COCCYDYNIA
If you suffer from severe or chronic pain in the tailbone, please Schedule an appointment with one of our orthopedic specialists as soon as possible.
What is Coccydynia?
The term “Coccydynia” refers to any long-lasting pain or discomfort in the tailbone.
The colloquial term “tailbone” adequately describes the area at the bottom of the spine. However, medical professionals know it by its official name, the Coccyx (pronounced “Kox-icks”). Patients with coccydynia typically experience pain localized to the coccyx area, which tends to worsen when sitting.
The ultimate symptom of Coccydynia results in pain and tenderness in the area of the bone just above the buttocks, the area most associated with Lumbago.
Other symptoms may include:
- Dull aches surrounding the area, occasionally interrupted by sharp stabs of pain.
- Pain that worsens when sitting or standing for extended periods, or when transitioning between these positions.
- Pain that makes it harder to participate in regular daily activities, such as driving, bending, or falling asleep.
Some patients suffering from Coccydynia will also present with back pain, leg pain, and hip pain.If low back pain causes loss of bladder or bowel control, or total leg numbness, contact a specialist in spinal care immediately.
Coccydynia Treatment Options
Coccydynia can be effectively managed through various treatment options tailored to the severity of symptoms. Initially, conservative measures such as avoiding prolonged sitting and using cushions or special seats that reduce pressure on the Coccyx can be employed. Additionally, applying ice packs to the affected area helps alleviate discomfort.
Physicians recommend nonsteroidal anti-inflammatory drugs (NSAIDs) or pain relievers to reduce inflammation and pain. Physical therapy plays a crucial role in coccydynia treatment. It focuses on exercises to strengthen the surrounding muscles and improve flexibility, which can alleviate pressure on the Coccyx.
For severe coccydynia that doesn’t respond to conservative treatments, corticosteroid or local anesthetic injections may offer temporary relief.f. In rare instances where conservative measures fail, surgeons may consider Coccygectomy (surgical removal of the Coccyx) as a last resort.
Each treatment method is customized to address the individual’s specific symptoms and response to therapy, aiming to relieve pain and improve quality of life for those suffering from coccydynia.
Coccydynia Procedure
Coccydynia, characterized by persistent pain in the coccyx or tailbone region, may require surgical intervention in severe or refractory cases. The procedure, known as Coccygectomy, involves surgical removal of part or all of the Coccyx to alleviate pain and improve function.
During a Coccygectomy, physicians place the patient under general anesthesia. The surgeon makes an incision near the Coccyx and carefully removes the affected segments of the bone. After surgery, patients often experience recovery involving pain management, physical therapy, and lifestyle changes to aid healing.
Physicians recommend Coccygectomy when conservative treatments—such as medications, physical therapy, and injections—fail to provide sufficient relief. Patients require a comprehensive evaluation and consultation with an orthopedic or spine surgeon to assess the suitability of the surgery and discuss the potential risks and benefits involved.
Successful Coccygectomy can significantly improve the quality of life by reducing or eliminating chronic coccyx pain and restoring normal activities.
Coccydynia Recovery
Recovery from coccydynia requires a comprehensive approach to alleviate symptoms and restore normal function. After treatments like physical therapy or, in severe cases, a coccygectomy, patients typically enter a post-care period. This phase involves managing pain with medications and may include further physical therapy to help regain strength and mobility.
Patients should avoid prolonged sitting and use cushions or special seats to relieve pressure on the Coccyx during recovery. A gradual return to normal activities is recommended under medical guidance to prevent the recurrence of symptoms. Regular follow-up visits with healthcare providers are crucial for monitoring healing progress and addressing any post-operative concerns.
Successful recovery from coccydynia relies on early intervention, following treatment plans, and personalized rehabilitation to enhance quality of life and reduce long-term discomfort.
If you would like to speak with a DFW-based orthopedic specialist, please call us at 817-697-4038 or contact us online. Telemedicine appointments are also available.
