People often experience a dull ache, which changes to sharp or throbbing pain with activities such as getting up from a sitting position or prolonged sitting. While most people don’t know the actual cause of these symptoms, a condition called Coccydynia has often been linked to such chronic pains in the lower back. Identifying coccydynia and separating it from other types of lower back pain by Physiotherapists is important for its pain management.
Coccydynia/ Tailbone pain is a pain that occurs in or around the bony structure at the bottom of the spine (coccyx). The coccyx is much smaller than the sacrum, has an important weight-bearing role, and supports the body weight while sitting. For women, tailbone pain can make menstruation uncomfortable as well. As women may suffer injury to the coccyx or direct trauma to the coccyx during childbirth, these conditions have been more commonly reported in females.
Common causes of Coccydynia:
Coccydynia/ Tailbone pain can be caused by trauma to the coccyx during a fall, prolonged sitting on a hard or narrow surface, degenerative joint changes, or vaginal childbirth. Tailbone pain ranges from a dull ache to a fierce stab. It can last for weeks, months, or sometimes longer
Physio-Therapeutic Approach
The initial goal of physiotherapy treatment is focused on providing postural education. A proper sitting posture ensures weight is taken off the coccyx.
Aid: Physiotherapists may also recommend the use of cushions. Modified wedge-shaped cushions (coccygeal cushions), help to relieve the pressure placed on the coccyx during sitting.
Mobilizations: This can help realign the posture of the coccyx. Mobilization techniques may be the preferred technique when the goal of treatment is to increase coccygeal mobility.
Manipulation: Patients also find pain relief through manual manipulation of the coccyx. Through manual manipulation, the joint between the sacrum and the coccyx can be adjusted, potentially reducing pain caused by inadequate coccyx mobility.
Electrical modalities: Transcutaneous Electrical Nerve Stimulator (TENS) units apply electric stimulation that interferes with the transmission of pain signals from the coccyx to the brain. Ultrasonic waves are also very helpful in pain relief. These devices can be a good option for patients who wish to keep their intake of medications to a minimum
Pelvic floor relaxation techniques (reverse Kegels): These exercises help to get the coccyx into better alignment and can relieve the pain experienced when urinating or defecating.
Although the vast majority of patients who seek medical attention respond to conservative treatments, some patients require more aggressive treatments. A multidisciplinary approach employing physical therapy, ergonomic adaptations, medications (NSAIDs), injections, and, possibly, psychotherapy leads to the greatest chance of success in the patients.
If you or someone you know is affected by tailbone pan, consider the vital role that physiotherapy can play in the journey to recovery. The expertise and support of a physiotherapist can make a significant difference in the outcome and overall well-being of individuals facing this condition. For best physiotherapy treatment call us at +919560264949 in gurugram
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