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Suggest treatment for tail bone pain - Online Doctor Chats

Date : 23-Feb-2014
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:My 14 year old has been complaining of sudden tailbone pain for the last 4-5 days. It hurts to sit and even sleep on his back. He is otherwise healthy and he is involved in basketball and baseball which he currently plays 2-3 times a week. He can not remember getting hurt or falling, the only change lately is that the team's catcher was hurt and he is play catcher more often that requires squatting. how concerned should I be?
User:I am trying to get an answer or some ideas as to what may be causing Steven's pain
Doctor:Is there any color changes or swelling at the affected area?
User:I couldn't see anything
Doctor:Do you feel the area is warm to touch when compared to other area?
User:he has a hard time sitting down. He says it is getting worse by the day
User:No I don't think it is warmer.
Doctor:Is it hurting constantly or only when he sits/lies down?
Doctor:These information help me understand Steven's condition better, hope you don't mind answering.
User:up until yesterday it was hurting only while sitting but after his baseball game last night it was hurting also while walking
Doctor:Thanks for providing the details.
User:he played catcher foa about 15 minutes and I ammot sure if that aggrevated his pain
Doctor:Now let me explain.
User:I don't mind answering, the phone rang and I have to walk away for a second
Doctor:Tail bone pain is known to occur due to musculoskeletal reasons or due to surface infection.
User:ok so what next?
Doctor:Absence of skin changes, warmth and swelling makes me believe XXXXXXX has a musculoskeletal problem. Perhaps he may have strained a ligament or pulled a muscle.
Doctor:The more serious concern is when the coccyx bone gets displaced or traumatized.
Doctor:I would start XXXXXXX on antiinflammatory medicines.
Doctor:If he is above 90 lbs of weight
Doctor:you can start him on 200mg ibuprofen twice a day.
User:when I apply gentle pressure he feels no pain. I have to put a lot of pressure on the area to feel the pain
Doctor:That's a good sign.
Doctor:it implies his coccyx isn't traumatized or displaced.
User: XXXXXXX is over 110 lbs
Doctor:This is most likely a strained ligament or pulled muscle.
Doctor:He should improve with antiinflammatory medicines and rest.
User:how long should I wait before an x-ray or something else done?
Doctor:If he is 110 lbs, you can start him on 400mg ibuprofen twice a day after food for 2-3 days.
Doctor:Advice him to rest and stop playing (if that's possible) for a week.
User:is heat or ice applied a way to help with the pain?
Doctor:Since there is no swelling you can use heat pads.
Doctor:They would relax muscles and improve his symptoms.
Doctor:You can try this for the next 3 days.
User:will muscle relaxants help?
Doctor:If XXXXXXX doesn't feel better, you can take him to his doctor for a clinical examination.
Doctor:Yes, muscle relaxants as well as topical pain balms/ointments would also help.
Doctor:but I am not sure if you can get muscle relaxants over the counter at your location.
User:problem is we are away from home at this time and need to look for a good doctor
Doctor:Since you have difficulty to find a doctor, you can try over the counter pain killer, heat pads as well as topical pain creams/ointments.
Doctor:I expect XXXXXXX to feel better with the aforementioned regimen and some amount of rest in the next few days.
User:Thank you, we will all of it a try to make XXXXXXX more comfortable and back to normal
Doctor:Do not be concerned; you can try those before visiting the doctor.
Doctor:Is there any other query?
User:Thank you, that is it for now
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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