It is not a surgery that is even performed anymore in most areas. Many years ago tailbone pain was often treated by removing the tailbone. Patients come from all over North America to seek his advice and treatment for their coccyx pain. Horowitz, at our Richmond Hill has been treating tailbone injuries since 1982. Often patients are relieved to find out that there is nothing wrong with their tailbones that a bit of relaxation couldn’t help. This causes coccyx pain the same as if the person fell down a flight of stairs. These small muscles attach to the coccyx and sacrum and when they are tight they will hold the tailbone in an abnormal way. If one can understand the role of stress in the cause of headaches and stomach aches, then it should also be seen that stress can cause a tightening of the muscles in the pelvic floor. Finally, stress is becoming a more well recognized cause of coccydynia. Sometimes a simple bruised coccyx can be more painful than a bad fracture of the coccyx. Its wrong to think that a broken tailbone is more painful than a bruised tailbone. A bruised tailbone is where the coccyx was damaged but not enough to dislocate or facture it. Proper position must be restored as soon as possible. The longer the shoulder is out of its normal position the more soft tissue damage is occurring and the more long term damage will result. If you dislocated your shoulder you would want it put back into its “socket” as fast as possible. The longer the tailbone is “out of position” the more chance it has of remaining that way forever. When the coccyx is dislocated it is essential that the normal joint position be restored as soon as possible in order to allow for proper healing. When you injure the tailbone this joint often is pushed into an abnormal position resulting in pain. Where the sacrum joins the coccyx there is a joint called the sacrococcygeal joint. The second coccyx injury we often see is a dislocated coccyx. If your arm is broken wouldn’t you want to make sure it is in a proper position before the cast is put on? It’s the same thing with a broken coccyx. Making sure that the fractured coccyx heals in a proper position is a very important and often overlooked fact. This is true, however if the bone heals in an incorrect, or unnatural positon, the patient is likely to have pain for the rest of their lives. The patient is told to rest and that the bone will eventually heal. Many medical doctors will tell a patient with a broken coccyx that there is nothing that they can do for the injury. A broken tailbone can take one year to fully heal, yet the pain and disability associated with it might last forever. Sometimes the patient will say they heard or felt a snap and knew instantly it was broken. A fractured (broken) tailbone is where the bone actually breaks. There are three major injuries that can result when the coccyx is injured. Often sexual intercourse is painful or impossible. Sometimes the patient can’t ride in a car, or even lie in bed without terrible tailbone pain. Coccyx pain is usually felt when sitting and when getting up from a sitting position. Sometimes there is no injury and coccyx pain is the result of stress.
The most common injuries seen to the tailbone result from giving birth, slipping and falling, tobogganing, falling down stairs, riding a bumpy snowmobile or jet-ski, sitting on a hard chair or stool, riding on an uncomfortable bicycle seat, or participating in certain sexual positions that put the coccyx in a vulnerable position where it is prone to trauma. Because the coccyx is such a small bone and isn’t very well protected by muscle or fat, it is very vulnerable to injury. Pain in the coccyx is known as “coccygodynia” or “coccydynia”. Because humans no longer required a tail it gradually turned into what we now refer to as a “tailbone” or coccyx. If we were still in our more primitive evolutionary state the coccyx would be our tail. At the very bottom tip of the sacrum is the coccyx.
After the lumbar spine (lower back) is the large bone called the sacrum. The coccyx is the small bone (actually a few small bones fused together) at the very base of the spine.
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