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Coccyx and Coccydynia: Diagnosis and Treatment of Tailbone Pain

Coccyx pain called Coccydynia or tailbone pain is common condition seen in athletes, men, and women. It is also a very common complaint during pregnancy. Learn about the best-targeted treatment options that address the cause instead of covering up the symptoms.

All You Need to Know About the Coccyx, Coccydynia and Tailbone Pain

Coccyx and coccydynia are a common disorder affecting millions. coccyx for coccydynia is not possible without thoroughly addressing issues impacting the coccyx bone. The coccyx bone is the last bony structure in our spinal column. It is the smallest bony segment of the spine, located right below the sacrum. The bottom tip of the tailbone (coccyx) is made up of four bones connected by fused, semi-fused, or even disc-like ligaments.  In the old days, the coccyx bones were said to be fused, thus inhibiting movements between the bones. However, the latest studies have shown that they are not one solid bone; in fact, there are minimal movements permitted between the vertebrae because of the existence of fibrous ligaments that connect them.

The coccyx begins with a mass of cartilage at birth, ossifying gradually from the superior to inferior segments. The end of puberty terminates in the ossification process. Coccydynia is a condition that results from prolonged sitting. Prolonged sitting or a poor sitting posture, place undue stresses on the small bones at the end of your spine (coccyx bone). Accumulated tensions or sitting for an extended time will worsen an existing coccyx issue or cause one. So, heed our advice and avoid prolonged sitting. Chiropractic Specialty Center® has the best non-surgical clinical teams to treat and heal the tailbone pain properly. Call us today for lasting pain relief.

Side view of the sacrum and coccyx.Role of the Coccyx Pain and Painful Tailbone

Pain in the tailbone area is called Coccydynia. It is the term descriptive of nerve pain at or around the tailbone area or coccyx. The coccyx bone is the last bone at the bottom tip of your tailbone. The coccyx serves as an attachment point for several muscles in the pelvic region; for instance, the gluteus maximus has one of its origins attached along the coccyx. The Levator-Ani and other Coccygeus muscles that form the pelvic diaphragm help delay defecation and urination by constricting the organs within the pelvic floor. Lastly, the coccyx supports the anus by holding the external anal sphincter in place through the anococcygeal ligaments.

 

Man falling on buttocks injuring his coccyx.

What is Coccydynia (Tailbone Pain)?

Unfortunately, many suffer from acute pain or chronic pain around their tailbone, medically termed or called coccydynia. The pain arises from the impingement of the coccygeal nerve that supplies neuronal stimulation to the part of the skin around the very bottom portion of the tailbone. Prolonged and improper sitting postures may lead to increased stresses on the tailbone. The improper loading may even stress the nerves of the coccyx (coccygeal nerves), leading to nerve irritation and inflammation. Tailbone nerve pain (called coccydynia) is relatively common during pregnancy. We will cover the pregnancy causes of the tailbone in a separate heading.

Acute Coccyx or Tailbone Pain

Acute coccydynia is often due to micro or macro trauma. Micro traumatic injuries are related to improper sitting postures, while macro traumatic events are those related to landing on the buttocks, following a fall. In both cases, the coccyx may misalign at either the sacrococcygeal junction or between the four bones of the coccyx. Studies have shown that the activities that require prolonged sitting, such as biking and cycling, have a higher tendency of causing coccydynia due to repetitive micro traumatic events, involving the tailbone and sacrococcygeal segments. So, avoid prolonged sitting and opt for our non-invasive treatment of the tailbone today.

Young lady sitting in poor postureInflammatory processes following a traumatic event, as well as pinched nerves, are the culprits that produce pain. Axial loading or repetitive micro traumatic events (cycling) may place undue amounts of pressure on the coccyx, resulting in misalignment in the coccyx and compression on the nerve. The compressed nerve can generate a burning or tingling sensation in that area, and some report numbness around the coccyx, with moderate compression of the coccygeal nerves. You may even experience leg pain.

Earlier, we mentioned that tailbone pain is prevalent during pregnancy. In the section below, we have covered the tailbone that causes pain during pregnancy along what the best nonsurgical treatment options for faster pain relief.

What are the Causes of Coccyx Pain or Tailbone Pain During Pregnancy?

Tailbone pain is an exceedingly common complaint during pregnancy. It is the most common complaint in the later stages of gestation or pregnancy. As you progress through the gestation periods, your body goes through changes. These are the needed changes to make room for your growing baby and to prepare your body for the delivery. The uterus grows exponentially during pregnancy. Your rib cage, abdominal muscles, and pelvic griddle need stretching and widening to accommodate this growth. And that is where the Relaxin hormone comes in. Relaxin is the hormone that prepares your muscles, ligaments, ribcage, and pelvis for your growing baby and of courses the process of delivery.

