The coccyx is called most of the lower spine, formed by 4-5 underdeveloped fused vertebrae. Once these vertebrae were used as a support queue to be ancestors of man, and now the coccyx – vestigial, useless organ. However, this rudiment in the event of injuries and various illnesses can cause a person to serious pain and discomfort: you cannot normal to sit and walk, also to the sleep difficult to find a comfortable position.
Often the patient will also for you can not determine the exact location of the pain, and complained of a doctor for the pain in the area of the tailbone (this pain is called a ano-rectal). The pain, in fact, the coccyx is called coccyalgia.
Experts must decide whether the pain is caused diseases and injuries, in reality, the coccyx, or the feeling of pain coming from other organs (intestines, bones of the pelvis, of the organs of the urinary), and only a "damage" to the coccyx. From the solution of this problem depends on the treatment.
The causes of coccyx pain
- The consequences of an accident.
- The disease of the entire spine, which affects and tailbone (low back pain, displacement of the intervertebral discs, the violation of nerve endings, etc.).
- Diseases of the muscles and nerves of the pelvic floor.
- Pathological processes in the bones of the pelvis.
- Disease direct or sigma (hemorrhoids, sigma, proctitis, the crack of the rectum).
- Prolapse of the perineum (for example, because of a difficult birth).
- Trauma to the perineum during childbirth (hemorrhage of the subcutaneous fat, the coccyx).
- The excessive extension of the coccyx with the heavy work.
- Scar deformation of the anus, arising as a complication of the intervention.
- Irregularities of the intestine, resulting in frequent constipation or diarrhea, and, consequently, the habit of staying to long in the bathroom.
- Diseases of the genitourinary system (cystitis, annessite, etc.).
- Cyst in the coccyx.
- The habit of being constantly on the upholstered furniture.
- Emotional upheavals, stress.
- Tight clothing (jeans) that provides the pressure on the coccyx.
- Idiopathic pain (of unknown origin). This pain may suddenly appear and disappear suddenly. About 1/3 of all the pain in the coccyx refers to idiopathic.
Feature of coccyx pain in various diseases
The pain after an injury
The trauma is often the cause of strong, strong, strong pain in the coccyx. Trauma to the coccyx (fracture, fracture, an injury, a dislocation, an offset may occur in the event of a fall or impact in the area of the buttocks. The pain after an injury it can wear the character of heart attacks, or be constant. When you are walking and in a sitting position has strengthened. Localization of the pain to post-traumatic varied: in the area of the coccyx or around (above, below, to the side).
Usually the pain in the area of the coccyx occur immediately after the injury. But in some cases it may be slight and quickly passing, and after a couple of years, when the patient has already forgotten the injury, suddenly appear the strong, and burning sensation.
Coccyx pain, combined with back pain, lower back
Osteochondrosis, cysts of the spine in the lumbar or sacral department characterized by a combination of coccyx pain with back pain, lower back. When the main complaints of the patient for the back pain, and incidentally – that the pain will "donate" to the coccyx.
The same clinical picture found in violation of the nerve endings in the lumbar and sacral spine. Violation of the sciatic nerve (lombosciatica) accompanied by the burning, severe pain in the tailbone or above it.
Lumbar and sacral pain are accompanied by pain in the coccyx for hemorrhoids, diseases of the colon and rectum.
Coccyx pain, when you wake up
Pains are used for injury to the coccyx. They are very often associated with scarring in post-operative or horseback, or with tips in the pelvic cavity, are formed after surgery.
Pain in the coccyx when you tilt
Pain when bending are usually the result of chronic inflammatory processes of the organs, located near the coccyx (in the intestine or the bladder, the uterus and its appendages).
Pain in the coccyx when you tilt to occur if the patient has had any of the following diseases:
- goiter;
- ulcerative colitis;
- sigma;
- cystitis;
- annessite;
- dysmenorrhea, etc.
Pain along the coccyx
As already mentioned, the pain, the sacrifice in the coccyx, are characteristic of the degenerative disc disease, cyst in the spine, but also for hemorrhoids, inflammatory processes of the joints of the hip, disease of the colon-rectum, etc. This pain can cause scarring in post-surgical.
Pain in the coccyx, when you're sitting
The cause of these pains is the habit of being constantly on the upholstered furniture. The coccyx when this is in the wrong position. In the blood vessels supplying his blood, you experience congestion. This leads to the deposition of salts of vertebrae that make up the coccyx, and to the appearance of headaches.
