Injury or trauma
One of the most frequent catalysts for coccydynia is injury or trauma to the region. Such an injury can result from a range of incidents, including a backward fall that impacts the tailbone, a forceful hit received during sporting activities, or the substantial pressures exerted on the tailbone during childbirth. Any of these events can cause bruising, dislocation, or fractures of the coccyx, leading to significant pain and discomfort. For those who have endured a recent injury or trauma to the tailbone and are experiencing pain, it is of utmost importance to seek medical evaluation and care promptly to avoid escalation of the condition.
Prolonged sitting or improper posture
Prolonged sitting, especially on hard surfaces, can put undue pressure on the coccyx and lead to pain. This is often observed in individuals who have desk jobs or those who spend a lot of time driving. Improper posture, such as slouching or leaning too far forward, can also strain the tailbone and contribute to the discomfort. It’s essential to take regular breaks, use supportive cushions, and maintain good posture to avoid exacerbating tailbone pain.
Pregnancy and childbirth
Pregnancy and childbirth are pivotal moments in a woman’s life that can bring about various changes, including tailbone pain. As the body prepares for the birthing process, the pelvic ligaments naturally loosen. Coupled with the increased pressure from the baby’s weight as it grows, this can lead to significant stress on the coccyx. This added pressure may result in pronounced discomfort that can persist beyond delivery.
The act of childbirth itself — with the considerable force exerted on the tailbone as the baby moves through the birth canal — can strain the coccyx. In some instances, this intense pressure can cause injury or trauma to the tailbone, potentially resulting in lingering pain after the child is born. While this is a common concern, myofascial release therapy can offer a gentle and effective means to alleviate this discomfort, promoting healing and comfort during the postpartum period.
Underlying medical conditions
While injury and lifestyle factors are common causes of tailbone pain, certain underlying medical conditions can also lead to coccydynia. These include conditions that affect the coccyx directly, such as bone spurs, nerve pain, joint hypermobility, or degeneration from conditions like arthritis. Furthermore, problems with the pelvic floor muscles, such as spasms, can pull the tailbone out of alignment and cause discomfort. In rare cases, infections, tumors, or cysts in or around the coccyx may lead to tailbone pain.
Physical examination
When diagnosing tailbone pain, a physical examination is an essential step. Your doctor may check for tenderness over your coccyx to help pinpoint the source of the pain. They might also perform a rectal exam to assess the mobility of your tailbone and rule out other potential causes of discomfort, such as cysts, infections, and pelvic floor muscle spasms. At MFR Therapists, our professionals are trained to conduct thorough physical examinations and use the results to inform the most effective treatment approach.
Medical history evaluation
Evaluating your medical history can help determine if any past injuries, lifestyle factors, or underlying conditions could be contributing to your tailbone pain. A thorough review of your medical history is a key step in the diagnosis process. It involves a detailed discussion of any past traumas, such as falls or accidents that directly impacted the tailbone area. Additionally, it’s helpful to examine daily habits, particularly for those who may sit for extended periods, as this can exacerbate tailbone discomfort.
Underlying medical conditions are also an essential part of the history-taking process. If you have a history of inflammatory conditions, such as arthritis, it’s important to mention this to your therapist. These conditions could influence the health of the tailbone and surrounding tissues, potentially leading to coccydynia. The adept therapists under the MFR banner place significant emphasis on reviewing your medical history as part of a comprehensive diagnostic approach to managing and alleviating tailbone pain.
Imaging tests
Imaging tests, such as X-rays or MRI scans, are often used to help diagnose tailbone pain. These tests provide a detailed image of the coccyx and surrounding structures, allowing doctors to detect any abnormalities, injuries, or other issues that could be causing the pain. For instance, they can reveal fractures, dislocations, or excessive movement of the coccyx. These tests can be particularly useful if the cause of the pain isn’t clear from the physical exam and medical history. At MFR Therapists, we understand the value of these imaging tests and use them as needed to ensure accurate diagnosis and treatment.
Lab tests
In some cases, lab tests may be utilized to delineate the cause of tailbone pain. These evaluations are essential for eliminating the possibility of infections or other medical conditions that could be contributing to the discomfort. A typical scenario where a blood test might be necessary is when an infection is suspected. While not a standard requirement in diagnosing tailbone pain, lab tests can offer indispensable insights when necessary. At MFR Therapists, a holistic diagnostic approach is employed, incorporating physical examinations, a thorough medical history review, appropriate imaging tests, and lab tests when they are deemed beneficial for achieving a definitive diagnosis.
