This article talks about the condition in the general coccyx area.
Synonymous with coccygeal pain,
coccygodynia, coccalgia or coccyx pain, coccydynia is a scientific word that means tailbone or coccyx pain and tends to come about by abruptly sitting.
In the general coccyx area there are more than just a few conditions that can bring on pain. Not all of these involve the muscular fibers that are connected to the coccyx and the coccyx itself.
The first line of diagnosing whether or not this is coccydynia is to find out whether or not it is a coccyx-related pain.
Exams that are physical, MRI scans and x-rays that have a high resolution are able to make exceptions to various coccyx-unrelated causes such as referred pain from the higher spine and Tarlov cysts.
Take note that in contrast to what most textbooks of anatomy claim, the coccyx is actually composed of many segments.
A diagnosis of a coccyx that has been fractured is actually what happens when they are dislocated at the intercoccygeal joint or merely dislocated.
A simple determining test whether or not there is involvement of the coccyx is a local anesthetic injection in the location. If there is pain that is in relation to the tailbone, this should give relief that is immediate.
For positive anesthetic tests, an MRI, or x-ray that involves standing and sitting may indicate whether there is a dislocated coccyx when the patient is seated.
In two hundred and eight patients, using x-rays that are dynamic gave results which were positive with the test of anesthetics. This further showed that • Twenty-two per cent had partial coccyx dislocation backward when seated or posterior luxation• Five per cent had partial coccyx dislocation forward when seated or anterior luxation• Twenty-seven per cent had excess coccyx flexing forward and upward when seated or hypermobility• Fourteen per cent had coccyx bony spurs also known as Spicule• Thirty-one per cent had a result that shoed it was impossible to make an identification of the pain causes.
This was research that showed that lesion patterns were different depending on the patient's obesity. Thin patients were usually candidates for coccygeal spicules and obese patients were more likely candidates for coccyx posterior luxation.
One classification method of coccydynia is whether there were non-traumatic or traumatic onsets. Usually, there is an unknown exact cause which is called coccydynia idiopathic.
Often, coccydynia is the report after giving birth to a child or after falling down on the tailbone. There can also be pressure that is constant on the tailbone that causes coccyx pain onsets. When the causes of coccydynia are because of this, these may be chronic or persistent if not under control.
Coccyx strain through improper sitting is also another coccydynia cause.
In rare cases, an undiagnosed tumor or sacroccocygeal teratoma in the coccyx location is the cause. When this happens, chemotherapy or surgery is involved usually.
Pressure on the area affected includes riding horses or bikes. Other positions like sitting down increasingly puts direct coccyx stress.
This is a condition of science often described by worsening pain when constipated and relieved by a movement of the bowels.
Rarely, coccyx removal via surgery is the requirement. In typical scenarios, surgeries are limited to those with malignant cancer.
However, those who pain in the coccyx has failed to respond to treatment that is non-surgical like local injection, fluoroscopic guidance, medications by mouth and seat-cushion use may need surgery as well.
