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What Causes Severe Coccyx Pain While Standing Or Sitting?

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Posted on Thu, 9 Jun 2016
Question: I am overweight 56 year old man (235lbs 5'10"). I suddenly developed intense tailbone area pain when in the process of standing or sitting, or something as simple as stepping up on a curb. There was no contact trauma that I can think of. It started a day after I had been helping a home health aide lift and transfer my 110 pound wheelchair bound mother. Any ideas?
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Answered by Dr. Dr. Praveen Tayal (1 hour 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 re-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
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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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 Severe Coccyx Pain While Standing Or Sitting?

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 re-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