Mitigate Pain Clinic – Dr Jeshnu Tople – Pain Management Specialist In Nagpur

Tailbone Pain

Tailbone Pain Treatment

1.Diagnostic Services

  • Physical Examination: To assess the cause of pain, including tenderness at the coccyx area.
  • Imaging Tests:
    • X-rays: To check for fractures or dislocations of the tailbone.
    • MRI or CT Scan: If more detailed images are needed to rule out soft tissue issues or nerve involvement.
  • Coccygeal Nerve Block: A diagnostic injection used to confirm if the tailbone is the source of the pain.

2 Pain Management

  • Pain Medications:
    • NSAIDs (ibuprofen, naproxen) for inflammation and pain relief.
    • Steroid injections for inflammation around the coccyx area if pain persists.
  • Topical Treatments: Creams or patches for localized pain relief.
  • Heat or Cold Therapy: Ice packs or heating pads to reduce inflammation and muscle tension.

3. Physical Therapy

  • Coccyx-specific Exercises: To improve posture, strengthen muscles, and relieve pressure on the tailbone.
  • Stretching and Strengthening: Exercises that help relieve muscle tension around the pelvis and coccyx.
  • Postural Training: Guidance on sitting, standing, and sleeping positions to avoid aggravating the pain.

4 Specialized Treatments

  • Coccygeal Manipulation: A chiropractic or manual therapy approach to adjust the coccyx, if it’s misaligned.
  • Pelvic Floor Physical Therapy: Targeted therapy for pelvic muscles that can help reduce pressure on the coccyx.
  • Nerve Blocks: Injections to numb the nerves around the tailbone for long-term relief.

5.Surgical Interventions

Coccygectomy: In severe cases, surgical removal of the coccyx may be considered if all other treatments fail. This is typically a last resort.

6.Lifestyle Modifications

  • Cushions or Pillows: Special tailbone cushions or “doughnut” pillows to reduce pressure while sitting.
  • Avoiding Prolonged Sitting: Regular breaks and changes in posture can help prevent aggravation of pain.

7..Alternative Therapies

  • Acupuncture: Some patients find relief from coccyx pain through acupuncture, which targets specific pain points.
  • Massage Therapy: For relieving muscle tension in the lower back, pelvis, and buttocks.
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