Pain in the Tailbone? Managing and Treating Coccydynia
Pain in the Tailbone? Managing and Treating Coccydynia Tailbone Pain Have you ever experienced extreme pain on your tailbone when getting up from sitting? Have you felt tailbone pain during sexual intercourse?
Have you experienced muscle spasm around the tailbone after having a bowel movement? Today, we are going to talk about etiology and management of Coccydynia. Anatomy of the Coccyx The Coccyx is a small bone located below the sacrum and at the end of the spine. The front of the coccyx is the attachment site for many ligaments and muscles. One muscle group that attaches to your coccyx is your pelvic floor. All of the deep layers of pelvic floor muscles and some of the superficial layer of pelvic floor muscles have the coccyx as their attachment sites.
When you have a problem with the coccyx, it is mostly likely to affect the pelvic floor muscles. On the other hand, when you have a problem on the pelvic floor muscles, it can also cause some issues on the coccyx. Additionally, there is a nerve passing along the side of the coccyx. This is called sacrococcygeal nerve.
It innervates area of skin that surrounds the sacrum and coccyx. Causes of Coccydynia Based on the statistics, women are 5x more likely get a coccydynia than men. Adolescents and adults are more likely to present with coccydynia than children. The main causes for Coccydynia are… Pregnancy and childbirth: During pregnancy, the head of fetus generally sits on the coccyx. As the fetus is growing bigger, more pressure is exerted on the coccyx and it can cause strain on the pelvic floor muscles.
It also is possible to fracture the coccyx during childbirth. Sitting for extended periods: Many people experience tailbone pain after sitting on a bicycle or hard surfaces for extended time. Especially, slouched sitting distributes excessive pressure on the coccyx and can lead to coccydynia. Direct trauma: Falling backwards on a slippery floor during shower, falling from horse riding, or any other direct trauma on the coccyx can cause coccydynia.
Over functioning of pelvic floor muscles: As it is stated in the previous section, the pelvic floor muscles are attached on the both side of the coccyx. If the pelvic floor muscles are over functioning, especially if one side of the pelvic floor muscles has more severe over-functioning, it could pull the coccyx to one side with uneven tension and can causes coccydynia. How is it managed? Recognizing proper body mechanics Proper sitting posture with neutral spine should evenly distribute pressure from the weight of your body between your sit bones ischial tuberosities and coccyx.
However, in slouched sitting posture, coccyx will withstand greater pressure than the sit bones, and the pelvic floor muscles around the coccyx take on excessive mechanical stress. Same concept will be applied if you have a habit to shift your body weight to one side, or sleeping on one side, or sitting slanted to one side.
Uneven pressure exerted on the spine can also be a source of stress to the coccyx as it is located on the bottom of it. Consider a Wedge If you have to sit for long time for your work, I would recommend using the cushion that is specifically designed the tailbone pain with a cutout in back for the coccyx. This cushion reduces direct pressure on the coccyx and helps blood circulation. Ice or heat pack Ice can reduce swelling from coccydynia and help eases pain.
If you prefer to use hot rather than cold, then you can use a heat pack to reduce the pain. Pelvic floor relaxation technique Some patients with coccydynia have over-functioning of the pelvic floor muscles. Especially, if you have pain on the pelvic floor muscles during sexual intercourse or experience pain from sudden muscle spasm around the coccyx, then there is high likelihood that you have over functioning of the pelvic floor muscles.
Superset and super sets in bodybuilding — example program — Fitnessmith test cypionate bodybuilding anabolic steroid. When increased tension from the over functioning of the pelvic floor muscles continues, it could worsen the pain. So, it is important to try release the tightness and tension of pelvic floor muscles. This stretch helps stretch your gluteus muscle that surrounds the sacrum and the coccyx, and it releases the tension on the pelvic floor muscles.
Another easy way to loosen up the muscle is using a tennis ball. Place the tennis ball between the hip muscle and wall, lean your body towards the wall, move around your hip up and down or make circular motion, this will loosen up the muscle with the pressure of the tennis ball. If you find more tighten muscles, try to apply sustain pressure with the tennis ball to get that released. If there is a problem in alignment of the sacrum and the coccyx, it could cause the dysfunctions of pelvic floor muscles.
Pelvic floor rehabilitation As mentioned before, the pelvic floor muscles surround the coccyx. Thus, if there are dysfunctions in your pelvic floor muscle, it is not going to be easy to manage the coccydynia. For this reason, your bladder and bowel functions should be functioning fairly well to keep your pelvic floor healthy. Various pelvic floor dysfunctions can be caused by those issues and will delay the recovery process.
For example, if you have severe constipation, it can strain your pelvic floor muscles with excessive downward pressure as it supports your rectum. Thus, if any of your bladder or bowel issues has not be managed well, it is going to be very challenging to get rid of tailbone pain completely or avoid recurrence of Coccydynia.
