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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Tailbone Pain After Being Hit There Along With Yeras Of Back Problem?

Hello I have a question. Today I went sled riding with my children and when I went down the hill I ended up hitting my tailbone in the wood part of a big bush. It hurts when I walk, cough, stand up and sit down but more worse when pressure is applied. I've also have back problems from years ago. I messed up my lower back in an gymnastics accident. Can anyone help me with this. Thank you!
Thu, 20 Feb 2014
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

Based on the description, your symptoms are highly suggestive of COCCYDYNIA (pain arising in and around the tail bone -coccyx). This condition is caused by an injury or stress that affects the tailbone, as well as the muscles and nerves surrounding it.

An xray of the sacrum is needed to rule out any bony injury (fracture)

The general treatment guidelines for the condition are as follows -

* Sit completely upright with proper posture — keeping your back firmly against the chair, knees level with your hips, feet flat on the floor and shoulders relaxed

* Sitz baths (which involves soaking hips and buttocks in warm water)

* Lean forward while sitting down

* Sit on a doughnut-shaped pillow or wedge (V-shaped) cushion

* Apply heat or ice to the affected area

*Physical therapy involving strengthening of pelvic area muscles , stimulation with ultrasound therapy

* Take over-the-counter pain relievers, such as acetaminophen (Tylenol), ibuprofen (Advil)

If your symptoms are not resolving with the above measures, consult an orthopedic surgeon for further evaluation and management.

Hope this information is helpful. Good day

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How To Treat Tailbone Pain After Being Hit There Along With Yeras Of Back Problem?

Hi, thanks for writing to HCM. Based on the description, your symptoms are highly suggestive of COCCYDYNIA (pain arising in and around the tail bone -coccyx). This condition is caused by an injury or stress that affects the tailbone, as well as the muscles and nerves surrounding it. An xray of the sacrum is needed to rule out any bony injury (fracture) The general treatment guidelines for the condition are as follows - * Sit completely upright with proper posture — keeping your back firmly against the chair, knees level with your hips, feet flat on the floor and shoulders relaxed * Sitz baths (which involves soaking hips and buttocks in warm water) * Lean forward while sitting down * Sit on a doughnut-shaped pillow or wedge (V-shaped) cushion * Apply heat or ice to the affected area *Physical therapy involving strengthening of pelvic area muscles , stimulation with ultrasound therapy * Take over-the-counter pain relievers, such as acetaminophen (Tylenol), ibuprofen (Advil) If your symptoms are not resolving with the above measures, consult an orthopedic surgeon for further evaluation and management. Hope this information is helpful. Good day