Tailbone Pain – Causes, Diagnosis, and Treatment at Emirates Hospitals Group
Tailbone pain, or coccydynia, is a common condition characterized by pain or discomfort at the base of the spine, specifically in the coccyx area. The pain is often aggravated by sitting, standing up from a seated position, or prolonged pressure on the lower back. Though typically not serious, tailbone pain can affect daily comfort and mobility.
Causes of Tailbone Pain
Injury or Trauma: A direct fall onto the lower back or coccyx, especially on a hard surface, is a frequent cause. Tailbone injuries may also occur during childbirth.
Prolonged Sitting: Sitting for extended periods, especially on hard or narrow surfaces, can irritate the coccyx and surrounding tissues.
Degenerative Conditions: Age-related changes or arthritis can lead to wear and tear in the joints of the coccyx, causing chronic pain.
Repetitive Strain: Activities such as cycling or rowing may result in overuse injuries, contributing to inflammation in the coccyx area.
Infection or Tumors: Rarely, infections, cysts, or tumors in the lower spine or pelvic region can affect the coccyx and cause pain.
Unknown Causes: In many cases, the exact source of tailbone pain is unclear and may be labeled as idiopathic coccydynia.
Diagnosis of Tailbone Pain
Diagnosis begins with a thorough medical history and physical exam. Additional diagnostic tools may include:
X-rays or MRI Scans: To detect fractures, misalignment, inflammation, or underlying abnormalities.
Rectal Examination: To assess the mobility and tenderness of the coccyx.
Diagnostic Injections: A local anesthetic injection may help confirm the coccyx as the source of the pain.
Treatment for Tailbone Pain
Most cases respond well to conservative treatment:
Pain Management: NSAIDs like ibuprofen can reduce pain and inflammation.
Cushion Support: Special cushions relieve pressure on the coccyx when sitting.
Physical Therapy: Exercises to strengthen pelvic muscles and improve posture may reduce pain.
Injections: Corticosteroid or anesthetic injections may offer temporary relief for chronic symptoms.
Surgical Treatment: In rare cases, coccygectomy (removal of the tailbone) may be considered if conservative measures fail.
Persistent or worsening tailbone pain should be evaluated by a healthcare professional for appropriate diagnosis and treatment.
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