The coccyx is formed as the bottom part of the spine, 4-5 under-developed accrete the vertebrae. As soon as these vertebrae were used to support the tail when the ancestors of humans, the coccyx and the now – vestigial, unnecessary organ. But this Rudiment in the case of injuries and various diseases.a Person can cause serious pain and inconvenience: it is impossible to sit normally and go to sleep hard to find a comfortable Position
Often, the Patient is also not the exact location of the pain, and complains to the doctor about pain in the area of the steißbeines (such a pain called the anorectal). Pain actually called the coccyx coccyalgia.
The experts need to decide whether the pain of diseases and injuries actually come from the coccyx, or the pain of other organs (intestines, bones of the pelvis, the urinary organs), and simply "be" in the coccyx. The solution of this question, the treatment depends.
Causes of pain in the coccyx
- The consequences of the injury.
- Disorders of the entire spine, impact and coccyx (osteochondrosis, displacement of the intervertebral discs, injury to the nerve endings, etc.).
- Diseases of the muscles and nerves of the pelvic floor.
- Pathological processes in the bones of the pelvis.
- Disease directly or sigmoid colon (hemorrhoids, sigmoidit, proctitis, rectal fissures).
- Ptosis of the dam (e.g. a difficult birth).
- Injury to the perineum during childbirth (bleeding in the fatty tissue under the skin, the coccyx).
- Excessive stretching of the coccyx with the heavy work.
- Cicatricial Deformation of the rear passage, as a complication of the surgery.
- Diseases of the small intestine, the frequent constipation or diarrhea, causing it to sit a habit on the toilet.
- Diseases of the genitourinary system (cystitis, Adnexitis, etc.).
- Cyst Of The Coccyx.
- The habit of sitting constantly on upholstered furniture.
- Emotional Shocks, Stress.
- Tight clothing (Jeans), the pressure on the coccyx.
- Idiopathic pain (pain of unknown origin). Such pain can appear suddenly and disappear suddenly. About 1/3 of all the pain in the area of the coccyx refers to the idiopathic.
Characteristics of the pain in the coccyx in different diseases
Pain after Trauma
Trauma most often a strong, sharp, acute pain in the coccyx. Trauma to the coccyx (break, tear, bruise, dislocation, displacement) may occur in the case of unsuccessful fall or impact in the area of the buttocks Pain after injury can be the wearing of attacks, or be constant. When walking and sitting, it is reinforced. Localization of post-traumatic pain is diverse: in the coccyx or in the vicinity (above, below, to the side).
In General, pain in the area of the steißbeines occur immediately after the injury. But in some cases, it can be pronounced easily and quickly over, and after a few years, if the Patient is already forgotten, and about the traumatizing, sudden severe, burning pain.
Pain in the coccyx, combined with pain in the lower back, sacrum
In the case of osteochondrosis, cyst of the spine in the lumbar-or sacral-division by a combination of pain in the coccyx, with pain in the lower back, in the sacrum. The main complaints of patients on pain in the back and in passing – to the fact that the pain is "there" in the coccyx.
The same disease is the spine the narrowing of the nerve roots in the lumbar spine and sacrum. Entrapment of the sciatic nerve (sciatica), accompanied by a burning, severe pain in the coccyx or higher.
Lumbar and sacral pains, with pain in the coccyx, also in the case of hemorrhoids, diseases of the rectum.
Pain in the coccyx when you stand up
Such pain is not typical for coccyx injuries. Mostly, they are associated with post-operative scars in the perineum, or with Spikes in the pelvic cavity, even after the surgery.
Pain in the tailbone and tilting
Pain when bending the result of chronic inflammatory processes in the organs, located in the vicinity of the coccyx (in the intestine or in the bladder, the uterus, and fittings).
Pain in tailbone when bending caused, if the Patient has any of the following diseases:
- Goiter;
- Colitis;
- sigmoidit;
- Cystitis;
- Adnexitis;
- Dysmenorrhea and other.
Pain radiating to the coccyx
As already mentioned, pain radiating to the sacrum, are characteristic of osteoarthritis, cysts, of the spine, as well as for hemorrhoids, inflammation in the hip joints, diseases of the rectum, and other Such pain can cause and surgery scars.