The Relaxin hormone is present at high levels throughout the entire pregnancy. Your body maintains and secretes high levels of this hormone well after you have delivered your baby. The presence of the Relaxin hormone after the delivery enables milk letdown during breastfeeding. As such, high levels are present four months after you have stopped breastfeeding.

Coocyx Pain During Pregnancy

Coccyx pain in Expecting Mothers and Mothers with Newborns is often the result of hormonal changes coupled with poor posture. Back pain and tailbone pain during pregnancy are everyday occurrences. All expecting mothers go through it. Unfortunately, for some, it becomes disabling to a point where they are bedridden. What is worse is the fact that most clinicians are clueless in their management of mothers in pain. Our clinical teams’ understanding of the root-causes is the leading reason for the successes we have achieved in treating expecting mothers and mothers of newborns. Our treatments work better because of our in-depth understanding of causes. In other words, for procedures to work, they must be targeted. Targeted therapy is only possible when the team treating you has an in-depth understanding of causes and conditions. It is just that simple!

So, before opting for chiropractic or physiotherapy, make sure that your chiropractor and physiotherapist has an in-depth understanding of back pain and pregnancy. Chiropractic and physiotherapy is the preferred method of treating tailbone pain. But, for the expecting mother and new mothers, the type of chiropractic or physiotherapy, you get matters. As mentioned, Relaxin letdown is the main culprit in tailbone pain or back pain during pregnancy. As the name applies, this hormone relaxes your muscles and ligaments excessively. Therefore, the chiropractic or physiotherapy treatment you get must consider this fact.

What Type of Treatment is Best for Coccyx Pain? And What should you Avoid?

The rotatory methods of spine manipulations or adjustments provided by chiropractors and physiotherapists must be avoided. The rotatory techniques are those that you lie down on your side with a knee bent, and the chiropractor or physiotherapist turns or rotates you, emitting a popping sound. While it may feel beautiful, it could harm you more. You can learn more about our tailbone pain treatment of expecting mothers and mothers of newborns by visiting the best of chiropractic and physiotherapy centers in Malaysia today.

Can the Coccygeal bone Misalignment Lead to Tailbone Pain?

These misalignments are referred to as “Subluxations” in chiropractic practice. Chiropractors have provided the highest level of benefits to those who suffer from tailbone pain. The primary reason for the clinical success of our chiros is the targeted realignment of the coccyx bone. Generally speaking, there are two distinct methods of realigning the coccyx bone through targeted chiropractic treatments called “adjustments.”

Sufferers can have either an internal coccygeal adjustment (treatment that realigns the coccyx) or external chiropractic adjustment. We have discovered the best method of treating tailbone pain is through the “Activator Chiropractic Methods.” Another way of managing a malpositioned tailbone is through an internal coccyx adjustment. Internal coccyx adjustments are somewhat intrusive. As such, we do not provide them. We get better results through our targeted methods that don’t involve internal coccyx treatment. Call or visit us today.

The Activator method of chiropractic treatment allows for a price and targeted therapy that other methods fail. If you suffer from tailbone pain (Coccydynia), visit one of our centers today to discover your non-surgical treatment options. Best of all, the care you get in our center is further enhanced through the best clinical physiotherapists in Malaysia. In short, we offer you a better and most holistic means to get rid of your tailbone pain forever.

Surgeon with surgical scalpel ready to operateWhat Are The Non-Surgical Treatment Options for Pain in the Tailbone?

Conservative treatments of coccydynia are incredibly useful. Clinical studies have published a success rate of 90% with focused, appropriate care coupled with a modification of daily activities. Our clinical teams will thoroughly evaluate your condition to arrive at the cause. Moreover, we will help you with lifestyle changes you need for a healthier life. The difference you get when you visit a Chiropractic Specialty Center is not just our collaborative means of treatment or our advanced technology. More importantly, it is our skills and knowledge along with our abilities to communicate to the patient the causes of his or her conditions.

Modification of daily activities includes sitting in an upright position with back support and with both feet on the ground to reduce the risk of getting coccydynia. At the same time, reducing the compression on the impinged nerve, which can halt further inflammation of the nerve, is a must. In addition to the lifestyle modification recommendations, the care you get will involve both our research-based chiropractors and our clinical physiotherapists. The two are better than singular efforts.

What Should You Do for Coccyx Pain?

