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Old 03-21-2008, 07:49 PM   #1
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Tailbone Pain

I have been having constant pain in my tailbone since last weekend, although it has begun to improve now. It hurts to sit for very long or put any kind of pressure on it, and going to a standing position from sitting can be quite painful as well. I don't recall doing anything to cause trauma to that area, except that over the last few weeks I have started working out doing weights/strength training and cardiovascular at the gym 3x a week for 40 minutes each time. Still I can't recall doing anything at the gym that might have caused this.

I have severe osteoporosis in my spine (-3.0) and am paranoid anytime I get pain anywhere in my back. I did see my physical therapist (I see for fibromyalgia) on Thursday and mentioned it to him and he poked around and ruled out referred pain from other areas. The pain is strictly in my tailbone. He thinks it is just strain.

Has anyone ever broken or strained your tailbone? What did it feel like, what was done to treat it if anything and how long did it take to heal? I don't know if it is worth having it xrayed or if it really is just strain. It has gotten a little better but is still driving me nuts. I am just curious about others experiences. Thanks.

 
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Old 03-21-2008, 10:29 PM   #2
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Re: Tailbone Pain

Hi Elaine: I've had this problem for years, off and on, and feel for you. Have you been doing "any" cycling, rowing or exercises that use your coccyx?

Usually this type of strain goes away by itself, but you "really" need to limit your sitting. If you have to sit use a pillow that has the cut out at the back of it or center so you aren't putting pressure directly on the tailbone.

If you have access to PT, they could do deep tissue massage, heat/ice or if you want to try a trigger point injection (of cortisone) those can help quite a bit, but everyone reacts differently to them so the relief could be for days, months, or up to a year, but I would only consider this if this goes on for a much longer time or the pain is unbearable.

This usually happens when you injure the tail bone by falling on it, or doing exercises that cause repetitive strain on that section of the spine.

The pain is usually caused by chronic inflammation to the area, so anti- inflammatories can help a lot. I like Motrin IB, but that decision would be up to you.

If the pain persists, you need to have an x-ray. Since you said it's easing up a bit, that's a good sign, but sitting for "any" length of time will make it worse. If you can't get one of the cut out pillows, make sure you sit on a firm chair; soft chairs cause your spine to put pressure on your sit bones, which in turn applies more pressure to the tail bone.

I hope it gets better, just keep an eye on it and don't do any exercises that use that part of your spine like those mentioned above and "squats". If you have "any" bladder or bowel disturbances, see a dr asap (which is not common) but something to watch out for; this only happens in severe cases, where you have a lot of trouble walking, sitting and standing and is caused from a direct trauma to the bone, like when you fall in a seated position.

Good Luck...

 
Old 03-22-2008, 08:31 AM   #3
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Re: Tailbone Pain

Quote:
Originally Posted by DesertBloom View Post
Hi Elaine: I've had this problem for years, off and on, and feel for you. Have you been doing "any" cycling, rowing or exercises that use your coccyx?

Usually this type of strain goes away by itself, but you "really" need to limit your sitting. If you have to sit use a pillow that has the cut out at the back of it or center so you aren't putting pressure directly on the tailbone.

If you have access to PT, they could do deep tissue massage, heat/ice or if you want to try a trigger point injection (of cortisone) those can help quite a bit, but everyone reacts differently to them so the relief could be for days, months, or up to a year, but I would only consider this if this goes on for a much longer time or the pain is unbearable.

This usually happens when you injure the tail bone by falling on it, or doing exercises that cause repetitive strain on that section of the spine.

The pain is usually caused by chronic inflammation to the area, so anti- inflammatories can help a lot. I like Motrin IB, but that decision would be up to you.

If the pain persists, you need to have an x-ray. Since you said it's easing up a bit, that's a good sign, but sitting for "any" length of time will make it worse. If you can't get one of the cut out pillows, make sure you sit on a firm chair; soft chairs cause your spine to put pressure on your sit bones, which in turn applies more pressure to the tail bone.

I hope it gets better, just keep an eye on it and don't do any exercises that use that part of your spine like those mentioned above and "squats". If you have "any" bladder or bowel disturbances, see a dr asap (which is not common) but something to watch out for; this only happens in severe cases, where you have a lot of trouble walking, sitting and standing and is caused from a direct trauma to the bone, like when you fall in a seated position.

Good Luck...
Wow, thank you for such a helpful post! I have been cycling on a recumbent bike at the gym. I had no idea that involved my coccyx. I just never thought of it. I am going to switch to something else for my cardiovascular that is for sure!

I have definitely noticed the pain is much worse when I sit in a soft chair like a recliner. I have been subconciously avoiding those. I still have to get the special pillows you mentioned. My PT also mentioned those. I am a bit concerned now because I have been having bladder issues lately. I have had a few accidents over the last three weeks which are too embarassing to go into here. It just came without warning. Not a trickle either. I see a pelvic PT specialist for chronic pelvic pain issues related to my hysterectomy/endometriosis and scar tissue/adhesions and I told her about it. She was surprised becuase if anything I have very tight tense sphincter muscles down there which we have been working on. Since my pain has gotten worse (around pubic bone and where bladder is) she mentioned a possible UTI although I don't have the classic symptoms of one, and have had the bladder type pain for several years to varying degrees. It could be that exercising like I have been is triggering all this again. So frustrating because it always feels like one step forward three steps back. Argh! I guess I need to slow down (something I am not good at).

Thanks again for your help. I will get this checked out further.
Elaine

 
Old 03-22-2008, 12:01 PM   #4
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Re: Tailbone Pain

The same exact thing happened to me a few months ago. Since I'm now paranoid about fracturing, I told my rheumatologist (I also have Fibro) that I wanted an X-ray. That showed nothing broken, however, it did take about 4-6 weeks to go away. The only thing I had been doing was my usual leg lifts with 10lb weights that I've been using for 4 years without a previous problem. Once the pain was gone, I resumed the exercise without further problems.

 
Old 03-22-2008, 06:27 PM   #5
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Re: Tailbone Pain

ELAINE444 :

Hi. Regarding your bladder probs - perhaps it might be a good idea to see a urologist for that. They have special magnifying scopes to look into the bladder to see what's going on.

 
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