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Coccydynia , coccyx pain - Everything You Need To Know - Dr. Nabil Ebraheim
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- Опубликовано: 14 авг 2024
- Dr. Ebraheim’s educational animated video describes the condition of coccydynia.
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Coccydynia
The coccyx is commonly referred to as the tailbone. It is the final segment of the vertebral column comprising of two to four separate or fused vertebrae (the coccygeal vertebrae) and it lies below the sacrum. The coccyx is a very small bone and most doctors are not very familiar with this bone. The coccyx provides an important attachment for tendons, ligaments, and muscles. Lumbosacral spine x-rays and MRI will not show the coccyx. If you want to view and review the coccyx, order coccyx views or MRI. Dynamic stress views of the coccyx while the patient is sitting and leaning backwards. These x-rays should then be compared to a non-weight bearing film with the patient standing or lying to the side. Excessive movement of the coccyx is abnormal. When sitting, the coccyx shifts forward and acts as a shock absorber. The coccyx bears more weight when the person is sitting and leaning backwards compared to when leaning forward. Coccyx pain symptoms include pain during sitting or when getting up from sitting, pain originating in the middle just above the anus, pain while leaning forward or to the side, or local tenderness over the area. Most frequent causes of coccyx pain include falling onto the buttocks or falling backwards, fracture or dislocation due to trauma or injury, malignancy, pregnancy/labor, or idiopathic. Falling on the tailbone can lead to coccygeal pain known as coccydynia, resulting in chronic inflammation of the sacrococcygeal joint. Types of coccyx injuries include anterior dislocation, posterior dislocation, anterior angulation, and hooked coccyx. In addition to hooking and dislocation causing pain, there may be a side bend deformity causing the coccyx to be angled sharply. The side bend deformity is usually to the left. Dural tension causing sacrococcygeal syndrome, low back pain, and other symptoms is a nonproven theory. Curving of the coccyx causes increased dural tension. Coccygeal extension relieves tension and back pain. treatment of coccygeal injuries include manipulation, therapy, cushion for sitting (doughnut, balloon, etc.), injections, or surgery as a last resort. Surgical treatment of a coccyx injury is removal of the mobile or fractured coccyx.
when sleeping, use a hard surface if you have forward bend coccyx. Then when seating, always use a custom coccyx cushion or 2"foam. Then try to walk 5minutes at least everyday but don't run. This will help to reduce the pain within 1 month.
😖 I hve it over 5 months now I have the cushion for a month but not rly helpful 😖 is there anything else I can do to cure this pain?? it hurts when I get up even if I sit on the cushion
Agreed. I've had this since 2016 thinking that it was a bruised glute. I glute turned blue. I thought that it would heal over time with that thought but when the bruising went away the pain was still there. I asked my Primary to check it out and she said it was my lower back. Still Suffering with this.
I've had this pain for over two years now, extreme pain every single day. I've tried various osteopaths, sports masseuses and chiropractors, spending thousands in the process; the pain is still exactly the same. (Some massages will offer minor, temporary relief). My last resort is now going to a private doctor (Spire) who will charge my family thousands more to see if they can help :(. I can't live on with this pain any longer.
I do live with pain in my coccyx for almost 13 years. I have operated and removed in 2018 and things become worse. I am on 4 to 6 tramadol a day and doing nothing other than layjng in bed, if I walk or exercise the pain gets worse than it will be 6 to 8 tramadol a day. I have lost the count in treatment with all type of procedures, even being injected pain killer straight inside the bone. Nothing help. Absolutely nothing . My friend I had enough of this long time ago, I just keep going because of my little daughter.
@@zenithorton5433 hi Zenith, why did you get the tailbone’s surgery ? Was it the doctor’s reccomendation or yourself plan to remove the tail bone ?
I have got tailbone pain for 2 years. It is really hurt
I’ve had this too for over a year and it hurts when I just sit down
@@zenithorton5433 How are you now mate? Any better? I am having oxygen therapy which is slowly helping me along with swimming & walking daily.
