The most common cause ofpain in the coccyx area considered injury. If pain occurs after a fall or impact, the nature of its occurrence is almost always obvious. However, the discomfort and pain can start for no apparent reason, and then to set up their origin can only specialist. Why sore tailbone, how to eliminate pain and to what doctor to address, if they do not pass? All the answers below.
Causes of pain in the coccyx
Independently find out the exact location of the painoften impossible. Rooting may himself tailbone and pelvic bones or organs which are located around it. In the latter two cases, the pain may just be given to the coccyx (called radiate) or localized on the right or left. Doctors called the variety of causes of this symptom and note that women are more factors that can provoke pain and discomfort in the coccyx area.
On what sore tailbone women
According to statistics, in the coccyx pain in womenIt occurs much more frequently than men. This is due to the peculiarities of the female anatomy, associated with the birth process: at birth extending from the coccygeal vertebrae joints slightly deflected backward, thereby increasing the size of the birth canal. Since coccygeal joints in women have some mobility, they are more prone to injury. Soreness in the area of women may be associated not only with pregnancy, childbirth or injury, but also with a number of other diseases and pathologies, which include:
- disease affecting the spine (the displacement of the intervertebral discs, low back pain);
- lesions of the pelvis;
- damage to muscles and nerves of the pelvic floor;
- diseases of the genitourinary system;
- bowel disease (proctitis, hemorrhoids, fissures of the rectum);
- cystic formation in the coccyx;
- expressed bowel dysfunction (frequent stools, constipation);
- postoperative complications (formation of scar tissue in the anus and perineum, adhesive process, hit the pelvic cavity).
If, during the sitting the pain becomesintensive, it can be a sign of the defeat of the lower spine. One of these manifestations is an inflammation of the coccyx in women, accompanied by acute pain. If the pain in the coccyx region combined with pains in the lower back and sacrum, this may indicate a denial of the sciatic nerve or nerve lumbar and sacral or that the problem is related to spinal cord injuries. The exact answer to the question why much tailbone pain when sitting, can give a doctor.
Pain in the coccyx area canstrengthened on rising in the case of post-operative complications or inflammatory processes that affected the bladder, intestines, uterus, or other nearby organs. Pain is often of this kind applied to adjacent areas - depending on the patient's body affected by sore coccyx, the anus or the abdomen.
All sorts of injuries are considered the most commonthe cause of pain in the coccyx area, the pain may not occur until after a bad fall or injury, but also as a result of weaker effects: after training, cycling, prolonged physical stress of any kind. Discomfort and pain can occur immediately after the impact, and for a considerable time, as a consequence, to determine their exact cause is becoming more difficult.
Minor injuries coccyx give rise to itmicrocracks, which causes pain. Injury to moderate severity can cause an incomplete fracture. This category includes damage or crack fracture of the coccyx. Severe injuries can lead to various complications and difficult to treat the consequences, such as a fracture or dislocation of the displacement of the coccyx.
Pain caused by mechanical damage,can be accompanied by swelling and hematoma sacrococcygeal region. They are aggravated by walking, sitting, abrupt slopes and getting up from a sitting position, the act of defecation, pelvic muscle tension. Up to set the type and degree of severity of the injury in the presence of such symptoms will only medical examination.
During pregnancy and after childbirth
Many women complain about the gynecologist that they havesore pelvis during pregnancy. This phenomenon is particularly prevalent in its later stages. The main reason for this are the body's natural changes that occur during this period. The growing fetus puts pressure on the pelvic organs, and coccygeal vertebrae due to the gradual expansion of the intercostals distances slightly deflected backward, which causes pain.
Why sore tailbone after giving birth? The most common cause is a long and difficult delivery. Passing through the birth canal, the fetus puts pressure on the pelvic bone, and if it is too strong, it leads to excessive extension of the coccyx. After delivery, many women have pain in the coccyx area and aching pain in the anus. They can pass on their own, but often these symptoms indicate the presence of complications requiring treatment. With such obstetric complications are hernia subluxation of the coccyx and coccygeal vertebrae.
Diseases that cause pain in the coccyx in men
Pain in the coccyx area in malesIt can also be caused by trauma, spinal cord injuries, colon and other internal organs. However, among males it is more common pathologies such as cysts coccyx. It develops with frequent driving on certain types of equipment, for which there is increased pressure on the coccyx, which causes its inflammation and the formation of cystic neoplasms.
Because of what can hurt your tailbone in children and adolescents
When the pain in children is to find outIs it not arisen due to an injury. The child could fall down or hit, damaging the coccyx. Because young children are very mobile, constantly exposed to injuries of varying severity, and can not always explain clearly, after which there was a pain, you need to visit a doctor. In addition to injuries, the pain can trigger inflammation of internal organs, or to begin to develop at an early age diseases of the musculoskeletal system.
What to do when severe pain in the coccyx area
The appearance in the coccyx acute pain requirescompulsory treatment to the doctor. This symptom may indicate the development of a variety of diseases, so do not wait until it will pass on their own. Timely visit to a specialist will allow to find out why severely sore tailbone, undergo appropriate treatment in the early stages of disease development and thus avoid possible complications.
To which the doctor ask
Initial examination for pain in the coccyx cancarried therapist. After examination, the doctor will send the patient to one or more narrow specialists: proctologist, neurologist, orthopedist or surgeon. If doctors can not identify the exact causes of pain, and the results of X-ray the coccyx or pelvic MRI did not show any irregularities, the patient should visit a doctor-osteopath.
Methods of treating pain in the tailbone and lower back
In the treatment of pain is localized inthe lower back or tailbone, integrated approach. This may include medical analgesia, physiotherapy, exercises, physiotherapy, massage, manual therapy. Because of pain in coccyx area are often a symptom of an illness, in the program of therapy necessarily includes his treatment.
Pharmacological pain relief is carried outusing anti-inflammatory agents based on ibuprofen, naproxen, diclofenac, which is prescribed in the form of ointments, tablets or intramuscular injections. If acute pain medication blockade can be assigned - novocaine injection, lidocaine, diprospana or other analgesics in the painful area.
Get rid of the pain helps coursesphysical therapy, which can be done by acting on the coccygeal region ultrasound, magnetic radiation, high frequency current, heat or cold. Quickly remove strong pain allow fonoforeza procedure in which painkillers are introduced into the tissue by means of ultrasonic radiation.
Many people can be cured with the use of painmethods of traditional medicine. Considered to be an effective means of compresses with fir oil, valerian tincture, blue clay, rubbing the painful area with ointment mummy, radish juice, iodine daily lubrication. Before using these recipes should consult a doctor.
When his coccyx dislocation reduction is carried outthrough the rectum. When bruises, cracked, cracks, or fractures, the patient is prescribed strict bed rest. If coccygeal bones do not grow together after fracture and conservative methods of therapy are inconclusive, doctors resort to surgical treatment - surgical removal of the coccyx.
Surgery can also be used withthe treatment of severe stages of the coccyx cyst, which is characterized by an acute inflammation with the formation of an abscess. During the operation, the abscess is opened and display the contents of the cyst. In the formation of a chronic fistula carried repeat surgery, during which the tailbone cyst is completely removed.