To the coccyx pain when sitting is complaining about the athletes, cyclists and people who practice horse riding. Have reason pain other: minor injuries coccyx, occur during the lessons of these specific types of sports.
The coccyx pain when the seat is available in women after childbirth, when it is verified that the deformation (excessive extension of its joints, the intervertebral).
Finally, the pain in the coccyx, aggravated by the seat and is characterized by a dermoid cyst in the coccyx. Dermoid cyst is a congenital anomaly of development, which consists in the formation on the inside of the tailbone cavity full leather with a cloth with hair growth.
Sore and annoying pain in the coccyx
The pain coccyx can occur when the inflammation of the inner genitals (prostatitis or adenoma of the prostate gland in men, and inflammation of the ovaries and of the fallopian tubes in women).
Pull coccyx pain is an additional symptom of degenerative disc disease of the lumbar or sacral areas of the spine. Sometimes occurs when the hemorrhoid, and also if the debt is sitting on the toilet due to frequent constipation.
Pain in the coccyx
The pain of this type occur when the elimination of the perineum, in the presence of scarring post-operatively in ano, in diseases of the colon and rectum. It is characterized by pain below the tailbone and an injury (fracture, wound, subluxation' coccyx), which took place a few years ago.
Pain above the tailbone
Pain, localized over the coccyx, are characteristic of neuralgias' (inflammation of the nerves, exit from the lumbar or sacral areas of the spinal column).
Coccyx pain during menstruation
This pain can accompany many gynaecological and neurological diseases. It would be reasonable to begin the examination with the advice of a gynecologist and only excluding gynaecological pathology, consult a neurologist.
Coccyx pain during pregnancy and after childbirth
In pregnant women often experience coccyx pain. Coccyx pain during pregnancy can have several causes:
- Trauma to the tailbone, it's happened a couple of years ago and not recovered.
- The lack of bone calcium system.
- Inflammatory diseases of the genital organs internal.
- Physiological changes in the body: in preparation for the general activities river basin authorities will change their normal position. The fetus grows, the uterus increases, moving it to the nearby organs. The coccyx when this is refused ago. And because the vertebrae of the coccyx spliced between them, the deviation is very painful.
Coccyx pain after giving birth say the expert gynaecologist, who is experiencing the trauma of birth: a difficult birth caused a hemorrhage in the soft tissues surrounding the coccyx, or it happened its over-extension (this is possible due to the big size of the fetus).
Coccyx pain men
The men of coccyx pain may be caused so-called "pellentesque disease". This disease occurs when the cause most common in the saddle unsprung public (crawler tractors, army tanks, armored vehicles). The load on the coccyx when riding on this technique is excessive. It can be due to inflammation of the cyst, pilonidal, or a cyst in the coccyx. This move, or cyst, is a hollow tube that runs under the skin from the end of the coccyx, and ends blindly.
The inflammation of the cysts, pilonidal and it is called "pellentesque disease". If the inflammation passes to the phase of purulent, often forms a fistula – pus explodes outward. Treatment - only surgical.
How to treat coccyx pain
Preliminary examination
For an effective treatment for coccyx pain it is important to set properly the cause. The patient with pain must first apply to the proctologist. This specialist, if necessary, guide the patient (the patient) to a gynaecologist, neurologist, surgeon, osteopath. Sometimes you need the help of a therapist.
Each of these doctors will not only the patient, but also very detailed, ask for it. The patient must be ready, details to describe the character of pain, its localization, to recall previously obtained accident, and transferred their interventions.
A part of the patients with coccyx pain a diagnosis accurate installation fails. Then apply a symptomatic treatment, and in most cases leads to good results. Sometimes the pain in the coccyx pass better than we do ourselves, without treatment. But hope is not necessary - when you are experiencing these pains necessarily consult a physician.
The main aspects of the treatment
In most cases the coccyx pain tend to the conservative methods (i.e. without surgery). Complete treatment that includes software sick of rest, relief from pain with medication, tools, recovery of circulation is reduced with the help of massage, manual therapy, physiotherapy, physiotherapy exercises.
All the co-morbidities are subject to compulsory treatment.
To alleviate or reduce the negative emotions apply (after consultation) neuropsychotropic drugs.