Pain in the coccyx when you sit
The cause of this pain is the habit of constantly sitting on upholstered furniture. The tailbone is in the wrong Position. In vessels, arising with his blood, congestion. This leads to salt deposits in the vertebrae, the coccyx, and to the emergence of pain.
Pain in coccyx when sitting athletes, cyclists and people who ride complain. You have another cause for pain: micro-trauma to the tailbone, in dealing with these specific types of sports.
Pain in tailbone when sitting can be for women after birth, if its deformation (excessive extension of the joints of the vertebrae).
Finally, the pain in the coccyx, worse when sitting, is typical for dermoid cyst of the coccyx. Dermoid congenital malformations, consisting in the formation within the tailbone cavity, cysts are cutaneous tissue filled with the growing hair.
Aching and drawing pains in the coccyx
Aching pain in the coccyx can occur if the inflammation of the internal genital organs (Prostatitis or adenoma of the prostate in men and in inflammation of the ovaries and fallopian tubes in women).
The pulling pain in the coccyx is an additional Symptom of osteochondrosis of the lumbar or sacral parts of the spine. Sometimes it arises in the case of hemorrhoids, but also to the long sitting on the toilet in connection with frequent constipation.
Pain in the coccyx
Pain of this type occur with the removal of the dam, in the presence of postoperative education in the area of the anus the scars, the diseases of the rectum. Characterized by pain in the coccyx and injuries (fracture, injury, subluxation' coccyx), came a few years ago.
Pain above the tailbone
Pain, localized over the coccyx characteristic of neuralgias' (inflammation of the nerves from the lumbar or sacral parts of the spine).
Coccyx pain in the case of the monthly
Such pain may be due to a variety of gynecological and neurological diseases. Reasonable to begin the investigation with the advice of the gynecologist and, only by gynecological pathology, consult a neurologist.
Pain in the coccyx in pregnancy and after the birth
In pregnant women very often experience pain in the area of the coccyx. Pain in the coccyx in pregnancy may have various causes:
- Trauma to the tailbone, a few years back, and the cure completed.
- A lack of Calcium in the bone System.
- Inflammatory diseases of internal genital organs.
- Physiological changes in the body: in the preparation of the working organs of the pelvis changes its normal position. The fruit grows, the uterus, displacement of organs located in the vicinity. The coccyx in back. And because the vertebrae of the coccyx fused with each other, such deviation can be very painful.
Pain in the coccyx after birth, the tell an experienced woman doctor, a birth trauma: difficult birth caused bleeding in the soft tissues around the coccyx, or was its excessive extent (in the case of large sizes of fetus).
Pain in the coccyx in men
In men, pain in the coccyx by the so-called "pellentesque disease". This disease occurs with frequent travel to unsprung transport (crawler tractors, army tanks, APCS). The load on the coccyx when riding on this technique very extremely. It is an inflammation of the coccygeal movement, or a pilonidal cyst. This train, or cyst, is a hollow tube under the skin from the end of the coccyx, and ends blindly.
Inflammation of the vector and coccygeal as "pellentesque disease". If the inflammation passes into the purulent stage, most of the time the fistula – pus to the outside is breaking through. Treatment - only surgery.
As for the treatment of pain in the coccyx
Preliminary investigation
For effective treatment of pain in the area of the coccyx important to properly install the cause. The Patient with such pain should be first and foremost to the proctologist. This group if necessary, directs the patient (the patient) with the gynaecologist, neurologist, surgeon, osteopath. Sometimes, the help of therapists need.
Each of these doctors examined not only the patient, but very detailed and asks him. The Patient must be ready to tell in Detail about the nature of pain, its localization, reminiscent of the earlier injury and the transferred operative interventions.
In a subset of patients with pain in the coccyx, an accurate diagnosis can be determined. Then symptomatic treatment to apply, and in most cases, it leads to good results. Sometimes go by itself, without treatment, pain in the area of the coccyx. But hope is not go to necessary - upon the occurrence of such pain is not necessarily a doctor.
The most important aspects of the treatment
In most cases, to treat pain in the area of the steißbeines conservative methods (i.e., without surgery). A comprehensive treatment includes the patient's relaxation, pain relief, pharmacological agents that restore the disturbed circulation of the blood with the help of Massage, manual therapy, physiotherapy, physiotherapy exercises.
All of the identified comorbidities requiring treatment.
For the repeal or weakening of negative emotions, neuro-psycho-tropic medications (after consulting a psychotherapist).
