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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Fall On Buttocks, Slight Bruising, Painful Tailbone, Have Light Purple Line On Butt Crack. What Could It Be?

I m a fourteen year old female whom has just stumbled and fallen on her ass really hard, slightly bruising and making her tailbone hurt. While looking at my ass in the mirror, I noticed a light purple line that continued on up my ass crack... I pressed my finger against it and rubbed it and it doesn t hurt.... Why and what is this?
Fri, 4 Oct 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi and welcome to HCM
From description it seems to be soft tissue injury . Light purple line might be due to rupture of microvasculature.
You need to avoid massaging the area and take a mild pain killer for relief. Avoid sitting for long hours. Do a cold compress on the area of injury.
The pain and swelling might take over a week to subside.
I do hope that you have found something helpful and informative and I will be glad to answer any further query.
Take care.
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Hi, thanks for writing to HCM.

Based on the description, I suspect that you could have suffered a soft tissue hematoma along with injuring the coccyx (tail bone).

An xray of the sacrum is needed to rule out any bony injury.

The general management guidelines are as follows -

* Apply heat or ice to the affected area
* Sit on a doughnut-shaped pillow or wedge cushion
* Lean forward while sitting down
* Take over-the-counter pain relievers, such as acetaminophen (Tylenol), ibuprofen (Advil)
*Physical therapy involving strengthening of pelvic area muscles , stimulation with ultrasound therapy

Hope this information is helpful. Good day
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Fall On Buttocks, Slight Bruising, Painful Tailbone, Have Light Purple Line On Butt Crack. What Could It Be?

Hi and welcome to HCM From description it seems to be soft tissue injury . Light purple line might be due to rupture of microvasculature. You need to avoid massaging the area and take a mild pain killer for relief. Avoid sitting for long hours. Do a cold compress on the area of injury. The pain and swelling might take over a week to subside. I do hope that you have found something helpful and informative and I will be glad to answer any further query. Take care.