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Hurt tailbone - what to do and how to treat? First aid for injury.

The tailbone is a distal spine, whose vertebrae have fused together in a process of evolution into a single bone. This is the rudiment of the tail that has become unnecessary to man.

Do not think that this is a useless part of the skeleton. The tailbone in the human body is involved in the formation of the pelvis, is the site of attachment of ligaments and muscles.

A tailbone injury is more likely to occur in the winter. The reason is the inability to land properly during a fall. In the period of icy conditions, as well as when skiing, skating and sledding, it is almost impossible to avoid falls.

At the same time it is likely to fall on the buttocks and injure the tailbone. It is especially dangerous to ride from springboards - the impact force falling on the area of ​​the buttocks is great, a fracture can easily happen.

Hurt tailbone - what to do and how to treat?

Less commonly, accidents, falls from a height, work accidents can cause the injury.

In ICD-10, the tailbone injury is referred to the group of diseases with the general name "Lower back and pelvic injury." The code designation is S30.


Bruise symptoms

Bruise symptoms Symptoms of injury appear immediately: the injured area hurts a lot, the skin turns red, swelling is noted. In case of severe injury, a hematoma may form in the area of ​​the coccyx.

Depending on the strength of the blow, the pain symptom has different degrees of severity. If the blow was very strong, or the fall occurred from a great height and at high speed, then the victim will not be able to move independently.

In light injuries, the pain quickly goes away and the person forgets about the accident, but the damage can manifest itself some time later. That is why a tailbone injury requires close attention and diagnosis.

How to give first aid for a tailbone injury?

1. If an adult or a child suffered a severe injury of the tailbone, the first thing to do is to call a doctor. If this is not possible, the victim should be taken as soon as possible to the nearest emergency station or any other medical facility.

2. The victim should be in a prone position on his side or abdomen. Transportation on his back is dangerous for his condition. Sitting and walking is also not allowed.

3. You can put cold on the area of ​​the injury to relieve pain and relieve swelling. If the injury happened in winter, you can use the snow or ice placed in the bag. In the summer you can buy in the store any frozen product or a bottle of water from the refrigerator.

When do I need to see a doctor?

Contact to the doctor should be carried out in any case of injury to the coccyx area.

To differentiate a strong injury from a fracture is possible only when conducting x-ray examination.

If it is possible to manage with bruising by conservative methods of therapy, then for fractures surgery will be required.

Danger of coccyx injury

Even if after the injury, the area of ​​the coccyx stopped hurting - it does not mean that recovery has come. Injuries to this part of the spine are dangerous because of their long-term effects.

The tailbone can begin to hurt again, even if weeks or months have passed. Untreated injuries pose health risks that you need to know:

  • The development of coccygodynia. With this pathology, recurrent pain occurs months or years after the injury. The appearance of a painful symptom is associated with damage to the nerves near the coccyx caused by trauma. With prolonged sitting, cycling the pain becomes harsh and unbearable. Sometimes painful sensations occur in the rectal area at the time of a bowel movement. There is pain in the genital area, which can increase dramatically during sexual intercourse.
  • Damage to the soft tissues surrounding the tailbone with the subsequent development of inflammation and the formation of pus.
  • Formation of encapsulated hematomas at the site of injury that requires surgical intervention.
  • Spinal injuries, pinched nerve roots due to shock and displacement of the spinal column.
  • Degenerative changes in the articulation connecting the tailbone with the sacrum. This pathology is dangerous for future mothers, because in the process of childbirth, the coccygeal bone must move back, opening the way for the child. When mobility in the articulation is impaired, this becomes impossible.

Treatment of coccyx injury

Treatment of coccyx injury Each person who applies to a medical facility with a lower back injury is undergoing an x-ray examination. This is done to exclude the possibility of fracture and dislocation of the coccyx. Indeed, the treatment tactics completely depends on the severity of the damage.

A tailbone injury, obtained when falling without a fracture or displacement, is treated conservatively. The patient is advised to move less, in the first days to apply cold to the hurt place.

For severe pain, the doctor prescribes analgesics, which can be in the form of tablets, intramuscular injections or in the form of rectal suppositories.

Lower back can be smeared with anti-inflammatory ointments from the group of corticosteroids - they relieve swelling and relieve pain.

When the acute pain is gone, it is recommended to do physical therapy and go to physiotherapy, which the doctor will select.

If a fracture, dislocation or separation of a part of the coccygeal bone is found in the pictures, an operation is performed. Most often they resort to the removal of this bone, since the fracture fusion goes badly, and it is not always possible to match the separated segments and keep them in this position due to the well-developed muscles of this area, which, when reduced, displace fragments.

What can be done at home?

If the fracture is excluded and the victim is allowed to go home with recommendations for further treatment, the speed of recovery will depend on compliance with the regimen and the doctor’s appointments.

The first time the victim must adhere to bed rest, limiting sudden movements. Sleep will have on his stomach. The patient is contraindicated to sit on solid surfaces until full recovery, as this increases the pain.

On the chair must put a pillow. If possible, it is better to purchase a special rubber wheel in the patient care departments.

It is not necessary to warm the place of injury with compresses, it is forbidden to go to the bath and take hot baths.


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