No help not doctors can afford to only in case of pain in the coccyx when pregnant. Anti-inflammatories and pain relievers for pregnant women is contraindicated. Radiological diagnosis is also excluded. So women have the pain in the coccyx, giving him a soft pillow or inflatable rubber circle in the shape of a pretzel (available in pharmacies).
Sitting on such a circle, it is recommended not only for pregnant women, but also for all patients with pain, such a localization. This simple device eliminates the stress and pressure on the coccyx while seated, thereby reducing the pain.
Manual Therapy, Massage, Acupuncture
Pain in the area of the coccyx is made much easier with the help of your fingers Massage the muscles of the rectum and Massage the muscles of the pelvic floor (if you have a spasm).
Techniques of manual therapy, the liquidate of a seasoned professional, improve the blood circulation in the area of the steißbeines, the Stagnation of blood, relieve muscle spasms and to restore the mobility of the steißbeines.
Acupuncture (acupuncture) is often used for pain in the coccyx, essentially a reduction of their intensity. The correct choice of the biologically active points of the acupuncture can completely remove the pain.
Physiotherapy
Methods of physical therapy for pain in the area of the coccyx apply:
- the ultrasonic treatment;
- Laser therapy;
- UHF;
- Electro-therapy (the electrode is injected into the rectum);
- Diadynamic currents;
- darsonval;
- Applications with Paraffin;
- Muds;
- Ozokerite.
Physiotherapy
To engage In movement, to meet the morning exercises for people with pain in the coccyx is not only possible, but necessary. With a few limitations of the exercise precluded running, jumping, brisk walking, sudden inprobus movement, presses.
Gymnastics for pain in the coccyx should have the following exercises:
- Lying on his back on the floor, bend the knees and spread them in the Hand. You put your hand sides of the articular surfaces of the knee on the inner joints. Try to combine the knee, at the same time against this movement with the hands.Number of repetitions – 8-12 times in short intervals (10-15 sec.).
- In the same Position between the bent knees, the Ball (football, Volleyball, or another one of the same size). The palms of your hands put on the belly. With force on the knees compress the Ball during 5-7 seconds at the same time with the palms of the hands protrude from the abdomen prevents.Number of repetitions – 6-8 times with the same intervals to relax, as in the first exercise.
- Lie on your back, terminals straightened the Ball between the feet and legs. With the force of the feet compress the Ball about 5-7 seconds. Number of reps – 6-8 times; the intervals of 10-15 seconds.
- Lying on the back, dilute the side, knees bent and lift your pelvis up to 3-5 seconds. The gluteal muscles need to strain. Number of reps – 6-8 times; the intervals of 10-15 seconds.
All of the exercises for pain in the coccyx, the Patient slowly, carefully, rhythmically, resting between the repetitions of the exercises. Select relaxing music. For more efficiency, a series of exercises twice a day is recommended.
Folk Remedies
For pain in the coccyx, the national medicine uses the following Tools:
- Impact of Magnet: ring magnet to move in the area of the steißbeines in a circle, in a clockwise direction, after 15-20 minutes 2-3 times per day.
- A compress with Valerian tincture: a piece of cotton cloth to the pharmacy Valerian tincture, moisten the affected area. The top cover with a piece of polyethylene, then any warm layer of air (Vata, scarf, etc.). Fix the compress with a bandage and leave overnight.
- FIR oil rubbed in the area of the coccyx 3 times a day. Relieves inflammation and reduces pain.
- Lubrication of iodine: in the evening, before bed, pre-go warms the area of the coccyx nastojkoj of iodine and warm to wear. Repeated not more often than 2-3 times per week. Duration of treatment – 1.5-2 months.
- Envelope made of blue clay: add to 500 gr. Clay a teaspoon of Apple cider vinegar, stir. Before bedtime, apply a layer of this mixture on the wound, isolate, cover with polyethylene, (like compress) and leave overnight.
- Rubbing of radish juice: mix 300 ml of freshly squeezed radish juice, 100 ml of alcohol and 200 ml of honey. RUB the affected area 3 times a day. Store the mixture in the fridge, in a jar with a tight lid.
- Ointment with Mumijo (broken tailbone): 1/2 gr. Mummy's mix with so many rose oil, an ointment of the consistency of thick cream. RUB in the area of the steißbeines 2 times a day.