What types of doctors treat tailbone pain. How to determine the best specialist for your coccyx pain. When should you see a pain management physician for coccydynia. What are the key factors in choosing a doctor for tailbone issues.

Understanding Tailbone Pain and Its Impact

Tailbone pain, medically known as coccydynia, can be a debilitating condition that affects daily life. It’s characterized by discomfort in the coccyx area, which is particularly noticeable when sitting or transitioning from sitting to standing. Many individuals suffering from this condition often wonder about the most effective treatment options and the right medical professionals to consult.

Primary Care Physicians: The First Line of Defense

For those experiencing mild tailbone pain of recent onset, a primary care physician is often the first point of contact. These doctors can provide initial treatment recommendations, which typically include:

• Prescribing pain medications for oral consumption
• Recommending specialized cushions to alleviate pressure on the tailbone
• Advising on lifestyle modifications to reduce pain

Can primary care physicians effectively treat all cases of tailbone pain? While they can manage mild cases, persistent or severe coccydynia often requires specialized care.

When to Consult a Pain Management Specialist

If tailbone pain persists for more than a month or if initial treatments prove ineffective, it’s advisable to consult a pain management specialist. These doctors are typically subspecialists from either Physical Medicine and Rehabilitation (PM&R) or Anesthesiology fields.

Pain management physicians can offer more advanced treatment options, including:

1. Local pain medication injections
2. Nerve blocks
3. Advanced physical therapy referrals
4. Minimally invasive procedures

Choosing the Right Pain Management Doctor

How can you ensure you’re selecting the best pain management specialist for your tailbone pain? Consider the following factors:

• Experience in treating coccydynia specifically
• Availability of advanced diagnostic tools like seated coccyx x-rays
• Patient reviews and success rates in treating tailbone pain
• Willingness to explain treatment options and answer questions

The Role of Pelvic Floor Physical Therapists

For individuals experiencing pain throughout the pelvic floor, consulting a pelvic floor physical therapist can be highly beneficial. These specialists focus on rehabilitating the muscles, ligaments, and connective tissues of the pelvic region.

How do pelvic floor physical therapists aid in tailbone pain relief? They employ various techniques such as:

• Manual therapy to release tight muscles
• Exercises to strengthen weak pelvic floor muscles
• Biofeedback training for improved muscle control
• Education on proper posture and body mechanics

Coccyx Pain Specialists: The Ultimate Experts

For chronic cases lasting more than two months or when local treatments prove ineffective, seeking a doctor who specializes specifically in coccyx pain is advisable. These experts offer comprehensive evaluations and treatments tailored to coccydynia.

Advanced Diagnostic Techniques

Coccyx pain specialists utilize advanced diagnostic tools to pinpoint the exact cause of tailbone pain. These may include:

• Sitting-versus-standing coccyx x-rays
• Dynamic MRI scans
• Nerve conduction studies
• Detailed physical examinations

Tailored Treatment Plans

Based on their specialized knowledge, these experts can create personalized treatment plans that may incorporate:

1. Targeted medication regimens
2. Custom-designed orthopedic devices
3. Specialized injection techniques
4. Coordinated multidisciplinary care

Surgical Options: When Conservative Treatments Fail

In rare cases where conservative treatments don’t provide adequate relief, surgical intervention may be considered. This typically involves the removal of the tailbone, a procedure known as coccygectomy.

Who performs coccygectomy surgeries? These procedures are typically carried out by:

• Orthopedic surgeons
• Spine specialists

It’s important to note that surgical intervention is necessary in less than 5% of tailbone pain cases. Careful consideration and consultation with multiple specialists are crucial before opting for surgery.

Identifying the Right Doctor: Key Factors to Consider

When seeking medical help for tailbone pain, it’s essential to choose a doctor with substantial experience and expertise in treating this specific condition. Here are some ways to evaluate a potential healthcare provider:

1. Website Information

Examine the doctor’s or medical practice’s website. Does it mention coccyx pain, tailbone pain, or coccydynia? If not, it may indicate that tailbone issues are not a significant part of their practice.

2. Receptionist Knowledge

Call the doctor’s office and ask the receptionist if they treat coccydynia. If the receptionist seems confused or unfamiliar with the term, it suggests that tailbone pain is not commonly treated in that practice.

