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What Does Pain In The Tailbone Indicate?
Hello Doctor, Past three months I got started pain in tailbone and than from few weeks it s started server pain when I lay down on bed I m feeling better when I m sitting on chair it s unbearable pain sometimes to overcome the pain I m applying flexabenz gel and volini spray for the meantime feels better and than I m not applying this both gel it s again start paining. from three days I got very high temperature 103-104 and feeling ill and having joint pain than I consult with the physician doctor he prescribed me to take blood sample in reports I got typhoid fever positive than I started antibiotic medicine as doctor prescribed now temperature is below 95. Dear doctor, I have dought this typhoid fever is related to my back tailbone pain or generally happen. Please suggest me my tailbone pain I m very much worried please help me out from this serve pain. Than you very much in advance
Mon, 18 Dec 2017
hi sir/mam,tailbone pain is in no way related to typhoid.the condition is termed as coccydynia.its not that uncommon.many patients come to my clinic with similar symptoms.i give them the following suggestions:
1)avoid prolonged sitting.sitting on very soft cushion pillow is advised.
2)oral medications like NSAIDs(ibuprofen,aceclofenac etc),analgesics tramadol,acetaminophen,anticonvulsants pregabalin(lyrica) gave promising relief of pain.
3)physiotherapy of pelvic floor muscles.
4)if the pain is very intense,a caudal epidural local aneasthetic with or without corticosteroid is recommended.
before going for the above treatment,its better to rule out the following conditions where the scenario is more or less the same:
1)coccygeal fracture
2)intrapelvic malignancy or metastatic tumours
3)ischial bursitis
4)lumbar degenerative disc disease
to rule out the above conditions,lumbosacral MRI,bone and CT scan of coccyx.you can go for an ortho consultation or can try the treatment mentioned above for 1 week.if pain persists or aggravates,you can consult an orthopedic surgeon.hope you got adequate and clear explanation.any issues further are welcome with pleasure.thank you.take care.bye.
1)avoid prolonged sitting.sitting on very soft cushion pillow is advised.
2)oral medications like NSAIDs(ibuprofen,aceclofenac etc),analgesics tramadol,acetaminophen,anticonvulsants pregabalin(lyrica) gave promising relief of pain.
3)physiotherapy of pelvic floor muscles.
4)if the pain is very intense,a caudal epidural local aneasthetic with or without corticosteroid is recommended.
before going for the above treatment,its better to rule out the following conditions where the scenario is more or less the same:
1)coccygeal fracture
2)intrapelvic malignancy or metastatic tumours
3)ischial bursitis
4)lumbar degenerative disc disease
to rule out the above conditions,lumbosacral MRI,bone and CT scan of coccyx.you can go for an ortho consultation or can try the treatment mentioned above for 1 week.if pain persists or aggravates,you can consult an orthopedic surgeon.hope you got adequate and clear explanation.any issues further are welcome with pleasure.thank you.take care.bye.
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