@@esteffmazariego6534 I am having oxygen therapy which is slowly helping me along with swimming & walking daily.
I got this pain from laying tile on my floors last March 2023! I just bought a seat cushion recently and now it’s getting better. I had to stop the tile work for 6 months since last August 2023. The doctor said to stop working 6 months ago on the floor and presently the pain is almost gone as of March 2024. A year is a long time to be hurting 😮
I have the coccygal cushion. I had it for over a month now. but I have the pain for about 5 months. how long did u use the cushion for😖? I am a student so I sit on hard chairs in skl but I have been using the cushion yet still when I get up my tailbone hurts.
@@helloitsme_21 about 4 months. Now all pain is gone 🙂. I have to say I started doing leg squats with 20 pounds of weight and that really helped me about a month ago about 2 times a week doing 15 to 20 reps. Working putting down tile on the floor got me hurting. I am a Pharmacist not a tile person but wanted to save money 🙂
@@mustangdaddy4125 wow. and how exactly do u sit properly in this cushion.. ?? glad ur all fine now :)
@@helloitsme_21 it’s a little award but i position the humped part to be located where the tailbone is.
@@mustangdaddy4125 but your thighs are supposed to be placed between the hump than sitting on the hump
Iam so scared. Itz so paining. I consulted so many doctors. They sujest me to just sit salt water. But pain is not at all reduced😭😭😭Iam 15 year old.mri result told i have swelling between tail born. What should i do. Itz one year completed of this pain😭😭
Edit : guys 🥺...my pain is completely gone🙂..all the treatment i done gone no use i just believed that Jesus Christ will cure my disease and it happened after 1 n 1/2 yrs🥺🥺🥺
Thanku so much🥺❤️
Since most of u asked!!!
Here is the story
idk how I got this pain, maybe fall from cycle or something!!! It was so pain in tale born while sitting and while trying to stand ...
First I consulted doctor he recommended donut cushion for sitting!! I used it for 1 yr no result!!!
Then I consulted same doctor during that yr he suggest apply ice and hot water twice a day in that region!! Also some medicine!!! No result
Then tried physiotherapy!! It made more pain in that area!!
So I consulted another doctor ( in advanced hospital).. He suggested sit bath.. But no result... At last he asked for surgery!! But my parents didn't allowed for that so we finally quit
After some days we met ayurveda doctor he recommended traditional way of medicine with oil, herbs, acupuncture etc but I was too lazy doing it so I stopped it because I was convinced it will not go
Now what I say u won't believe may be!!!!
But it's true 100%
I went to christain retreat !! It was 3 days in my school I just prayed by asking and Believing God!! So as a part of retreat I went to counciling he asked me "do u believe this disease get cured now "I said yes.. He plased his cross in that region !!
He then asked me to sit and wake up .. Miracly it got cured!!!!! 🥺 I went and hugged by friends sudden..
It was what happened!! 🥺❤
If u believe me or not it is the truth 💛✝️
Did you visited a Physical Therapist? If you do try it one that is reccommended, to evaluate your case and give you the solutions do you need. Take care, if you still need some help i can give you a hand here from Perú at e-mail or another way.
Hlo sis my dad face same problem with like u
Prsnt ur situation good sr is there relief from pain a sis
If u can relif give me suggestions sis where u can consult doctor or hosptal
Could please give details sister
My father had face so painfully sis give me rply speed sis pls..🙏🙏🙏🙏🙏
@@muralikrishnanarukula3710 Hi man, how are you, i had problems to understand your comment. But, I understood that your father has a similar problem commented above. If you want my help can you give some info of your name in FB or IG for better communication. Take care
@@muralikrishnanarukula3710 same problem with m i suffer since 2 year
@@mediconursing91 ohh u can take treatment or not ?
Not enough people talk about this I was told i had herniated disk in my lumbar spine i could not sit eventually i got urine retention ended up in the Emergency room only to find out my tailbone was very damaged now im seeing a neurosurgeon since its affecting the nerve roots
Hello and thank you for the insight, We were wondering if this is the same video from 10 years ago or is there any new insight for 2020 or 2021? It does look like the same one.. do you all have any ney update as to treatments for the Coccydynia?