Your physical therapist will be able to assess any dysfunctions in your pelvic floor muscle and provide you appropriate treatment to help you return to the lifestyle you deserve. References: Johnson, A. Howard, P. A comparison of conservative interventions and their effectiveness for coccydynia: a systematic review.
Bradley, M. Physical therapy treatment of pelvic pain. Physical Medicine and Rehabilitation Clinics, 28 3 , Polsdorfer, R. Journal of Orthopaedic Medicine, 14 1 ,
Tailbone Pain When Sitting – DIY Relief & Exercises
The tailbone, or coccyx, is a small triangular bone at the very end of your spine. It attaches to the bottom of the sacrum, the large bone in your lower back that connects the sides of the pelvis, through the sacrococcygeal joint. Most people with tailbone pain report pain with sitting, getting up from sitting, bending, having sex, going to the bathroom, any type of touch or pressure, or simply throughout the day.
Like the top of a tent is to the fabric around it, the tailbone is the connection point for a number of pelvic floor muscles — a group of muscles that control pee and poo, support your organs, work with your core to give you control and stability as you move, play a role in sexual function, and help with circulation. When the pelvic floor contracts, as they should when you stand up for instance, the tailbone curls up, or flexes, and it returns to its resting position when the pelvic floor muscles relax.
When the pelvic floor muscles lengthen, as they should with a bowel movement for example, the tailbone uncurls or extends, and it returns to its resting position when the pelvic floor muscles relax. These are minimal but important movements for daily functioning. This can occur whether the tailbone does not move enough or whether it moves too much.
It is also important to note that tailbone pain is not always local in nature — it can also be referred from other nearby anatomy, such as nerves in your spine or other pelvic joints or muscles. People often slouch when they sit, which puts more direct pressure on the tailbone, pushing it into flexion.
If changing your posture and the type of seating hard vs soft are not enough, using a donut cushion or a sitting wedge with a central hole can allow you sit longer with less pain.
Pain management: Applying ice or heat to the area can temporarily help with pain, as ice typically helps alleviate any inflammation or swelling, and heat a hot pad or hot bath typically helps relax muscles. Both temperature changes temporarily quiet brain signaling that is perceived as pain. Exercise: Certain exercises can help lengthen the pelvic floor which extends the tailbone and strengthen pelvic floor which flexes the tailbone depending on what is needed.
Sources: Dufour, Sinead. Foye, Patrick M. Howard, Paul D. Dolan, Anthony N. Falco, Brett M. Holland, Caitlin F. Wilkinson, and Anna M. Marinko, Lee N.
She considers it a privilege to work with people in a variety of life stages to help them towards their goals and hopes.
Coccydynia – A Real Pain In the Butt!
Find what feels comfortable. Start on all fours and bend your knees while sending your hips back. You should be sitting on the tops of your calves while your arms and shoulders are extended forward. Lay flat on your stomach and bend your elbows to bring your arms forward next to your chest. Push up while leaving your lower body on the ground.
Tailbone Pain Relief With 10 Exercises That You Can Do
This should curve your lower back and give some relief to that painful tailbone area. Do these tailbone stretches work for you? When your tailbone is in pain it can rest in the back of your mind all day. Working on some tailbone stretches can be what you need to move forward. Soothe your body and get some gentle exercise in with these stretches. Tommy Williamson did his degree in psychology at the University of Edinburgh.
He has an ongoing interest in mental health and well-being. Disclaimer: Psychreg is mainly for information purposes only. Materials on this website are not intended to be a substitute for professional advice, diagnosis, medical treatment, or therapy. Never disregard professional psychological or medical advice nor delay in seeking professional advice or treatment because of something you have read on this website.
Read our full disclaimer here. Perform the sitting variant and try to practice this one until you are able to do it. Exercise 3 Assume a quadruped position.
Yoga Poses and Stretches to Ease Tailbone Pain
Cross your legs: the leg of the affected side stays on the floor, the other one goes up. Stick out this leg. Shift forward a bit and shift your hips to the left or right depending on which leg is the one on the floor. Flex the muscles in your buttock and relax. Do this a couple of times. To exit the stretch, lower your outstretched leg, then sit on your heels.
All gain. No pain.
Coccyx Pain Relief: 8 Tailbone Stretches You Need to Try
Aim to reach eight or nine. Your metabolism has to normalize, and your brain has to 'upload and configure' the new exercise programs. I have So glad I was referred here. Thank you!! Working with you was great. Thanks so very much. They are both incredibly knowledgeable, kind, I worked with Kristen during my pregnancy and have been working with Jennifer postpartum.
They were like "Bring your kiddo! Or we'll come to your house -- whatever is best! Their generosity and flexibility is unmatched by any other providers I've ever worked with in that regard.
Additionally, I am a midwife and their commitment to resolving my pelvic floor issues has been inspiring to me on a professional level. She meets you where you are at