Pain at the very bottom of the spine is mostly caused by a pathology called coccygodynia. The main role in the progress of the soreness of the tailbone is assigned to injuries in this area. We will understand what to do when the tailbone hurts when sitting.
What is the tailbone, and why can it hurt?
The tailbone is a triangular bone structure of the coracoid. This is the lower part of the human spine, consisting of three to five intergrown vertebrae, which are rudimentary. It joins the sacrum with a joint, additionally reinforced by the anterior, posterior, lateral ligaments.
For the most part, an explanation of why the woman’s tailbone hurts when sitting is injuries in this area — post-traumatic coccygodynia. This phenomenon is characterized by the fact that the female pelvis is wider and the tailbone is more prone to injury. Moreover, the pain may occur much later than the injury, for example, six months after falling from a height or impact impact.
In addition, after giving birth, the tailbone also quite often hurts in a sitting position. In the process of passing through the birth canal, the baby’s head pushes against the upper part of the tailbone, which can result in injury to the discs, ligaments, bones and even, although quite rarely, cause a fracture.
An activity that causes prolonged pressure on the tailbone can lead to pain in this area when sitting. For example, horse riding or sitting on a hard surface for a long time. Pain, as a rule, are not permanent, but their transition to a chronic state is possible.
Rarely an explanation of why the tailbone hurts when sitting and standing up can be coccygodynia, caused by tumors of a different nature or infection in this area. One of the causes of pain in the field of the coccyx when sitting is also idiopathic coccygodynia, a chronic pain syndrome in the absence of injuries or any visible diseases.
What do the sick complain about?
Below are the symptoms that people mostly experience when coccygodynia occurs:
- soreness with prolonged sitting;
- while getting up, severe pain, further passing and not reminding of oneself when walking;
- pain when bending forward;
- pain at the time of a bowel movement;
- pain when directly affecting the tailbone.
It should be noted that in the horizontal position and when walking the pain does not appear. Exceptions are periods of exacerbations. Also states are noted when the pain becomes pronounced and intense, and its attachment to the body position is absent. In addition, pain can radiate to the anus, perineum, groin.
What to do when it hurts?
In cases of pain in the tailbone when sitting, the appropriate question is how to treat this condition. First you need to contact the clinic for advice from a specialist. The doctor will prescribe diagnostic tests and conduct an examination that includes:-
- Palpation to determine the location of pain. If discomfort in the coccyx is not noticeable when exposed to the fingers, then intervertebral hernia or osteochondrosis can be the causes of pain.
- Rectal examination.
Preferred diagnostic tests:
- x-ray to differentiate a fracture or tumor;
- magnetic resonance imaging to eliminate infection or spinal swelling.
Therapy of coccygodynia in most cases is non-invasive and local. Treatment includes:
- Non-steroidal anti-inflammatory drugs or agents that fight inflammatory processes.
- Using pillows to relieve pressure on the sacrum and tailbone when sitting. Their shape may be different, as long as the load extends only to the hips and muscles of the pelvis.
- Physiotherapy procedures.
- Local therapy with gels and ointments, the appointment of rectal suppositories with anesthetics.
There are also additional non-surgical measures in the treatment of coccygodynia:
- Local injections with painkillers such as lidocaine. They are often prescribed in combination with glucocorticoid steroid hormones, which can bring relief.
- Therapeutic exercise, including the careful stretching of the ligaments.
Provided that infections and tumors were excluded from the causes of pain, after radiography and MRI, subsequent long-term treatment without surgery is considered acceptable. It is aimed at reducing pain, when movement does not lead to increased pain, and daily aerobic activity becomes useful, because an increase in blood flow improves the delivery of nutrients and stimulates the body’s natural healing abilities. In addition to this, endorphins are secreted, which gives an analgesic effect.
Persons experiencing persistent pain, when conservative therapy does not give the desired result, can recommend surgical removal of the entire coccyx or part of it. However, this operation is rarely performed, and the procedure is not even described in most textbooks on spinal surgery. Recovery after surgery is a long and uncomfortable process for the patient.
Summing up, it should be noted that the prognosis in the treatment of discomfort in the coccyx depends on many factors. Initially, you need to establish the root cause. A significant role is played by the attitude of the patient to the prescribed therapy, compliance with the recommendations of the doctor. In most cases, traumatic damage to the coccyx after receiving medical care for several weeks comes relief. In the case of a chronic course of the disease, despite the therapy, the recovery process can be debilitating and long. Take care of yourself!