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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Whom To See In Case Of Painful Sacrum?

I am a 55 year old female. I have pain on a 8 level, at the very tip of my sacrum. It has gotten much worse over the past two months and much worse over the last week. I do have severe spinal arthritis, but this pain is different. What is that part of the bone at the tip of the sacrum called? I have had a hysterectomy. Sex is very painful in that region. Should I see a Gynecologist or a orthopedic doctor. Thank you
Wed, 9 Mar 2016
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Orthopaedic Surgeon, Joint Replacement 's  Response
hi
thanks for writing to healthcaremagic

the part of bone at the tip of sacrum is called coccyx (tailbone)and you seem tosuffer from a condition called coccygodynia (swelling of soft tissue around your tailbone)
as there is no history of injury the chances of fracture are very less.

please take following treatment:
1. for sitting -use ring pillow or doughnut cushion with a hole in between.
(this will offload your tail bone).
2. do not sit on any kind of hard surface
3. avoid sitting for long
4. do seitz bath( dip your buttocks in a tub of lukewarm water).if not
possible lie down sideways and do hot fomentation.
5. avoid any strenuous activities, lifting any kind of weight
6. take mild antiinflammatory like ibuprofen or naproxen
7. avoid constipation, take high fibre diet and increase water intake.

it will 2-3 weeks for recovery. if no relief , you can see your orthopaedic surgeon. he might consider giving a local steroid injection.
hope i have answered your query .
if satisfied please rate my answer.
thank you
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Whom To See In Case Of Painful Sacrum?

hi thanks for writing to healthcaremagic the part of bone at the tip of sacrum is called coccyx (tailbone)and you seem tosuffer from a condition called coccygodynia (swelling of soft tissue around your tailbone) as there is no history of injury the chances of fracture are very less. please take following treatment: 1. for sitting -use ring pillow or doughnut cushion with a hole in between. (this will offload your tail bone). 2. do not sit on any kind of hard surface 3. avoid sitting for long 4. do seitz bath( dip your buttocks in a tub of lukewarm water).if not possible lie down sideways and do hot fomentation. 5. avoid any strenuous activities, lifting any kind of weight 6. take mild antiinflammatory like ibuprofen or naproxen 7. avoid constipation, take high fibre diet and increase water intake. it will 2-3 weeks for recovery. if no relief , you can see your orthopaedic surgeon. he might consider giving a local steroid injection. hope i have answered your query . if satisfied please rate my answer. thank you