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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. Treatment 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 together, 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 sitting in poor positions, place undue stresses on the mall bones at the end of your spine )coccyx bone). Accumulated stresses or sitting for an extended period of 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 properly treat and heal the tailbone pain. Call us today for a lasting pain relief.


Side view of the sacrum and coccyx.Role of the Coccygeal Bone in 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 tailbone in a separate heading.

Acute 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 posture on her coccyx (tailbone).

Inflammatory 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 exceedingly common during pregnancy. In the section below, we have covered the tailbone causes pain during pregnancy along what the best nonsurgical treatment options for faster pain relief.


What are the Causes of Tailbone Pain During Pregnancy?

Tailbone pain is an exceedingly common complaint during pregnancy. In fact, it is the most common complaint in 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 the pelvic griddle need stretching and widening to accommodate this growth. And that is where 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 in high levels throughout the entire pregnancy. In fact, your body maintains and secretes high-levels of this hormone well after you have delivered your baby. The presence of Relaxin hormone after the delivery enables milk letdown during breastfeeding. As such, high levels are present four months after you have stopped breastfeeding.

Tailbone pain in Expecting Mothers and Mothers with Newborns is often the results of hormonal changes coupled with poor posture. Understanding the causes of pain during pregnancy is critical to successful outcomes.

Back pain and tailbone pain during pregnancy are everyday occurrences. In fact, 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 condition. It is just that simple!

So, before opting for chiropractic or physiotherapy make sure that your chiropractor and physiotherapist has an in-depth understanding 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 take this fact into consideration.

What Type of Treatment is Best and What should you Avoid?

The rotatory methods of spine manipulations or adjustments provided by chiropractors and physiotherapists must be avoided. The rotatory methods are those that you lie down on your side with a knee bent and the chiropractor or physiotherapists turns or rotate you, emitting a popping sound. While it may feel nice, it could harm you more. You can learn more about our tailbone pain treatment of expects mother and mothers of newborn babies 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 the chiropractic practice. Chiropractors have provided the greatest 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. Some chiropractors offer interior adjustments while others offer external methods of treatment. In our centers, the coccyx treatments provided to sufferers are those rendered externally. We have discovered the best method of treating tailbone pain is through the “Activator Chiropractic Methods.” Another method of treating a malpositioned tailbone is through an internal coccyx adjustment. Internal coccyx adjustments are rather intrusive. As such, we do not provide them. In fact, 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 treatment 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 operate on coccyx

What Are The Non-Surgical Treatment Options for pain in the Tailbone?

Conservative treatments of coccydynia are extremely effective. Clinical studies have published 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. Once the offending activity or posture is identified, we will educate our patients on the importance of a lifestyle change. 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. Our goals with coccydynia as well as other spine or joint problems are to educate the patient as to the cause and to avoid a repeat of similar injury after recovery.

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 the singular efforts.

What Should You Do for pain at the Bottom of Spine: Coccygeal or Tailbone?

Well, the first thing you must change is your sitting posture. Aside from falling on the buttocks, poor sitting posture 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 the reproductive systems. Therefore, having great pelvic floor muscles is not just important 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.

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 therapist) and chiropractors. The treatments and pain management we provide is 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

Dull and 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 muscles 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 effective, it must be targeted and diagnosis specific. Far too many physical therapists recommend exercises that are too aggressive. Generally speaking, there are times when aggressive exercises 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 injury, 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. In short, avoid the general advice offer of social media or related pages with videos. Exercise can hurt or benefit, for it to be beneficial it must address the therapeutic needs of your condition.

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. Exercise is great, but the strengthening of the pelvic floor must target the weakened muscles with focused pelvic floor exercises. Visit us today for a thorough assessment.

The BEST Conservative Tailbone Treatment in Malaysia

Chiropractic treatments have been proven to be very effective 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. 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 inflammation.

However, we encourage all patients to avoid icing the areas unless you 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 coccyx pain.

Our Difference:  Our Technology and Our Collaborative Integrated Clinical Teams are Better at Treating Coccydynia and Tailbone Pain

In addition to icing and chiropractic treatments, our clinical teams may prescribe specific exercises. Exercises are important in strengthening the pelvic floor after the inflammation subsides to prevent 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 important part of the care that we provide. We may ask you to purchase special pillows to alleviate pressures and stresses on the tailbone. Special pillows 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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