3. Availability of Specialized Diagnostic Tools

Inquire about the availability of seated coccyx x-rays. If the staff is unfamiliar with this diagnostic technique, it may indicate limited experience with tailbone pain cases.

4. Doctor’s Experience

Ask the doctor directly about their experience in treating tailbone pain. A question like “How many patients with tailbone pain have you treated in the past month?” can provide insight into their expertise level.

By considering these factors, patients can make informed decisions about their healthcare providers and increase their chances of receiving effective treatment for tailbone pain.

Holistic Approaches to Tailbone Pain Management

While medical interventions play a crucial role in treating tailbone pain, holistic approaches can complement traditional treatments and provide additional relief. These methods focus on addressing the whole person, not just the symptoms.

Mind-Body Techniques

Various mind-body techniques can help manage pain and improve overall well-being:

• Mindfulness meditation
• Yoga (with modifications for tailbone pain)
• Biofeedback training
• Progressive muscle relaxation

Dietary Considerations

Some individuals find that dietary changes can impact their pain levels. Consider:

• Anti-inflammatory diets
• Avoiding foods that may exacerbate inflammation
• Staying hydrated to support tissue health

Ergonomic Adjustments

Making ergonomic changes in daily life can significantly reduce tailbone stress:

1. Using specialized seating cushions
2. Adjusting workplace chairs and car seats
3. Practicing good posture during sitting and standing

How can these holistic approaches be integrated into a comprehensive tailbone pain management plan? It’s best to discuss these options with your healthcare provider to ensure they complement your existing treatment regimen.

The Importance of Patient Education in Tailbone Pain Management

Effective management of tailbone pain often requires active patient involvement. Healthcare providers play a crucial role in educating patients about their condition and empowering them to take an active role in their recovery.

Understanding the Anatomy

Patients benefit from a basic understanding of tailbone anatomy and function. This knowledge can help them:

• Recognize factors that may exacerbate their pain
• Understand the rationale behind various treatments
• Communicate more effectively with their healthcare providers

Self-Management Techniques

Healthcare providers should educate patients on self-management techniques that can be practiced at home:

1. Proper sitting and standing techniques
2. Home exercises and stretches
3. Use of heat or cold therapy
4. Stress management strategies

Recognizing Red Flags

Patients should be taught to recognize signs that may indicate a need for immediate medical attention, such as:

• Sudden onset of severe pain
• Neurological symptoms like numbness or weakness
• Signs of infection

How does patient education impact the overall success of tailbone pain treatment? Informed and engaged patients often experience better outcomes and are more likely to adhere to treatment plans.

The Future of Tailbone Pain Treatment: Emerging Therapies and Research

As medical science advances, new treatment options for tailbone pain are being explored and developed. Staying informed about these emerging therapies can provide hope and potential new avenues for relief.

Regenerative Medicine

Regenerative therapies show promise in treating various musculoskeletal conditions, including tailbone pain:

• Platelet-Rich Plasma (PRP) injections
• Stem cell therapies
• Growth factor treatments

Advanced Imaging Techniques

Improvements in imaging technology are enhancing diagnostic capabilities:

1. 3D imaging for better visualization of the coccyx
2. Functional MRI to assess pain pathways
3. Ultrasound-guided interventions for precise treatment delivery

Neuromodulation Techniques

Emerging neuromodulation therapies aim to alter pain signals:

• Peripheral nerve stimulation
• Transcutaneous electrical nerve stimulation (TENS) advancements
• Targeted drug delivery systems

How might these emerging therapies change the landscape of tailbone pain treatment in the coming years? While many of these treatments are still in experimental stages, they offer hope for more effective and less invasive options in the future.

As research continues, it’s crucial for patients and healthcare providers to stay informed about new developments and clinical trials that may offer novel approaches to managing tailbone pain.

In conclusion, finding the right doctor and treatment approach for tailbone pain involves understanding the various specialties available, considering the severity and duration of symptoms, and evaluating the expertise of potential healthcare providers. By taking a proactive approach and staying informed, patients can increase their chances of finding effective relief from coccydynia and improving their quality of life.

3 ways to know the best doctor to treat your tailbone pain…

Can an Orthopedic Surgeon Help Me with Tailbone Pain in My Spine?

