Tailbone Pain Information
The coccyx is at the lower end of the spine, below the sacrum. The lower back is called the lumbar vertebrae followed by the sacrum and then the coccyx, the tailbone.
The coccyx is the very small bone and most doctors are not familiar with it. The coccyx provides an important attachment to the tendons, ligaments and muscles.
Lumbosacral spine x-rays and MRI will not show the coccyx. If you want to view the coccyx, order coccyx views of MRI. Dynamic view of the coccyx with the patient sitting and leaning backwards is the best to take image of the coccyx. We will compare the x-rays to a non-weightbearing film with the patient standing or lying to the side. Excessive movement of the coccyx is abnormal. The coccyx is a shock absorber. When sitting, it shifts slightly forward. The coccyx bears more weight when the person is sitting and leaning backwards compared to when leaning forward.
Coccyx pain symptoms, coccydynia includes pain during sitting or when getting up from sitting, and pain above the anus in the middle. Tailbone pain is improved when leaning forward or leaning to the side. Local tenderness just above the anus.
The most frequent causes of coccyx pain include falling in the buttocks or backwards, fracture or dislocation due to trauma or injury, malignancy, washout tumor in the coccyx, washout chordoma of the coccyx, infection, pregnancy and labor, and idiopathic without any apparent cause. Falling on the tailbone can lead to coccyx pain and we call it coccydynia with chronic inflammation of the sacrococcygeal joint. Dislocation of the coccyx occurs when there is a separation of the coccyx from the sacrum.
These are the published types of coccyx injuries: Anterior dislocation, posterior dislocation, anterior angulation and hooked coccyx. A lot of people think it is a big deal regarding the pain in the tailbone. The side bend deformity of the coccyx is another type that causes coccyx pain. The dual tension causing sacrococcygeal syndrome, low back pain and other symptoms is a non-proven theory. You can see the dual sheath and these three is the filum terminale. The normal dural tension occurs because the filum terminale is connected to the dural tube and the smooth movement of the dural tube has the coccyx move normally. Excessive curving of the coccyx causes increased dural tension by the pull on the dural tube. The coccyx is extended, the dural tube will be relaxed and the tension will be relieved so as the back pain. This is just a theory, a non-proven theory.
Treatment of coccyx injuries includes manipulation, therapy, cushions for sitting such as doughnuts and balloons, injections and surgery as the last resort. Surgery includes incision at the end of the spine to expose the coccyx and detachment of the muscles inserted into the coccyx. The fracture of the coccyx is removed and care should be taken to avoid injury to the rectum. The wound is irrigated and closed. The patient is given antibiotics for a few days.
Tailbone Treatment Using Chiropractic Care
Dr. Steven Becker is a Chiropractor in West Los Angeles (West LA) and specializes in treating sciatica and slipped disc injuries. He also treats patients with spinal stenosis, radiculopathy and tailbone pain. Dr. Steven Becker is committed to relieving your pain using the principles of traditional chiropractic Care, by finding and fixing the cause of your condition. Dr. Becker strives to create an awareness of the importance of a healthy spine, and in doing so, provide the highest level of chiropractic service that is beneficial to all of his patients. He strongly believes in patient education as an integral part in providing this optimum level of health care. Dr. Steven Becker’s focus is not only rehabilitation and maintenance of spinal problems, but as an on-going commitment to his patients’ overall health and well-being. Dr. Becker frequently sees patients from the surrounding neighborhoods in West Los Angeles (West LA) including Culver City, Century City and Beverly Hills. Please feel free to call with any questions or comments (310)277–8822.