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” simply refers to any kind of long lasting pain or discomfort in the tailbone.

While the colloquial term “tailbone” adequately describes the area at the bottom of the spine. However, medical professionals know it by the official name, The Coccyx (pronounced Cox-icks). Patients will feel Coccydynia as pain localized to the area that tends to get worse while 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 while sitting or standing for long periods of time, or transitioning between the two.
Pain that makes it harder to participate in normal daily occurrences, like driving, bending, or falling asleep.

Some patients suffering from Coccydynia will also present with back pain, leg pain and hip pain. If intense low back pain results in loss of bladder or bowel control, or total numbness in the legs, contact a spinal specialist immediately.

Coccydynia Treatment Options

Coccydynia, characterized by pain in the coccyx or tailbone region, can be effectively managed through various treatment options tailored to the severity of symptoms. Initially, conservative measures such as avoiding prolonged sitting, using cushions or special seats that reduce pressure on the coccyx. Additionally, applying ice packs to the affected area help alleviate discomfort.

Physicians recommend consteroidal 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 persistent or severe cases of coccydynia that do not respond to conservative treatments, injections of corticosteroids or local anesthetics directly into the painful area may provide temporary relief. In rare instances where conservative measures fail, surgeons may consider coccygectomy (surgical removal of the coccyx) as a last resort.

Each treatment approach is personalized based on the individual’s symptoms and response to therapy. This aims to reduce pain and improve quality of life for those with 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 coccygectomy, physicins place the patient under general anesthesia. The surgeon makes an incision near the coccyx and carefully removes the affected segments of the bone. Post-surgery, patients typically undergo a period of recovery, which may include pain management, physical therapy, and lifestyle modifications to support healing.

Physicians consider Coccygectomy when conservative treatments such as medications, physical therapy, and injections fail to provide adequate relief. It deems crucial for patients to undergo thorough evaluation and consultation with an orthopedic or spine surgeon to determine the appropriateness of surgery and to discuss potential risks and benefits.

Successful coccygectomy can significantly improve quality of life by reducing or eliminating chronic coccyx pain and restoring normal activities.

Coccydynia Recovery

Recovery from coccydynia, characterized by persistent pain in the coccyx or tailbone area, involves a multifaceted approach aimed at alleviating symptoms and restoring normal function. After undergoing treatments like conservative measures, physical therapy, or in severe cases, coccygectomy (surgical removal of the coccyx), patients typically experience a period of post-operative care. This includes managing pain through medications and possibly physical therapy to regain strength and mobility.

Patients are advised to avoid prolonged sitting and to use cushions or special seats to relieve pressure on the coccyx during recovery. Gradual return to normal activities is recommended under medical guidance to prevent recurrence of symptoms. Regular follow-up visits with healthcare providers are essential to monitor healing progress and address any post-operative concerns.

Successful recovery from coccydynia hinges on early intervention, adherence to treatment plans, and appropriate rehabilitation measures tailored to individual needs, aiming to improve quality of life and minimize discomfort in the long term.

If you would like to speak to a DFW based Orthopedic Specialist, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.