Lifestyle changes
There are several home remedies and lifestyle adjustments that can significantly alleviate tailbone pain. For immediate relief, alternating between applying ice and heat to the affected area can reduce inflammation and soothe discomfort. Additionally, investing in a specialized coccyx cushion for seating arrangements can markedly decrease pressure on the tailbone, thereby providing comfort during prolonged periods of sitting.
Beyond these remedies, integrating certain lifestyle changes can have a lasting impact on managing and preventing further tailbone pain. Incorporating regular intervals of standing and walking into one’s routine lessens the continuous strain on the coccyx from prolonged sitting. Fostering an awareness of and dedication to maintaining proper posture throughout the day not only averts aggravation of existing tailbone pain but also promotes overall spinal health. Furthermore, adopting an active lifestyle that includes tailored exercises can strengthen the muscles surrounding the tailbone, offering additional support and mitigating the chance of recurring pain.
Physical therapy
Physical therapy and specific exercises can help in managing tailbone pain. Strengthening the muscles around the tailbone and improving mobility can alleviate pain and prevent further issues. Specific exercises, such as tailbone stretches and pelvic floor exercises, can help relieve tension, increase flexibility, and improve overall function. At MFR Therapists, our professionals are trained in myofascial release therapy, a specialized form of physical therapy that can be particularly effective in managing tailbone pain.
Medications
Medications can also be used to manage tailbone pain. Over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen and acetaminophen, can help alleviate pain and reduce inflammation. In some cases, prescription pain medications may be recommended. For more severe or persistent pain, steroid or anesthetic injections may be suggested to provide relief. Use these medications as directed by your healthcare provider and communicate with them any side effects or concerns.
Surgery and other medical procedures
In rare cases, surgery may be recommended to manage tailbone pain. This usually involves removing the coccyx, a procedure known as a coccygectomy. This is typically only considered when other treatment options have failed to provide adequate relief. Other medical procedures, like nerve blocks or steroid injections, can also be used to manage severe or persistent tailbone pain.
Maintaining proper posture
Maintaining proper posture is an important preventive strategy for tailbone pain. This is especially important when sitting, as improper posture can put undue pressure on the coccyx and lead to discomfort. Using supportive cushions and ergonomic chairs can help maintain good posture and minimize pressure on the tailbone.
Regular exercise
Regular exercise is another effective preventive strategy for tailbone pain. Specifically, exercises that strengthen the pelvic floor and core muscles can help support the coccyx and prevent discomfort. This can include exercises like pilates, yoga, and specific pelvic floor exercises.
Healthy diet
A healthy diet plays a pivotal role in the prevention of tailbone pain. By maintaining a balanced weight, individuals can lessen the burden on the coccyx, which is a common contributing factor to discomfort in this area. Adequate hydration and the consumption of high-fiber foods are essential in preventing constipation, a condition that can intensify tailbone pain by increasing pressure on the coccygeal structure. Embracing a holistic view, guidance on a suitable dietary regimen becomes a key component of a multifaceted therapeutic strategy aimed at alleviating tailbone discomfort.
Avoiding trauma and injury
Avoiding activities that could lead to injury or trauma to the tailbone can also help prevent coccydynia. This could include being careful when participating in contact sports, using proper equipment and techniques when lifting heavy objects, and taking precautions to prevent falls. For those who spend a lot of time sitting, taking regular breaks to stand, walk, or stretch can also help prevent injury to the tailbone.
Myofascial release therapy
Myofascial release (MFR) therapy stands out as a beneficial treatment for managing the discomfort associated with tailbone pain. The essence of MFR lies in its specialized technique, which is aimed at alleviating pain and enhancing mobility. The process involves a certified MFR therapist applying gentle, yet sustained pressure into the myofascial connective tissues. It’s a meticulous approach that begins with the MFR therapist identifying areas of fascial tension. Once these areas are recognized, the therapist delicately applies manual pressure and stretch that help to release the fascia incrementally. By focusing on these targeted areas, MFR can significantly aid in decreasing the pain and inflammation surrounding the tailbone. It offers the additional benefit of improving mobility, which is commonly compromised when dealing with tailbone pain.
The field of tailbone pain management continues to evolve, with ongoing research and development leading to more effective treatments and improved patient outcomes. Certified MFR therapists stay at the forefront of these developments, incorporating the latest research and techniques into our treatment plans. By continually advancing our knowledge and skills, we ensure our patients receive the highest quality of care. With a clear focus on the future, we’re committed to revolutionizing the treatment of tailbone pain, one patient at a time. Find a certified MFR therapist near you today to get started.