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Suggest Treatment For Pain In Coccyx

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Posted on Fri, 12 Aug 2016
Question: I have had tail bone pain for several years - sometimes worse than others. It is painful when i sit and relieved when I stand but with some aching. . A few years ago I had an injection into the the spine / coccyx by an anesthesiologist and had great relief for a long time. At this point I don't know what was in the injection and can't remember which hospital (I've moved a couple of times ). The Doctor I'm going to says she would do a caudal. I'm pretty sure the previous one was not a caudal, but more specific. Is there a type of spinal injection that would address the coccyx only? Should it be a steroid type medication? My physician is a D.O. - Physical Medicine and Rehab.. Is this the appropriate specialty?
doctor
Answered by Dr. Dr. Praveen Tayal (5 hours later)
Brief Answer:
Due to coccydynia.

Detailed Answer:
Hello,
Thanks for posting your query.
It seems that you have coccydynia which is inflammation of the 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 surgical resection of the coccyx. You can consult an orthopedician for proper injection in the region of 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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Suggest Treatment For Pain In Coccyx

Brief Answer: Due to coccydynia. Detailed Answer: Hello, Thanks for posting your query. It seems that you have coccydynia which is inflammation of the 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 surgical resection of the coccyx. You can consult an orthopedician for proper injection in the region of 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