April 23, 2021

in Orthopedics

April 23, 2021

Tagged With: Orthopedic Spine Surgeon, Pain Management Physician, spinal pain treatment in Troy MI, spinal pain treatment near me, Spine Surgeon near me, Spine Surgeon Rochester Hills MI, Steroid Injection in Rochester Hills, steroid injections near me, tailbone treatment in Troy MI, tailbone treatment near me

Tailbone pain – also referred to as coccydynia – is pain that occurs in or around the last bone at the bottom of the spine, known as the coccyx (tailbone). Damage or inflammation to the coccyx, or to the surrounding structures, can cause pain and tenderness in the bony area just above the buttocks.

Sometimes tailbone pain can improve with self-care measures, such as taking over-the-counter pain-relief medicine and applying mild heat or an ice pack to the area. If, however, you are experiencing ongoing pain in your spine and lower back, an orthopedic surgeon can treat your condition effectively – and oftentimes without surgery.

What Is Tailbone Pain?

Your low-back or tailbone pain may be:

• Dull and achy a majority of the time, with periodic sharp pains
• Worse during certain activities, such as sitting, prolonged standing, or rising from a seated to standing position
• Worse for women during menstruation

Tailbone pain can make day-to-day activities increasingly difficult, including driving, bending over, and sleeping.

Causes of Tailbone Pain

There are a number of factors that can cause this type of pain, and the most common include:

• A vaginal birth. Pregnancy causes the coccyx to become more flexible, which can cause the muscles and ligaments around the coccyx to overstretch when giving birth.
• An injury, such as a fall or a hard impact to the base of the spine.
• Prolonged sitting on a hard surface.
• Poor posture or sitting awkwardly for extended periods of time.
• Degenerative joint changes in the spine, which can put stress on the coccyx bone.

How an Orthopedic Spine Surgeon Can Help

Treatment for low-back pain or tailbone pain can vary depending on the cause and severity of your condition, but it may include:

Pain-Relief Injections

Steroid injections (such as cortisone) or a nerve block can help to relieve back pain and to reduce swelling in the affected area. A selective nerve-root block involves injecting an anesthetic and corticosteroid around the inflamed nerve root in the spinal column. These injections provide immediate pain relief, and the relief can last for weeks or months.

Radiofrequency Ablation

Radiofrequency ablation uses radio waves to produce an electric current to heat up a small area of nerve tissue in the affected area. This treatment aims to deactivate the nerve to stop it from sending pain signals to the brain.

Surgery

Surgery will be the recommended treatment if other treatments haven’t worked successfully. If your back pain is directly linked to irreparable damage or a tumor in the coccyx bone, then a procedure known as a coccygectomy may be necessary, which involves removing the coccyx.

Orthopedic Spine Surgeon Near Troy, MI

If you are looking for a spine surgeon or back doctor here in Southeast Michigan, the experienced medical team at Ahlgren Spine is here for you. We can successfully diagnose the cause of your spine condition, and we offer a range of conservative and surgical treatments to effectively treat your pain.

To book a consultation or to find out more, contact our friendly staff today by calling us at (248) 215-8080 or by filling out our easy-to-use appointment request form online now. We look forward to helping you enjoy life without back pain!

causes, treatment, prevention at home

Pain in the coccyx (or in medical terminology coccidogyny) prevents you from doing the most ordinary things – sitting, lying down, walking, driving a car and playing sports. Sometimes pain is constant and haunts a person literally day and night. For many people, the pain in the coccyx becomes chronic and bothers for many years, then disappearing, then again reminding of itself ¹ .

We asked our experts about the most common causes of tailbone pain in women and men. And at the same time, we found out what methods of treating pain in the coccyx are used by modern medicine, and what measures will help to avoid the development of this uncomfortable condition.

Physiology of women and men

In women and men, the coccyx is the final fragment of the spine, which consists of 4-5 vertebrae and is attached to the sacrum with the help of a cartilaginous disc. The gluteal muscles and muscles that are involved in the work of the pelvic organs are attached to the coccyx: the rectum, prostate gland, uterus, bladder.

Coccydogynia occurs with spasm and excessively high tone of these muscles or due to pinching of nerve endings in the coccygeal and sacral zone.

Pain in the tailbone bothers women several times more often than men ² . The fact is that the representatives of the weaker sex have a wider and more mobile pelvis, which is more easily injured. Pain in the coccyx in women may appear after difficult natural childbirth, for example, with a narrow pelvis of the mother and a large child. During childbirth, the coccyx is displaced to allow the birth canal to widen and may be injured ² .

