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Coccydynia

Pain and discomfort in the most lowerest back region (at the sit area), at tail bone region. Coccyx is made of 3 to 5 fused vertebrae and it represents tail. The coccyx pain could be sudden fall with impact on the tail bone, repetitive trauma or doing child birth.

What are the causes for this pain?

Trauma to this region, make the dislocation of the coccyx or mild fractures.

Pain increase with sitting for long duration or during bicycle riding or 2 wheelers driving.

In some cases during bowel movement it increase pain.

How it is diagnosed ?

Diagnosed by clinically (History and examinations) and by doing X-ray of coccyx region.

How is coccydynia treated?

We advised short cause of NSAIDS or mild opiods.
By using coccyx cushion, patient have minimum pressure on coccyx and it accerates local healing.
Physical therapy and exercise like pelvic floor strengthening may help in relieving pain.
We may advice laxative for constipation.
We advice not to sit on hard surface and avoiding repetitive trauma.

Intervention approach :

If patient may not have response with above strategies, then we advise interventions.

Ganglion impar block : in patients with moderate to severe coccyx pain. It is a day care procedure.

Coccygeal RF ablation : It is the best treatment for coccydynia, it reduces inflammation and pain and stop pain signal.

Give Your Loved Ones Quality Care You Can Trust

Dr. Umesh Raval

MD, FIPM, FESD
Pain & Spine Specialist

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