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What Causes Pain In Coccyx And Sacral Radiating To Buttocks While Standing?

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Posted on Wed, 2 Mar 2016
Question: I have developed pain not right on my coccyx, but the muscles radiating laterally from my coccyx and sacral radiating onto buttocks. It doesn't hurt except when I go from sitting to standing from chair. I snagged a Rojo cushion we use on patients that are wheelchair bound for pressure relief, but this hasn't helped either. I have gone from an active job to more sitting, with new position. I have tried a few different office chairs without relief. I cringe with pain when I stand up. No pain with walking or lying down. Any recommendations? Appreciate your time.
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Answered by Dr. Dr. Praveen Tayal (1 hour later)
Brief Answer:
Inflammation of coccyx likely.

Detailed Answer:
Hello,
Thanks for posting your query.
The pain that you have can be due to inflammation of coccyx.
The symptoms are generally worse when sitting for prolonged periods of time, or with direct pressure to the tailbone area.

Follow these measures for relief from the symptoms:

1) Avoid sitting down for long periods of time. When seated, do not sit on hard surfaces and alternate sitting on each side of the buttocks will help. Also, lean forward and direct your weight away from the tailbone.

2) Take adequate rest and apply cold compresses, avoid any injury to the affected area and take some antiinflammatory and pain medications like ibuprofen(motrin) or diclofenac. Some severe cases with persistent coccydynia are treated with local cortisone injection and muscle relaxants orally.

3) You can also use a "doughnut" cushion or pillow to sit on. This cushion has a hole in the middle of it to prevent the tailbone from contacting the flat surface.

4) Also eat a high fiber diet foods to soften stools and avoid constipation.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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What Causes Pain In Coccyx And Sacral Radiating To Buttocks While Standing?

Brief Answer: Inflammation of coccyx likely. Detailed Answer: Hello, Thanks for posting your query. The pain that you have can be due to inflammation of coccyx. The symptoms are generally worse when sitting for prolonged periods of time, or with direct pressure to the tailbone area. Follow these measures for relief from the symptoms: 1) Avoid sitting down for long periods of time. When seated, do not sit on hard surfaces and alternate sitting on each side of the buttocks will help. Also, lean forward and direct your weight away from the tailbone. 2) Take adequate rest and apply cold compresses, avoid any injury to the affected area and take some antiinflammatory and pain medications like ibuprofen(motrin) or diclofenac. Some severe cases with persistent coccydynia are treated with local cortisone injection and muscle relaxants orally. 3) You can also use a "doughnut" cushion or pillow to sit on. This cushion has a hole in the middle of it to prevent the tailbone from contacting the flat surface. 4) Also eat a high fiber diet foods to soften stools and avoid constipation. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal