like sitting, driving, or bending terribly tough. different symptoms include: Painful buttocks and hips Backache Pain whereas passing stools Pain throughout sex Increased pain in periods (for women)
What area unit the screening tests and investigations done to substantiate or rule out the disorder?
Coccydynia are often diagnosed supported symptoms conferred and a physical examination of the lower back and spine. The doctor may suggest the following: X-rays – X-rays in sitting and standing positions enable the doctor to match the photographs to work out any abnormal tail bone movement and find and fracture within the bone. Magnetic resonance imaging (MRI) – MRI scan is suggested if a patient additionally displays extra symptoms like fever or unexplained weight loss. The scan will check for different conditions like bone infection or bone cancer.
What treatment modalities area unit obtainable for management of the disorder?
Treatment choices for coccydynia include: Medication – Pain relief medications and different medication for treating os pain are: Anti-inflammatory painkillers (NSAIDs) – NSAIDs relieve pain and additionally cut back inflammation around the tail bone. Strong painkillers – These area units are prescribed in cases of additional severe or long-run (chronic) coccydynia. Stool softeners – These forestall constipation and painful stools. Injections – If the pain doesn’t reply to painkillers, doctors might inject injections into the os to alleviate pain.
completely different injections could also be used like sex hormone injections, neural structure impair nerve block and sacrococcygeal joint injections. Surgery – it’s a rare style of treatment used providing all different treatments have been unsuccessful. The tail bone could also be utterly removed (coccygectomy) or solely a section of the tail bone could also be removed (partial or restricted coccygectomy).
Performed below anesthesia, the medico makes a tiny low cut within the heal the tail bone. once removal, the tail bone muscles, ligaments, and tendons area unit reattached to different components of the pelvis to preserve their performance.
What area unit the known complications in management of the disorder?
Complications include Some individuals area unit allergic to NSAIDS or area unit at a better risk of developing abdomen ulcers.
Too several sex hormone injections will cause harm to the tail bone and lower back. These injections ought to be restricted to 1 or 2 in an exceedingly year. Coccyx surgery might result in post-operative infection. this is often a typical complication because the tail bone is found next to the arsehole and body part, increasing the likelihood of unfolding of microorganism to the positioning of operation is straightforward.
What precautions or steps area unit necessary to remain healthy and happy throughout the treatment?
Recovery from tailbone surgery will take a protracted time, between a few months to a year. Rest, avoiding a re-injury, and physiatrics area unit useful in the recovery of os pain. Patients should avoid sitting for long periods of their time and will avoid sitting on onerous surfaces once sitting.
Alternate sitting on either side of buttocks, leaning forward, and leading weight off from the os area unit helpful in handling the pain. Further, foods wealthy in fiber soften stool and stop constipation and pain to tail bone whereas passing stools. Those suffering tail bone pain from injury ought to apply ice for fifteen to twenty minutes, fourfold on a daily basis, within the initial days post-injury.
