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How Can Pain In The Coccyx Area Be Treated?
Hi....I have had 3 spine surgeries with numerous fusions. On one of the surgeries the Neurosurgeon broke my Sacrum. I have had continual pain, especially in the coccyxarea. I have had injections and nerve blocks, and last week a Spinal Ablation in the low back and coccyx area, which is the worst. I still continue to have pain there. What other treatments might help? Thank you.
posted on
Sat, 26 Aug 2017
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Sun, 5 Aug 2018
Answered on
Tue, 7 Aug 2018
Last reviewed on
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
You may be suffering from coccydynia. You may use painkiller medication with physical therapy with nerve blocks and nerve ablation. Few patients may be surgically removed tail bone in resistance cases. Mainly treated with activity modification like alterations to everyday activities can help take cumulative pressure off of the tailbone and alleviate pain. These activity modifications may include using a standing desk to avoid prolonged sitting, using a pillow to take the weight off the coccyx, or adjusting posture so weight is taken off the tailbone when sitting. A custom pillow that takes pressure off the coccyx when sitting may be used. Pillows for alleviating coccydynia may include U- or V-shaped pillows, or wedge-shaped pillows with a cutout or hole where the tailbone is. Any type of pillow or sitting arrangement that keeps pressure off the coccyx is ideal and largely a matter of personal preference. A supportive cushion can be useful in the car, as well as in an office, classroom, or at home. If tailbone pain is caused by or worsened with bowel movements or constipation, increased fiber and water intake, as well as stool softeners, is recommended.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Penchila Prasad Kandikattu
I have reviewed your query and here is my advice.
You may be suffering from coccydynia. You may use painkiller medication with physical therapy with nerve blocks and nerve ablation. Few patients may be surgically removed tail bone in resistance cases. Mainly treated with activity modification like alterations to everyday activities can help take cumulative pressure off of the tailbone and alleviate pain. These activity modifications may include using a standing desk to avoid prolonged sitting, using a pillow to take the weight off the coccyx, or adjusting posture so weight is taken off the tailbone when sitting. A custom pillow that takes pressure off the coccyx when sitting may be used. Pillows for alleviating coccydynia may include U- or V-shaped pillows, or wedge-shaped pillows with a cutout or hole where the tailbone is. Any type of pillow or sitting arrangement that keeps pressure off the coccyx is ideal and largely a matter of personal preference. A supportive cushion can be useful in the car, as well as in an office, classroom, or at home. If tailbone pain is caused by or worsened with bowel movements or constipation, increased fiber and water intake, as well as stool softeners, is recommended.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Penchila Prasad Kandikattu
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