Coccydynia/Coccygeal Pain in Beverly Hills
Coccydynia, which may also be referred to as Coccygeal pain or Tailbone pain, describes a pattern of symptoms that cause persistent or intermittent pain in and around the coccyx (tailbone) area. Coccydynia affects women more often than men as some of the causes are unique to women. The pain may be activity-related or aggravated by sitting especially on hard surfaces. The pain can vary from a sharp pain to mild discomfort in the area.
Causes of Coccydynia
Coccydynia comprises a group of conditions that have different causes and modes of treatment. Common causes include:
- Traumatic injury to the tailbone – like a fall onto the buttocks
- Trauma of childbirth
- Chronic sprains or strains of the coccyx
- Surgery at or near the area
Symptoms of Coccydynia
The pain may improve with conservative care over the course of a few weeks, but it can turn into a chronic painful condition and can make it difficult to carry out daily activities or sleep. This can result in significant distress, functional limitations and decreased quality of life. This pain may be described as:
- Worse with standing for extended periods, sitting down, sexual activity, or defecating
- Dull with occasional sharp pains
- Worse when sitting on hard surfaces
Diagnosis and Treatment of Tailbone Pain
Diagnosis of chronic coccydynia is based on evaluation of the symptoms and local pain characteristics. Occasionally, the doctor may also conduct a rectal exam to better evaluate the coccyx. The doctor might also recommend an MRI or CAT scan to check for degenerative changes, a fracture, or rule out other underlying conditions.
Generally, patients with coccydynia are advised to avoid prolonged periods of sitting, and to use a coccygeal cushion (“donut” pillow) when they have to sit. In more severe cases, medications or injections may be provided. Corticosteroid injections can help to both relieve pain and reduce inflammation. These treatments are often provided in combination with physical therapy or manual manipulation of the tailbone to achieve maximum benefit.
At Orthopedic Pain Institute, we will develop a highly specialized plan to treat your individualized needs. Schedule your consultation to learn more about coccydynia and how we can help you.