Disease: Coccydynia
(Tailbone Pain)

    Coccydynia facts

    • Coccydynia is inflammation localized to the tailbone.
    • There are many mimics of coccydynia.
    • Symptoms and signs of coccydynia include focal pain and tenderness at the tailbone. The pain is usually dull and achy.
    • Injury is the major risk factor for coccydynia.
    • Coccydynia is diagnosed based on the history and physical examination.
    • Conservative measures usually resolve coccydynia.

    What is coccydynia?

    Inflammation of the tailbone (coccyx or bony area located deep between the buttocks above the anus) is referred to as coccydynia. Coccydynia is associated with pain and tenderness at the tip of the tailbone between the buttocks. The pain is often worsened by sitting.

    What causes coccydynia?

    Coccydynia is often caused by an injury, but it may occur seemingly spontaneously. There are many causes of tailbone pain that can mimic coccydynia, including sciatica, infection (including shingles of the buttocks), pilonidal cysts, sacroiliitis, and fractured bone (broken tailbone or tailbone fracture).

    What are risk factors for coccydynia?

    The major risk factor for coccydynia is injury to the coccyx or pelvic bones.

    What are coccydynia symptoms and signs?

    Pain and local tenderness at the tailbone are the major symptoms of coccydynia. This can lead to difficulty sitting or leaning against the buttocks. Along with the pain with sitting, there is typically exquisite tenderness at the tailbone area.

    How is coccydynia diagnosed?

    Coccydynia is commonly diagnosed based solely on the symptoms and the examination findings of local tenderness. Other conditions can be excluded by the examination (such as shingles, which typically would be associated with local rash) and other testing (to exclude bone or tissue disorders, such as with CAT scan or MRI scan).

    What is the treatment for coccydynia?

    Patients with coccydynia are advised to use a well-padded seat when sitting and avoid long periods of sitting when possible. If the condition becomes severe or persistently troublesome, then medical attention should be sought to accurately evaluate the cause of the pain, especially if there is associated bruising or rash.

    Rest, avoiding reinjury to the affected area, anti-inflammatory medications, and pain medications can relieve symptoms. Sitting on a pillow, cushion, or buttock support can help. Some patients with persistent coccydynia are treated with local cortisone injection. This injection is simply performed in the doctor's office and can potentially dramatically relieve the pain and even resolve the symptoms for many. Sometimes, the injection includes fluoroscopy or ultrasound. Physical therapy with exercises can be helpful with recovery. Rarely, when patients have unrelenting pain, a surgical resection of the coccyx can be performed to remove the irritated bony prominence.

    How is coccydynia diagnosed?

    Coccydynia is commonly diagnosed based solely on the symptoms and the examination findings of local tenderness. Other conditions can be excluded by the examination (such as shingles, which typically would be associated with local rash) and other testing (to exclude bone or tissue disorders, such as with CAT scan or MRI scan).

    What is the treatment for coccydynia?

    Patients with coccydynia are advised to use a well-padded seat when sitting and avoid long periods of sitting when possible. If the condition becomes severe or persistently troublesome, then medical attention should be sought to accurately evaluate the cause of the pain, especially if there is associated bruising or rash.

    Rest, avoiding reinjury to the affected area, anti-inflammatory medications, and pain medications can relieve symptoms. Sitting on a pillow, cushion, or buttock support can help. Some patients with persistent coccydynia are treated with local cortisone injection. This injection is simply performed in the doctor's office and can potentially dramatically relieve the pain and even resolve the symptoms for many. Sometimes, the injection includes fluoroscopy or ultrasound. Physical therapy with exercises can be helpful with recovery. Rarely, when patients have unrelenting pain, a surgical resection of the coccyx can be performed to remove the irritated bony prominence.

    Source: http://www.rxlist.com

    Patients with coccydynia are advised to use a well-padded seat when sitting and avoid long periods of sitting when possible. If the condition becomes severe or persistently troublesome, then medical attention should be sought to accurately evaluate the cause of the pain, especially if there is associated bruising or rash.

    Rest, avoiding reinjury to the affected area, anti-inflammatory medications, and pain medications can relieve symptoms. Sitting on a pillow, cushion, or buttock support can help. Some patients with persistent coccydynia are treated with local cortisone injection. This injection is simply performed in the doctor's office and can potentially dramatically relieve the pain and even resolve the symptoms for many. Sometimes, the injection includes fluoroscopy or ultrasound. Physical therapy with exercises can be helpful with recovery. Rarely, when patients have unrelenting pain, a surgical resection of the coccyx can be performed to remove the irritated bony prominence.

    Source: http://www.rxlist.com

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