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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Fell On Tailbones And Have Pain While Bending And Laying Down. What To Do?

I fell on my tailbones a week ago and hurt it bad. I fgured it would go away but the pain is stiwll here. When I stand up there is hardly any pain but when I bend down lay down turn while laying down anything of that sort makes it feel like a stabbing feeling in my tailbone and whn laying down its a stabbing feeling and a tightness in mymuscl down there. What do you think is wrng with it and should I go see a dr?
Sat, 10 Aug 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi and welcome to HCM
From description it seems to be soft tissue injury . You need an x-ray to rule out any bony injury. Meanwhile for relieve pain-
Use a well-padded seat when sitting and avoid long periods of sitting when possible.
Do sitz bath- take warm water in a tub and sit in this.It will relax the muscles around the coccyx.
You can take anti -inflammatory drugs like Tablet Motrin 1 tablet as and when required ( do not repeat a dose before 6 hours) with food will help relieve the pain.
Apply diclofenac gel on the affected area.

Hope this will helps you. Take care.
You can consult me again directly through my profile http://www.healthcaremagic.com/doctors/dr-saurabh-gupta/64132
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Orthopaedic Surgeon, Joint Replacement Dr. K. Naga Ravi Prasad's  Response
Hi, thanks for writing to HCM.

All your symptoms suggests that you have developed COCCYDYNIA secondary to a fall.

An xray is necessary to rule out any fracture of the coccyx.

In the mean time, to lessen the pain, the following measures have to be taken -

* Sit completely upright with proper posture — keeping your back firmly against the chair, knees level with your hips, feet flat on the floor and shoulders relaxed

* Lean forward while sitting down

* Sit on a doughnut-shaped pillow or wedge (V-shaped) cushion

* Apply heat or ice to the affected area

* Take over-the-counter pain relievers, such as acetaminophen (Tylenol), ibuprofen (Advil)

Hope this information is helpful. Good day
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Radiologist Dr. Indu Kumar's  Response
Hello
Thanks for writing to HCM

Your symptoms suggests that you may have fracture of coccyx bone.
You need proper clinical examination and if necessary X-ray of coccyx bone can be taken.
Mostly it is treated conservatively at home by analgesics tablet and sitting on soft surface.
In severe cases short hospitalization may be required and surgical removal done in some cases.
Manual reduction is also done in selected cases.
Get well soon.


Take Care
Dr.Indu Bhushan


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Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
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Had Fell On Tailbones And Have Pain While Bending And Laying Down. What To Do?

Hi and welcome to HCM From description it seems to be soft tissue injury . You need an x-ray to rule out any bony injury. Meanwhile for relieve pain- Use a well-padded seat when sitting and avoid long periods of sitting when possible. Do sitz bath- take warm water in a tub and sit in this.It will relax the muscles around the coccyx. You can take anti -inflammatory drugs like Tablet Motrin 1 tablet as and when required ( do not repeat a dose before 6 hours) with food will help relieve the pain. Apply diclofenac gel on the affected area. Hope this will helps you. Take care. You can consult me again directly through my profile http://www.healthcaremagic.com/doctors/dr-saurabh-gupta/64132