No help can't get to the doctors only when the coccyx pain in pregnant women. Anti-inflammatory and pain-relieving drugs are contraindicated in pregnancy. Radiology diagnosis also excluded. Therefore women must endure the pain to the coccyx, putting it under a cushion or a soft inflatable circle of rubber in the shape of a donut (sold in the pharmacy).
Sit on this circle, it is advisable to not only pregnancy, but also to all patients with sore that location. This simple device eliminates the stress and pressure on the coccyx during sitting, thus reducing pain sensation.
Chiropractic, massage, acupuncture
The coccyx pain is greatly facilitated with the help of thumb to massage the muscle of the rectum and massage the muscles of the pelvic floor (if you have them spasm).
Techniques of manual therapy, conducted by an expert, improve the blood circulation in the area of the coccyx, eliminate blood stasis, relieve muscle spasm and help restore motion to the coccyx.
Acupuncture (acupuncture) is often used for pain in the coccyx, greatly reducing their intensity. The right choice of biologically active points of the acupuncture can remove the pain completely.
Physiotherapy
Methods of physiotherapy for pain in the coccyx apply:
- the treatment with ultrasound;
- laser therapy;
- UHF;
- electrotherapy electrode is inserted in the rectum);
- diadynamic currents;
- darsonval;
- application with paraffin;
- mud;
- ozocerite.
Therapeutic exercise
Engaging in physical activity, do exercises in the morning, the person with coccyx pain not only possible, but necessary. With some limitations: the exercises must be deleted, run, jump, walk at a sustained pace, strong inprobus movement, straining.
Gymnastics for coccyx pain should include the following exercises:
- Lying on his back on the floor, bend your knees and spread them apart. Put the palms of your hands on the internal parts of the knee. Try to bring your knees together, even in the contrasting hands of this movement.The number of repetitions – 8-12 times with short time intervals (10-15 sec.).
- In the same position as a set between the knees bent and the ball (football, volleyball, or another of the same size). Put the palms of the hands on the belly. With the force of compressing the knees ball for 5-7 seconds, at the same time the hands, preventing the exaggeration of the belly.The number of repetitions – 6-8 times with the same intervals of time for relaxation, as in the first exercise.
- Lying on his back, pinch the ball between the feet adjusted in the legs. With the strength to compress the ball stops for 5-7 seconds. The number of repetitions – 6-8 times; intervals of 10-15 seconds.
- Lying on your back, extend your knees bend your legs and lift the pelvis for 3-5 seconds. The buttocks must be more rigid. The number of repetitions – 6-8 times; intervals of 10-15 seconds.
All of the exercises for the pain in the coccyx, the patient needs to run slowly, measured, rhythmically, resting between the repetitions of exercises. You can turn on the relaxing music. For greater effectiveness it is recommended that you do a series of exercises twice a day.
Folk remedies
When the coccyx pain folk medicine uses the following tools:
- The impact of magnet: ring magnet moving in the area of the coccyx in a circle, clockwise, for 15-20 minutes, 2-3 times per day.
- Compress with the tincture of valerian: a piece of cotton fabric to moisten the pharmacy tincture of valerian, to put to a sore point. From above cover with a piece of polyethylene, then some of the warm layer (wool, scarf, etc.). Secure the wrap plaster and leave overnight.
- Oil of spruce to rub in the area of the coccyx 3 times per day. Helps control inflammation and reduces the pain.
- Lubrication of iodine: in the evening, before going to sleep, the preheated region of the coccyx lubricate the tincture of iodine, and heat wrap. Repeat no more than 2-3 times a week. Duration of treatment – 1.5-2 months.
- A clay pack blue: add 500 gr. clay teaspoon of apple cider vinegar, mix well. Before bedtime, apply a layer of this mixture on the sore spot, cover with polyethylene, to isolate (as any wrap) and leave overnight.
- Rub the juice of the radish: mix 300 ml of fresh juice of radish, 100 ml of alcohol and 200 ml of honey. Rub the sore spot 3 times a day. Store the mixture in the refrigerator, in a glass jar with sealed lid.
- Ointment with shilajit (fracture of the coccyx): 1/2 gr. shilajit mix with the amount of rose oil to achieve an ointment consistency of thick cream. Rub in the area of the tailbone 2 times per day.