Tailbone pain (coccydynia) – causes, symptoms, treatment

21 October 2017

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Tailbone pain: Illustration of the lower spine © LifeArt image / 2001 / Lippncott Williams & Wilkins all rights rese

As coccyx is called the lowest region of the spine. It consists of three to five atrophied vertebrae that are fused together.

Tailbone pain (coccydynia) can have various causes. Why the pain occurs, can not safely determine in each case.

Possible triggers for coccyx pain chronic microtrauma. This refers to tiny tissue injuries incurred over a longer period. Such micro-traumas can form (e.g., sedentary), for example, under mechanical loads such as prolonged sitting, especially with harder materials (Eg hard stools, hard bicycle seat).

But even sitting for long periods on softer materials (Eg sofa) can lead to coccyx pain in some people. In English the coccydynia therefore also has the colloquial nickname "television bottom"What as much as "TV ass" means.

Other possible causes for coccyx pain are:

The phone may also psychosomatic lead to coccyx pain. That is, psychological problems or mental illnesses manifest themselves from the party involved could take the form of tailbone pain.

Tailbone pain (coccydynia) express themselves through pulling, stinging and burning Pain in the range of coccyx. The symptoms must not be limited to the coccyx region, but may also radiate to the anal and lumbar region and in the hip.

Often occur coccyx pain when sitting or when rising from a seated position. In part, they make the seats even impossible. In some cases it is due to the coccydynia also cause pain during bowel movements and during intercourse.

Tailbone pain usually last for several days to several weeks, but they can also be chronic.

In order to make a diagnosis at tailbone pain (coccydynia), the doctor asks the person concerned first thing closer to the complaints and then examined him physically. Is a coccygodynia before, pressure dissolves the tip of the coccyx or the transition from the coccyx and sacrum usually made of a painful response.

To rule out other possible causes of the coccyx pain, an ultrasound of the pelvis, a computed tomography (CT) or magnetic resonance imaging (MRI) can be helpful. There is suspicion of an inflammation or a tumor, the doctor uses for these imaging studies contrast agent to represent the body area affected in more detail. In an X-ray examination no abnormalities can be observed in most affected.

In tailbone pain (coccydynia) therapy in particular is to relieve the pain. Such measures include, for example:

Everything indicates that the coccyx pain psychosomatic have, lends itself to psychotherapy as a further development.

In coccyx pain (coccygodynia) of the curve is individually different. It depends primarily on whether the cause can be identified. Most take coccyx pain a few days to several weeks at. The symptoms can occur spontaneously. Often they form back by itself. However, they can also be chronic and persist months to years. Takes the coccydynia a chronic course, the treatment is more difficult.

German Schmerzliga Here you can get information on pain, addresses of self-help groups and contacts with relevant doctors. The Schmerzliga is the umbrella organization for more than 100 self-help groups.


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