Logo


W8MD Diet | COVID-19 portal | Vitamin D | Vaccine | Keto

WikiMD is the world's largest medical encyclopedia with
29,068 pages, 4,107,732 edits & 35,886,545 views.

Free unbiased diet, health and wellness info!

Coccygodynia

From WikiMD's free health, diet & wellness encyclopedia
Jump to navigation Jump to search

Alternate names

Coccydynia

Definition

Coccygodynia is a rare condition in that causes pain in and around the coccyx (tailbone).

Cause

  • A number of different causes have been associated with coccygodynia.
  • However, the most common cause is a direct fall and injury to the area of the sacrum and coccyx.
  • These types of injuries can occur from various activities, examples include a kick, an injury on a trampoline when one hits the bar or springs that surround the trampoline jumping pad, or from falling from a horse or skis.
  • Another common cause, exclusive to women, is childbirth. The other most common cause of the condition is pregnancy.
  • During the last three months of pregnancy, certain hormones are released in the women's body causing the area between the sacrum and the coccyx to soften and become more mobile.
  • The increased mobility may result in permanent stretching and change and causing inflammation of the tissues surrounding the coccyx.
  • In about one third of all cases of coccygodynia, the cause is unknown. Other less common causes include nerve damage, cysts such as Tarlov cysts, obesity, and a bursitis like condition that can arise in slim patients who have little buttocks fat padding.

Symptoms

The classic symptom is pain when pressure is applied to the tailbone, such as when sitting on a hard chair. Symptoms usually improve with relief of pressure when standing or walking.

Other symptoms include:

  • Immediate and severe pain when moving from sitting to standing
  • Pain during bowel movements
  • Pain during sex
  • Deep ache in the region of the tailbone

Diagnosis

  • Physical examination will reveal tenderness over the coccyx.
  • Rectal examination allows the coccyx to be grasped between the forefinger and thumb.
  • Manipulation will elicit pain and may reveal hypermobility or hypomobility of the sacrococcygeal joint.
  • Normal range of motion should be approximately 13 degrees.
  • Other causes of coccyx pain, such as infection etiologies (eg, pilonidal cyst), masses, and pelvic floor muscle spasms, should be ruled out.
  • Radiographic images can more closely evaluate for the presence of fractures, degenerative changes, or masses. Imaging studies, including dynamic x-ray and magnetic resonance imaging, can help diagnose sacrococcygeal joint hypermobility or hypomobility.[1].

Treatment

  • Treatment for coccygodynia generally falls into conservative management or surgical intervention categories.
  • The conservative approach typically includes hot sitz baths, NSAIDs, stool softeners, and/or the use of a donut-shaped pillow or gel cushion to descrease pressure and irritation of the coccyx.
  • If these treatment options fails, glucocorticoid injections may be used in an attempt to reduce the pain.
  • Massage therapy has also been used to help decrease pain, but most studies have shown that the relief experienced from this form of therapy is temporary.
  • The more aggressive and rare approach involves either partial or complete removal of the coccyx (coccygectomy).

References

  1. Lirette LS, Chaiban G, Tolba R, Eissa H. Coccydynia: an overview of the anatomy, etiology, and treatment of coccyx pain. Ochsner J. 2014 Spring;14(1):84-7. PMID: 24688338; PMCID: PMC3963058.

NIH genetic and rare disease info

Coccygodynia is a rare disease.


edit 

WikiMD Resources - Coccygodynia

Latest research (Pubmed)

PubMed


Join WikiMD as a freelancer or paid editor and help improve the page Coccygodynia or others.
Coccygodynia is part of WikiMD's ^articles available 4free, 4all & 4ever!
^The content on or accessible through WikiMD is for informational purposes only. WikiMD is not a substitute for professional advice
WIKIMD MAKES NO GUARANTEE OF VALIDITY OF CONTENT. USE THE CONTENT AT YOUR OWN RISK!

A very small portion of the content such as templates etc., when imported from wikipedia, are licensed under CC BY-SA 3.0. ^See full disclaimers and terms of use

W8MD weight loss logo

Ad. Tired of being overweight?. W8MD's physician weight loss program can HELP*
Special: W8MD's tele-weight loss consultations only $99.99. Call 718-946-5500. Limited acceptance.