Identifying the Nature and Cause of Coccydynia

Getting The Diagnosis for Tailbone Pain  
Diagnosing tailbone pain is also known as identifying the cause and nature of coccydynia. 
A diagnosis of coccydynia is done by a health professional through the administration of medical history that is thorough from the patient and the completion of an examination of the body.
Generally, there can be coccyx pain caused by injuries or excessive pressure on the location that cause the attached bones to go through motions above and over their normally quite limited motion range. 
Injuries to either to disc vestigial or the ligaments can be a source of pain as well. In rare cases, pain can be caused by fractured coccyx bones. In addition, a coccyx infection or tumors can also be a main source or pain in the tailbone.
In rare cases, an infection or a tumor is the cause of coccydynia, which, when it occurs in the area of the tailbone, puts undue pressures on this local body part.
Tests for diagnostics such as MRI's, X-rays or CT Scans are performed commonly in order to cancel out the possibilities of other sources causing the pain.
For coccyx pain, a complete physical exam needs to include a check for local tenderness by palpation. It also needs to include a check for the cause of pain through attempting to find a tumor or mass with a rectal and pelvic exam.
The exam finding that is most striking is normally tenderness that is local upon coccyx palpation. If there is no tenderness of the coccyx when palpation occurs, then the regional pain is referred to a structure that is apart from the coccyx such as a lumbosacral herniated disc or a disc disease that is degenerative.
Studies of diagnostics that need to be done include a ruling out of tumors or infections that may be a cause of pain. The evaluation usually consists of a discussion of symptoms and a detailed medical history, a physical examination a series of x rays. Other tests includes blood tests, MRI or CT scans may be performed.  
Coccyx and sacrum x-rays to cancel out events that are unlikely that are a large tumor or a fracture that is obviously the cause of discomfort also needs to be done.
CT scanning and bone scanning add very scanty information and are not done generally. Usually, all studies of imaging will be negatives.
When dynamic x-rays were used on two hundred eight patients with results that were positive with the test for anesthetic, this showed a thirty-one percent no possibility of identifying pain cause. 
There were fourteen per cent coccyx spicule or bone spurs. Twenty-seven percent excessive coccyx flexing upwards and forwards were also part of the results, referred to as hypermobility. Five per cent had luxation of the anterior. 
This was partial coccyx dislocation when sitting the coccyx was positioned forward. Twenty-two per cent had partial coccyx dislocation when sitting backward.
These studies found that the lesion pattern varied depending on how obese the patients were. Thinner patients were more likely to have spicules that were coccygeal and patients who were obese were likely to have coccyx posterior luxation.