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Suggest Treatment For Symptoms Of Coccydynia

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Posted on Sat, 13 May 2017
Question: Hello, I am a healthy 32 year old female. I work out daily and recently have been having pressure/dull ache in my tailbone, lower back, and rectal area. I have noticed it becomes worse after sitting for long periods of time such as during my commute to work. Any idea what this may be? The pain is not sharp, but is long lasting and dull. The area around the tailbone is sore when pressed upon and I sometimes feel rectal pressure as well. No bleeding associated. I sometimes think it's overuse of muscle/ligament, an internal hemmoroid, but of course fear something worse. Any input would be appreciated
doctor
Answered by Dr. Dr. Praveen Tayal (20 minutes later)
Brief Answer:
Can be coccydynia.

Detailed Answer:
Hello,
Thanks for posting your query.
These symptoms are suggestive of coccydynia caused by inflammation of the coccyx bone. 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 surgical resection of the coccyx.

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. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (9 minutes later)
Thank you! It does seem to improve with rest etc. My biggest concern is the sensation of rectal pressure. I am having normal bowel movements, no bleeding, or abdominal issues. Can inflammation of the coccyx cause this pressure as well? It feels as if I have to use the restroom but bowels are empty.
doctor
Answered by Dr. Dr. Praveen Tayal (8 minutes later)
Brief Answer:
Yes.

Detailed Answer:
Hello.
Thanks for writing again.
It can cause a pressure due to inflammation and local swelling.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Suggest Treatment For Symptoms Of Coccydynia

Brief Answer: Can be coccydynia. Detailed Answer: Hello, Thanks for posting your query. These symptoms are suggestive of coccydynia caused by inflammation of the coccyx bone. 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 surgical resection of the coccyx. 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