Anatomy
The coccyx (KAHK-siks), or tailbone, is the bony construction on the backside of the backbone. In people, it's the bud of an undeveloped tail, which we misplaced the necessity for way back. The coccyx enterprises three to 5 separate however fused small bones. The coccyx features as a form of hub the place muscular tissues, ligaments and tendons of the decrease again and pelvic area connect. It performs an element in supporting the physique's weight when standing and sitting.
Dysfunction
Coccyx ache, or tailbone ache, is a typical grievance. The medical time period for coccyx ache is coccydynia (kahks-si-DEYE-nee-ah) or generally coccygodynia (kahks-si-go-DEYE-nee-ah). Coccydynia is a basic time period that describes a spread of signs from gentle tenderness to intense ache. The time period additionally describes a set of situations from totally different causes requiring totally different remedies. Coccyx ache is 5 instances extra widespread in girls than in males due to the construction of the feminine pelvis.
Causes
The most typical explanation for tailbone ache is trauma or harm to the tailbone. Falls leading to fracture, dislocation or bruising; being pregnant and childbirth; pelvic or again surgical procedure; and intensive sitting on exhausting or slim surfaces contribute to tailbone ache. In some instances, an unstable, overly cell tailbone (a genetic situation) creates ache. Many instances the supply of tailbone ache is unknown. The ache can seem immediately after which disappear with out therapy. Some conditions-infections, sciatica, fractures within the back-can mimic coccydynia.
Signs
Since coccydynia describes coccyx ache, the commonest symptom of this dysfunction is, naturally sufficient, ache. However coccyx ache has varied traits and seems at totally different instances and in a number of websites. Coccyx ache can come on immediately or progressively, be short-lived or power and strike the sufferer as gentle or excruciating. The ache can seem when an individual sits for an extended interval or when an individual strikes from sitting to standing. Sitting normally makes coccyx ache worse. It may be felt as a uninteresting ache throughout the coccyx or capturing pains down the legs. Victims have described coccyx ache as like sitting on a knife or a marble that's rolling round. Coccydynia may also result in painful bowel actions and painful intercourse.
Coccyx ache may also turn into secondary signs. If the ache is persistent, many sufferers additionally endure from melancholy, sore ft from an excessive amount of standing, a sore again from sitting in awkward positions and lack of sleep resulting in exhaustion.
Analysis
An accurate analysis of tailbone ache is important for docs to find out the perfect therapy. As talked about earlier, another situations mimic tailbone ache. To reach at a analysis, docs ask for an in-depth medical historical past to be taught of any previous trauma to the tailbone. Additionally they conduct a radical bodily examination that features palpation, that's, feeling the affected space to detect any abnormalities or soreness. In some instances, X-rays or CT scans and even bone scans could also be ordered.
Remedy
Dwelling therapy for tailbone ache together with avoiding extended sitting, sitting on cushions and taking nonsteroidal anti-inflammatory medicine akin to Advil, Excedrin IB and Motrin. Medical doctors generally prescribe even stronger medicines. Scientific therapy contains bodily remedy. A small variety of bodily remedy specialists have developed methods for engaged on tight muscular tissues and different buildings and for breaking down painful scar tissue within the space of the coccyx. Most docs advocate surgical procedure for tailbone ache solely as a final resort.
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