Causes of pain in the coccyx

The most common causes of pain in the coccyx in women and men are diseases of the spine and injuries of the sacrococcygeal zone. The injury is usually caused by a fall on the coccyx, but chronic injuries that can occur due to cycling and prolonged sitting on a hard surface are no less dangerous.

Less common is coccidogyny, which is provoked by diseases of the pelvic organs. Even less often, pain in the coccyx is caused by pathologies of the rectum – hemorrhoids, paraproctitis, anal fissure. We will tell you more about the most common causes of tailbone pain in women and men.

Injuries of the coccyx

Injuries of the sacrococcygeal zone can be both “fresh” and quite old. With serious injuries (fractures and cracks), the pain is very sharp and increases with pressure on the coccyx.

If the injury is chronic, then the pains are usually aching, pulling and arching. Physicians note that after trauma to the coccyx, pain disappears quickly, often within the first day ¹ . But after a few weeks, months, and sometimes even years, coccidogynia again reminds of itself and can become a chronic disease ¹ .

Pathologies of the lumbosacral spine

These are, first of all, osteochondrosis, hernias and protrusions in the lumbosacral spine. Any of these pathologies can be accompanied by coccidogyny. Pain in the coccyx usually appears when the nerve endings located in this part of the spine are infringed. Pathologies of the spine are also manifested by other symptoms: stiffness of movements and burning pain in the lower back, on the inner and outer side of the thigh.

Spasm of the levator muscles

Pain in the coccyx can also cause spasm of the levator – one of the muscles that attaches to the coccyx and affects the function of the rectum ³ . If this muscle is contracted too much, there is pain in the coccyx, sacrum and anus ³ . Painful sensations are repeated regularly, cause anxiety, increase in the sitting position and can be given to the perineum and buttocks. Sometimes the pain is accompanied by a feeling of “lump” in the rectum.

Prostatitis and prostate adenoma

Inflammation and congestion in the prostate can cause coccidogyny. With a disease in the chronic form, the pain is usually weak, aching, and radiates to the perineum and lower abdomen. Prostate problems can be indicated by such signs as frequent urination and erectile dysfunction.

Adnexitis

Inflammatory processes in the ovaries and fallopian tubes are a common female problem. Pain in the coccyx and anus often occurs with acute adnexitis, may be accompanied by general weakness, fever, intestinal disorders.

Treatment of pain in the coccyx

In 90% of cases, conservative treatment of pain in the coccyx is used, and only occasionally surgical intervention is used – removal of the coccyx. Methods of therapy are selected by the doctor after a comprehensive diagnosis. Treatment is usually handled by a neurologist, traumatologist or orthopedist.

Diagnosis

At the first stage of diagnosis, diseases are excluded in which the source of pain is organs not located in the sacrococcygeal zone ³ . Such diseases include hemorrhoids, urinary tract infections, anal fissure, malignant tumors of the abdominal cavity and pelvic organs ³ . Therefore, each patient with coccidogyny at the first visit to the doctor is referred to narrow specialists: gynecologist, andrologist-urologist, surgeon, coloproctologist ³ .

During an external examination, the doctor “palpates” the coccyx from the outside and from the inside in order to fix painful sensations ³ . Post-traumatic coccidogyny can be diagnosed with the “painful leaning syndrome”, where pain is exacerbated by bending forward with arms outstretched ³ .

For instrumental diagnosis of coccidogyny usually use:

• radiography;
• computed tomography;
• MRI.

X-ray and CT can examine bone structures, while MRI helps to assess the condition of the ligaments and muscles in the sacrum and coccyx ³ .

Modern methods of treatment

Chronic coccidogyny is difficult to treat, so doctors advise seeking medical help as soon as possible. For the treatment of pain in the coccyx in men and women, several methods are used:

• drug therapy with non-narcotic analgesics, non-steroidal anti-inflammatory drugs, muscle relaxants, chondroprotectors, and, if indicated, tranquilizers and antidepressants ³ ;
• neurofrequency ablation of the sacrococcygeal disc ¹ – irradiation of nerve endings in the pain zone;
• acupuncture ¹ ;
• intrarectal massage ¹ ;
• balneotherapy with therapeutic baths and mud ¹ ;
• local darsonvalization ¹ ;
• novocaine electrophoresis ¹ .