Sir pls tell us some exercises which can correct these dislocations in coccyx so that we can correct it
I noticed the pain too, above my tailbone. The pain would be 7/10 enough to feel uncomfortable. I guess my best option for now is a doughnut cushion and lean forward while seated and also avoid slouching.
I think it's more of a lifestyle change. Also I will observe it for now.
Bro it is permanent or temporary?
Same for me
It's a constant dull ache that doesn't want to go away. It's so uncomfortable, I have a habit of moving alot just to release some of the tension.
It doesn’t sound like there’s much hope 😢 the pain is wearing me down. Fingers crossed that a doughnut cushion will help a bit.
@@carlajones5382did it help ??
did it help?
I am suffering from this pain for like 6months now, I have tried taking medicines, sitz bath, donut cushion but the pain is still there. My doctor suggested me to take ganglion impar block injection. Can anyone please tell me if they got relief by this treatment?
I got an injection after 9 months of pain, not knowing what was going on. First he doctor told me it could take months. The thing is I didn’t cause any trauma. It happened during a trip to Italy. Everywhere I sat too long was painful, and I dreaded getting up. The initial pain was the worse for about 15sec. A few days after the shot in March, the pain getting up was gone, just a little when sitting too long. I had 2 flights to Europe after that shot. Had no issues. I needed another one around August, but days before my appointment I believe the pain was from my low back pain that went away. She said just get it anyway for maintenance. Currently it’s February 2024 and I was miserable on my flight to Colombia. Not looking forward to my return trip. But 5 days after, I have another injection scheduled. When I move to Colombia in May, I’m going to have them look further into why I’m having this issue. It’s too much of a hassle with this insurance in America. Injections not fixing the problem. Colombia quality of care is above Americas. Overall the injections last about 5 months for me. BTW, my doctor also told me everyone’s different. She had patients where the injections only lasted 1 month. I feel for them.
Thank you very much Dr. Ebraheim. This video helped me to understand my coccyx better & the injury that I sustained when I used to be an ice skater. I had fallen hard several times on the ice during practices. Now I have pain daily & I have an abnormal gait due to repeated trauma of the coccyx. Would removal or surgery of the coccyx be a good option when all conservative options have been tried and failed?
I have been experiencing tailbone pain for about 3-4 months but I don't know how did it started and it pretty much still hurts until now. When I touch the bone, I always feel like having a coccyx straight but the pointy tip feels like it's bent.
Am exactly the same, haven't fallen or anything and the pain is killing me. Sometimes I can't move while sitting because it hurts so much. Doctors here are not good an don't what to do. Have you see a specialist?
Visit physical and rehabilitation medicine specialist
@@musto87 Do cow pose and cobra pose and if possible do bow pose
@@musto87 do you feel like there’s a cyst on it to but on the bone ?
@@theengineer1802 I feel much much better. Now and then I get the pain for a day or less. I didn't take any medication or exercise it just improved and when I realised I had got better it was after a few weeks.
I sat down for a while one day then got up and it hurts bad, it’s so weird only when I stand up from sitting
Hi my partner 20 ago years fall down the stairs,been to the hospital but was only given pain killers and said in a couple of weeks she will be ok, she has been experiencing ache and pain thought out our 13 year relationship,but here of lately she has experience very bad pain which comes and goes in hip and coccyx area however she been to the doctor and he booked her MRI scan where she had to lay down, and was given gabapentin, co codamol and diazapan, however for 4 days she has been in agony and severe pain and has lost use of her legs and can't stand getting pain in the hip area, I am having to left her to the bathroom and pain killers not seem to working for her, trying to do any kind of exercise is a no, yesterday she was a bit better today she is in pain and bed ridden and I am trying everything to help but feel helpless so I asking you please for some advice as I don't know what else to do to help her ease the pain and be more comfortable when sitting or lying down, the doctor said her coccyx bone is out of alignment which bends to the left, seeing her cry and in pain is killing me at the moment, and I am doing my own research which lead me to your channel as sometimes doctors can get stuff wrong but of course this seems to be the issue and she relates to everything you have said on this very matter ,if you have any tips or any more advise it would be must appreciated .Many thanks
Try a Pelvic Physical Therapist if you have one in your area!
