Best Coccydynia (Tailbone Pain) Treatment In Delhi NCR.
Why does the Tailbone hurt?
Tailbone pain ranges from a dull ache to a fierce stab. It can last for weeks, months or sometimes longer.
There are three types of events that cause tailbone pain:
- External Trauma: A bruised, broken or dislocated coccyx caused by a fall.
- Internal Trauma: Trauma caused by a difficult childbirth or from sitting on a narrow or hard surface for too long.
- Others: Infection, abscess and tumors.
- Interestingly, for one-third of those with coccydynia, the cause is unknown.
Tailbone pain is common
- Women are five times more likely than men to develop coccydynia.
- Adults and adolescents get it more often than children.
- Obese persons are three times more susceptible than those at the ideal weight according to the BMI (Body Mass Index)scale.
Causes of Tailbone Pain
- Falling
- If you take a really bad fall you can bruise, break (fracture) or dislocate (knock out of place) your tailbone (coccyx).
- Repetitive Strain Injury (RSI)
- Sports like bicycling and rowing require you to lean back and forth and stretch your spine. Too much of that repeated motion can strain the tissues around your coccyx.
- Pregnancy/Childbirth
- During the third trimester of pregnancy——> body secretes hormones——> soften the area between the sacrum and the coccyx.
- Enables the coccyx to move during childbirth.
- Stretch the muscles and ligaments.
- Around the coccyx too far
- Causing additional pain
- Such a strain on those soft tissues keeps them from supporting your coccyx at the correct angle.
- Obesity
- Extra weight applies additional pressure to the coccyx——> cause the coccyx to lean backward.
- Your tailbone will hurt if it is out of position.
- Underweight
- If you don’t have enough fat in your buttocks ——> prevent coccyx ——>rubbing against. ——> the muscles, ligaments and tendons that can cause. ——>The rubbing inflames the soft tissues.
- Sitting
- If you’re sitting on a hard or narrow surface.
- Cancer
- Only in rare cases is tailbone pain a sign of cancer. It is extremely unlikely.
Symptoms of Tailbone Pain
The symptoms of coccydynia include:
- Achy or piercing pain in the tailbone.
- More severe pain when changing from sitting to standing up.
- More severe pain when sitting for long periods of time.
- Pain during bowel movements.
- Pain during inter course .
- Painful buttocks
- Back pain
Treatment for Tailbone Pain
Non-operative treatments may range from the recommendation of
- Non-steroidal anti-inflammatory drugs (NSAIDs)
- Activity modification
- Ergonomic adjustments, and
- Physical therapy
Physical Therapy Management
Physiotherapy will include :-
- Progressive stretching and
- Strengthening programme
- That will be specifically developed by the physiotherapist to suit your needs and goals.
- Other treatments will include massage and soft tissue techniques to reduce any muscle
- Ergonomic adjustments
The initial goal of treatment should be focused on :-
- Providing postural education
- Correct sitting posture
- Sitting more erectly on a firm chair gives a proper sitting posture and ensures weight is taken off the coccyx.
- Recommend the use of Modified wedge-shaped cushions (coccygeal cushions)
- Manual therapy
Mobilizations: This can help realign the posture of the coccyx. Manipulation: It can be done intra-rectal.
Massage: Massaging the coccygeus muscles has also been proven to relieve pain.
- Internal techniques
- Massage of the levator ani muscle or the coccygeus muscle
- Joint mobilization while the coccyx is hyperextended
- To stretch the levator ani, or repeated mobilizations while the coccyx is rotated.
- External techniques
- Manipulations of either the coccyx or sacroiliac joint,
- Mobilizations of the sacrococcygeal or intercoccygeal joints
- Posterior mobilizations to the thoracic spine
- Stretching of the piriformis or iliopsoas.
- Shock wave therapy
- Extracorporeal shockwave therapy show as great result in coccydynia pain management.