The best results are obtained by an integrated approach when several methods are used at once. Many patients with coccidogyny need the help of a psychotherapist to reduce anxiety and prevent the development of depression.

Prevention of pain in the coccyx at home

To prevent pain in the coccyx, doctors advise avoiding spinal injuries, lifting weights as little as possible and maintaining the correct body position during work and rest. Regular exercise will help keep your musculoskeletal system healthy. It is necessary to control weight and include foods rich in fiber in the daily menu to avoid constipation.

Popular questions and answers

Popular questions from readers we asked our experts: traumatologist-orthopedist Nikita Zaborovsky and neurologist Gleb Markelov .

How to sit correctly so that the coccyx does not hurt?

– Pain in the coccyx is often worse when sitting. To reduce discomfort, people with coccidogyny take a forced position. For example, they lean forward more strongly or sit on one buttock. But such a decision cannot be called correct. Yes, the pain in the coccyx may become weaker, but with the wrong position of the body, the load on the spine increases. Therefore, it is better to use orthopedic pillows, which help reduce pain and at the same time ensure the correct position of the body. One option is a donut-shaped pillow.

Which doctor should I contact if my tailbone hurts?

— After an injury, they usually turn to a traumatologist and a surgeon. In other cases, options are possible. Many men and women with coccidogyny first consult with an orthopedist and neurologist, and then, depending on the cause of the pain, they can get an appointment with a urologist, proctologist, gynecologist.

How do you know if there is a crack or fracture in the coccyx?

With a crack or fracture, a person feels a sharp pain when pushing, or when pressing on the coccyx. Radiography and computed tomography help to “see” the injured area.

Sources:

1. Coccidogyny. SBEE HPE “Bashkir State Medical University” of the Ministry of Health of Russia, Ufa. Medical Bulletin of Bashkortostan, Volume 8, No. 4, 2013. https://cyberleninka.ru/article/n/koktsigodiniya/viewer
2. Coccidogyny. Belenky A. G. Russian medical journal. No. 6 dated March 26, 2004. https://www.rmj.ru/articles/revmatologiya/Kokcigodiniya/
3. Coccidogyny: etiology, diagnosis and treatment. Magazine “Doctor” from 04.01. 2021 https://disk.yandex.ru/i/AoQidmLdpbaGbg
4. Vertebral lumbar pain: multifactorial origin, symptomology, principles of treatment. Journal “Attending Doctor” dated June 18, 2008. Yu. V. Grachev, V. I. Shmyrev. https://www.lvrach.ru/2008/05/5153167

How to get rid of tailbone pain when sitting and standing up in men and women: causes and methods of treatment

How to get rid of tailbone pain when sitting and standing up in men and women: causes and treatments

Gimranov Rinat Fazylzhanovich
Neurologist, neurophysiologist, experience – 33 years;
Professor of Neurology, MD;
Clinic for Rehabilitation Neurology. About the author

Publication date: October 19, 2022

This is a common symptom of diseases that affect the bone structure, muscles in the region of the last vertebrae.

Sometimes this is the result of excessive physical exertion or prolonged exposure to an unphysiological position. But if the soreness lasts for several hours, or even days, then you need to find out what can hurt in the coccyx area. The exact causes of coccyx disease are established by additional symptoms.

Contents of the article:

• 1 Diseases of the coccyx and causes of pain
• 2 When to see a doctor
• 3 Which doctor to see
• 4 Diagnosis
• 5 Treatment
  90 079 5.1 Medical treatment
  • 5.2 Physiotherapy
  • 5.3 Surgery
• 6 Complications
• 7 Prevention
• 8 References:

Diseases of the coccyx and causes of pain

The reasons why the lower back and tailbone hurt in different people, men and women, when you sit or get up for a long time, when bending over, swinging the press, after running or any exertion, even after sleeping or sitting, can be varied, understand why the back and coccyx constantly hurt, giving to the lower back of the girl is possible only after analyzing all the signs of the disease. [1]

Common causes are:

