At the very end of the sacrum is the coccyx, and is frequently referred to as the “tail bone”. The coccyx is a tiny triangular bone, and like the sacrum is made up of four bones that have never completely developed.
Pain caused by anything that affects the coccyx is called “Coccygodynia”. Coccygeal pain occurs with greater frequency in women. This may be due to the fact that it is more prominent in women than in men. Another distinct possibly is that the coccyx may have been injured or displaced during childbirth, and has been dormant until it has been further aggravated by another injury.
Any injury that results from a direct blow to the coccygeal region, that might be sustained as in a direct fall on the buttocks, can cause the coccyx to be tipped anteriorly (forward), or deviated laterally, either to the right or left side. When this occurs, the coccyx may be found to be more freely movable than the norm.
When persistent pelvic pain occurs for no sufficient reason or cause, a pelvic examination should be made and an evaluation can then be made by the physician. If no apparent cause is found due to uterus (or adenia) in women, the coccyx should be palpated. This examination is performed rectally with the patient lying on their left side with the knees drawn to the chest. The doctor will perform the rectal examination by inserting the index finger with the thumb on the outside above it. The coccyx can be palpated in this fashion and a determination can be made as to how the coccyx is positioned, and whether it is movable.
If during the palpation of the coccyx, a severe pain occurs, that may be indicative that there is trouble about the joint or about the fascia or muscles. In addition to the pelvic exam an x-ray should also be taken to visualize the position of the coccyx. Even if a pelvic examination was not performed, an x-ray should definitely be taken.
Treating coccygodynia can be tricky at best. It will require a great deal of rest. The worst part of this condition is being able to sit without eliciting severe pain. Do not sit on a soft seat or pillow as this will increase the pain by causing too much pressure on the coccyx. The best way to alleviate this pressure is by using a special cushion. This cushion is specifically designed to relieve the pressure that is placed on the coccyx. It should be used on any chair that is used and when riding in your automobile. Sitting for long periods of time is not advisable. Get up and move about after sitting for awhile.
In addition to rest and using the special cushion, taking hot Sitz Baths, can soothe the painful area. Also the use of an analgesic gel can help in the alleviation of some pain. The patient should also try to maintain a normal bowel movement. Constipation that can cause straining during bowel movements can increase the pain.
In very severe cases that are long lasting and unresponsive to treatment, may result in the surgical removal of the coccyx. Although the operation is relatively simple, it behooves the patient to try everything in their power to avoid this radical treatment. Using the above treatment suggestions, plus plenty of rest and patience can help you avoid this surgery.