Well, the first thing you must change is your sitting posture. Aside from falling on the buttocks, an improper sitting position is the leading cause of pain at the bottom of the spine. Chronic pain in the tailbone or the coccyx is often the result of weakness present in the muscles of the pelvic floor. The Pelvic floor muscles provide the support and instability your spine needs. But, more importantly, they support organs such as the urinary bladder, bowels, and reproductive systems. Therefore, having great pelvic floor muscles is not just crucial for the bottom of the spine, but also the internal organs.

Sitting in a poor posture for long periods can impact the pelvic floor muscles. Slouching forward in a seated position stresses the muscles of the pelvic floor. The accumulative effects of these stresses can lead to weakening and degenerative changes that impact not just your spine, but organs and fertility.

The use of muscle relaxants, anti-inflammatory medication, or injections is ineffective and harmful. Pain management through medication is short-lived at best, but harmful with certainty. Our clinical teams are the experts you need for a thorough assessment of your spine and pelvic floor muscles. The care we provide is through the collaborative efforts of our physiotherapists (physical therapists) and chiropractors. The treatments and pain management we provide are natural. So, opt for the best non-invasive drugless approach by calling our center today.

Dull and Achy Pain at the Bottom our Spine Could Be Due to Pelvic Floor Muscle Weakness or Atrophy

A tired or achy pain in the tailbone or bottom of the spine is related to weaknesses in pelvic floor muscles. The pelvic floor muscles, like other muscles in your body, can weaken and even degenerate. However, degenerative changes in tissues of the pelvic floor can lead to pain at the bottom of the spine, constipation, incontinence, infertility in females, and erectile dysfunctions in men. Thus, the need for a targeted, holistic approach that addresses the issues presented comprehensively. The first step is a proper assessment of all causes. In our centers, we assess the spine, nerves, muscles, ligaments, and joints. In short, we will evaluate all tissues or structures known to cause a dull and achy pain at the bottom of the spine.

Coccydynia Exercises of the Pelvic Floor Muscles

Exercise programs for coccydynia are essential to a speedy recovery. However, for exercises to be practical, it must be targeted and diagnosis-specific. Generally speaking, there are times when aggressive exercise programs are better. But in those with associated conditions such as spinal canal stenosis, sciatica, slipped disc (slip-disc), degenerative changes, and injuries, a milder coccydynia exercise program is better. To avoid damage, we encourage you to visit our center for a detailed assessment, and only then we would be able to recommend focused coccydynia exercises for faster recovery.

The care we provide may include manual therapies, advanced technology, chiropractic, physical therapy, physiotherapy, and of course, targeted exercises for the pelvic floor and spine. In our centers, the pelvic floor exercises given to patients are specific to their therapeutic needs.

The Best Conservative Tailbone Pain Treatment in Malaysia

Chiropractic treatments have been proven to be very useful for coccydynia. Targeted chiropractic adjustment coupled with advanced physiotherapy is the best combination to help in reducing pain and in increasing the quality of life. Our clinical teams may even recommend home exercises and home care, such as icing the affected areas. The icing of the affected area is crucial when one is having pain, as pain is one of the cardinal symptoms of inflammation. Thus, icing the bottom parts of the tailbone (coccygeal area) for 10 to 15 minutes five times a day can help to reduce swelling.

However, we encourage all patients to avoid icing the areas unless they have been instructed by a healthcare professional. There are conditions that icing may be contraindicated. Also, there is a right and wrong method of icing. These must be well understood before icing an injured joint. Therefore, we encourage all pain sufferers and those that have coccyx pain to attend a consultation with one of our clinical teams before employing any home remedies.

Physiotherapy and chiropractic treatment options for the spineOur Difference:  Our Technology and Our Collaborative Integrated Clinical Teams are Better at Treating Coccyx Pain (Coccydynia and Tailbone Pain)

In addition to icing and chiropractic treatments, our clinical teams may prescribe specific exercises. Exercises are essential in strengthening the pelvic floor after the inflammation subsides to prevent a recurrence. Additionally, our clinical teams of physiotherapists may provide specialized treatments through medical devices or manual ones that target injured tissues and joints. Rest assured, when you visit a Chiropractic Specialty Center, you will be in great hands.

Home care instruction is also an essential part of the care that we provide. We may ask you to purchase special pillows to alleviate pressures and stresses on the tailbone. Special pads with customized shapes, such as O-shape, V-shape, and U-shape, can be used to mitigate the pressure on the coccyx and, thus, alleviate the pain. If coccydynia is worsened by poor bowel movement or constipation, one is advised to increase the intake of dietary fiber and water to ease the defecation process. We hope that this article was helpful; please share with friends and relatives that experience tailbone pain relief. Coccydynia (tailbone pain or coccyx pain) is a treatable condition, and we can help. 

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