• Trauma. In case of an unsuccessful fall or blow, you can get a bruise with tissue edema. More dangerous are fractures and dislocations of the coccyx, when a sharp shooting pain appears. Subsequently, she calms down a little, but there is a strong discomfort when trying to sit, fully move. Pain returns with defecation. It is also possible to damage the coccyx during childbirth.
• Cysts and hernias can develop not only in the higher parts of the spine, but also in its “tail”. In this part, the sensations are the most unpleasant, since it is almost impossible to find a comfortable position. The abundance of nerve fibers in this part increases soreness after neoplasms, as the nerve roots are pinched.
• Malignant tumors. Sometimes benign ones are reborn in them. In the early stages, pain is practically not felt, but over time, their intensity increases. In the later stages, this is a constant exhausting feeling, which is not affected by most painkillers.
• Benign tumors are asymptomatic in the initial stages. As they grow, they compress nearby nerves. Because of this, there are sharp, but intermittent pains that are aggravated in certain postures, often when sitting. The only way to get rid of this is by surgery.
• Retrorectal paraproctitis is a rare form of a disease in which the fiber layer located on the back of the rectum is affected. Soreness is not only in the coccyx, but also in the rectum, aggravated by sitting or trying to defecate. Gradually, swelling appears in the genital area.
• Inflammation is provoked by infections. Coccyx, soft tissue, or viscera adjacent to bones may be affected. There is swelling of the soft tissues, the temperature rises. They can proceed acutely, with the rapid development of symptoms, and chronically, when nothing but pain speaks of infection for a long time.

Before using painkillers: during menstruation, when rocking the press, when sitting for a long time, with or without a preliminary blow or bruise – it is necessary to understand why the coccyx hurts or the lower back hurts in a girl, which can hurt in the lumbar region in men and women.

When to see a doctor

Signs of a dangerous condition will be:

1. Reduced or complete disappearance of sensation in the lower extremities and back.
2. Marked bruising, bruising, open wounds, soft tissue injuries.
3. Marked problems with coordination of movements, change in gait.
4. Tingling in legs, small of back and coccyx.

Medical attention is needed as soon as possible if:

• Unpleasant sensations are constant, disappear only for the duration of the action of painkillers ointments and tablets, and then return within one to two weeks. [2]
• Treatment takes place at home.
• Seizures sometimes subside, then come back again.
• The pressure changes sharply, the temperature rises at the site of localization or the whole body.

Causes of pain and whining, pulling and crunching of the coccyx in men and women are commonplace: during menstruation, carrying heavy loads, from sedentary work. Then the discomfort can be eliminated by changing the daily routine, adding prevention to it.

Which doctor to contact

If you know exactly why it hurts to sit on a chair, and after getting up or walking, why the coccyx hurts when trying to sit down, then you can contact a narrowly specialized specialist:

1. After falls, bumps, injuries, you should consult a surgeon. The doctor will refer you to additional studies, prescribe therapy, and determine the cause.
2. If pain indicates a pinched nerve or a herniated disc, see a neurologist. In the region of the coccyx, a large number of nerve endings intersect. They are easily infringed by soft tissues during inflammation, and without the necessary treatment, they negatively affect the functioning of most organs.
3. In case of pathologies of the rectum, it is necessary to consult a proctologist.

The doctor must determine how to cure the coccyx. Therefore, you should be prepared for a long and versatile therapy.

Diagnosis

How and how to treat the coccyx for pain when sitting or standing, you must first determine the exact cause. After examination by a therapist, neurologist or traumatologist, a series of studies or consultations with specialists of other profiles are prescribed. [3]

Diagnostics is carried out in several stages. Can be used:

• General inspection. Use visual inspection and palpation to locate soft tissue or bone problems. Injuries, masses and fistulas, edema and inflammation can be detected.
• Rectal palpation is done if no suppuration or ulcers are found near the entrance to the rectum.
• X-ray. Before it is carried out, it is necessary to clean the colon. If fistulas are suspected, then the procedure is carried out with contrast.
• CT and MRI accurately determine the condition of hard or soft tissues, the presence and size of tumors and lesions.
• Ultrasonography is performed on the muscles in the lower back to assess the degree of inflammation, the presence of growths or suppuration that can cause pain.

Treatment

What to do if a man or woman, when sitting, standing up or after lying on the back for a long time, without hitting, the coccyx hurts very much, what treatment to prescribe can be decided only after finding out the causes of the disease after an examination. Treatment is individual, but there are common drugs and methods that are most often used to combat typical problems. [4]

Medical treatment

The most important task at the very beginning is to rid the patient of symptoms that interfere with a full life. Commonly used:

1. Non-steroidal anti-inflammatory drugs. They also remove pain, are available in the form of tablets, injections and ointments.
2. Muscle relaxants to help relax muscles.
3. Antibiotics if the cause is infections.
4. Antidepressants.

