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Dr. Andrew Rynne

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What causes tail bone pain?

Answered by
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Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5165 Questions

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Posted on Wed, 13 Aug 2014 in Bones, Muscles and Joints
Question: I am experiencing pain in my tail bone and it is causing my legs too fall asleep, I have had x rays done and there has been no doctor returning my results, I am unable to get into doctor until aug 26. I would love to have some relief from the constant pain, I apply XXXXXXX XXXXXXX apply heat, I have found no relief from anything that I have tried. My quality of life has taken a turn for the worse, my quality of life has diminished and am completely scared and want the pain to go away and too resume my quality of living.
Since this tail bone pain started I have also been dealing with pain in the bottom of my feet! The pain is completely random, meaning, it happens at any time during the day or night
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Answered by Dr. Vaibhav Gandhi 1 hour later
Brief Answer:
Tail bone pain can be due to sacrum injury

Detailed Answer:

Hello

I have studied your case.

Tail bone pain can be due to sacrum injury.
Due to sitting on hard surface for long time sacrum seems to be injured due to microtauma there may be fibrosis formation.

Other causes of tail bone pain,

Pressure and strain
Prolonged sitting on hard surfaces
Spinal cyst or tumour
Dislocation from injury or Overweight , which can cause bones to shift
Repeated stress (eg, horseback riding, bicycling, motorcycle riding)

An MRI scan of the sacrum will help in identifying the cause of coccydynia.

The general symptomatic measures of this condition includes the following -

* 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


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

* Take over-the-counter pain relievers, such as acetaminophen as needed.

Local injection therapy may be required.
Associated feet pain can be due to nerve compression which will be seen on MRI.

If your symptoms are not getting relieved with the above measures, consult an orthopaedic surgeon for further evaluation and management.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari
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