It is selected individually for each person.

Physiotherapy

Methods of additional external influence help relieve symptoms, speed up recovery, reduce the number of medications and side effects.

Prescribed:

• Electrophoresis , which allows you to anesthetize and reduce inflammation of soft tissues. Helps to deliver the medicine to the localization site.
• Darsonvalization. With the help of small impulses, inflammation decreases, pain decreases, spasms are removed, blood circulation improves.
• Shockwave Therapy – multidisciplinary treatment. This method not only helps painkillers work better, but also improves blood circulation, relieves spasms, and accelerates regeneration.
• Massage is strictly prescribed by a doctor from a professional massage therapist to remove stiffness, soreness, cheer up, improve muscle tone.

Another remedy used is exercise therapy. The doctor selects an individual set of exercises. Training will be connected when the treatment has already begun. They are also used as a preventive measure. However, if after training your legs hurt and your tailbone aches, you need to stop performing movements and correct the course.

Surgery

Often not needed. However, due to the location, nerve tissue and blood vessels, even a small intervention by a surgeon is considered a major operation.

Surgery is used:

1. When nearby organs are damaged.
2. For injuries, fractures with the appearance of bone fragments, displacements.
3. With hemorrhages inside the body.
4. In the presence of neoplasms.
5. If tissues and bones, recently damaged, do not heal properly.

How to relieve severe acute and sharp pain than to treat aching and pulling that occurs when walking or lying on your back, sitting or standing up in the coccyx area in women and men, how to remove pain depends on the cause of its occurrence. Therefore, the use of painkillers gives only a temporary effect.

Complications

When men or women, after exercising or cycling, riding other means of transportation, due to sedentary work, the tailbone begins to hurt when getting up from a sitting position or when lying on your back or sitting, to determine why there is severe pain in the lumbar region and in the coccyx region, why it does not go away and how to treat it, when the coccyx hurts, they go to the doctor on time.

If medical care is not received on time, complications arise:

• Chronic constipation or, conversely, frequent diarrhea without any external cause.
• Sexual intercourse will be accompanied by soreness.
• Urination will become painful, extremely difficult.
• Due to discomfort, a person constantly shifts the weight of the body to the side, bends the spine, which ultimately leads to scoliosis.
• Patients report both a partial loss of sensation and the appearance of a new unpleasant feeling of constant tingling below the back.
• Depression. Constant pain, the inability to move easily and habitually often leads to the development of signs of a depressive disorder.

Faced with a situation where the coccyx hurts due to sitting work, inflammation appears, severe pain in the tail when sitting in women and men, it is up to a specialist to decide how to treat and what to do if the warm-up does not help.

Prevention

Symptom, when the coccyx has served time, is familiar to almost everyone. But it is not an indicator of a real disease. In order not to worry, you need to do prevention. Following the advice of doctors will prevent development. And situations when a person’s tailbone suddenly fell ill will be associated only with injuries.

Effective preventive measures are:

1. Weight loss in the presence of a large amount of excess weight.
2. Nutrition taking into account the daily requirement for vitamins and microelements. It is necessary to make a daily menu, exclude fatty, fried foods with a lot of spices, sweets and fast food.
3. Reject dependencies. Alcohol, smoking, drug use.
4. Daily minimum physical activity. Morning exercises, stretching during the day, walking, as well as regular swimming training 2-3 times a week.
5. Absence of physical overload. It is important not to overwork.
6. Chronic disease control.
7. Get your spine checked regularly. If problems are identified, start treatment.
8. Avoid prolonged exposure to uncomfortable positions.
9. Add more fiber to your diet.
10. Monitor stop status. Many pathologies are acquired and can develop with age. It is necessary to use special shoes and procedures, if present, to stop the development and minimize damage to the back.
11. Take good care of hygiene.
12. Pay attention to sudden changes in physical condition.
13. Beware of physical injury. Pay attention to winter shoes with non-slip flat soles.

If, however, men or women begin to experience aching pain in the coccyx, radiating to the right or down under the lower back, then before treating the back, it is necessary to deal with the causes of back pain by contacting specialists.