@@nandofabian thanks will get on it asp👍🏾💯
I am suffering from a pain that is literally disabling me.
How can I reach you for treatment?
How are you now?? I am too in similar kind of situation.
@@shadabmirza9968
It got much better that I almost forgot my injury until my body reminds me when I do not get much sleep or make so carry/drag weight.
Time and res were crucial. I had to lay down for more than 07 days to get back to semi normal condition. I could not feel such improvement when I kept going to work until we got feast vacation and I was in pain so I just stayed in bed in the position that did not caused me numbing or pain ( mostly sleeping on the left side)
Also get yourself a muscle relaxer because muscle guard is real.
Hope you feel better soon dear
Please let know how it went for you.
I was hit by another driver and caused mine there are some exercises that helps some . tighten your stomach very tight then relax it then squeeze your butt really tight repeat these two moves 3 sets of 10
I tried and my butt hurts 🥳🥳🥳
ممتاز ترجو عمل فيديو عن bone graft
Thank you Dr. Nabil
I fell on my tailbone, its hurting soooo much . But im just leaving it how it is, not going to the hospital becaise its just a waste of petrol for my parents, that's what they told me .. Im 15 by the way
You need to go to hospital to see if its broken or not. But ask your doctor for Naproxin anti inflammatory tablet, make sure you take lanzoprazole tablet with it as the Naproxin is very strong on the stomach and should not be taken alone.
Very helpful sir, thank you.
Hey how can I do my tailbone will gone please please tell me
I'm pretty sure my tailbone pain came from slipping on the last step going downstairs. No carpet. Slipped and feel hard on the wood floors. By accident 3 times. It was very painful, but I just blew it off
Can you upload a video of this coccygectomy procedure
I work at desk for last 8 years now I cannot even bear to sit down I'm scared cos i cannot loose my livellyhood, it's been 2 years and the pain ain't going and it's just getting worse , what do I even dooo
Good, thanks
Very insighful Thank You !!! 🙏
thanks for ur video
Sir can you treat chronic tailbone pain im 18 year old boy having tailbone fracture while playing kabbadi its over 9 months
But now also having pain while sitting
Very informative thanks
Difntly helpful Thank you so much
Hi how are yo dr u want to ask if there is any ucomplication for the surgery
Thanks sir
Which doctor do injections for tailbone pain when sitting please?? I live in illinois
My mother's back has been in pain she can't sit sleep and walk . What can she do to help her?
Very helpful
I am here because my ass hurts
I’m 21 and I’ve had this for 2 years now even putting yoga into my days now , but getting worse
How is it now?
@@TheHyperactiveMelon worse , I have the pain at bottom of my back and during the day both sides of my back at the upper middle each side get pain , hard to describe it , when breathing in feels like it makes it ache , both sides behind lungs on the back I guess that's how to say where it is ....idk weather to go doctors or maybe there's not a lot they can do I don't know .
@@48LOF Do cow pose and cobra pose and if possible do bow pose
@@48LOF go watch pouya yoga tailbone pain helped me a lot
@@wd1150 I will thank you alit !
Oh god it is hurting a lot since last four months someone Please help me
Bro its been a month now how you holding up?? 😨😨😨
Dear Nabil, thank you for this insightful video. Do you happen to know if there are/were any studies performed to scientifically proof dural tension (ie. Hypermobile coccyx causing severe headache or similar?) Thanks, Eva
It causes me
Numbness of the face
Thank u so much sir
I already have tailbone pain fell of bike ... Can it create problem in child birth in future... I am girl.. Please clear me
It might get better by then.
I woke up with this pain today and its insane🥴🥴🥴
How long did it take for your pain to go & did you do anything to relieve the pain?
@@modestly.vaneeza took about a good 2 weeks to resolve itself, I took plenty strong pain killer and purchased a coccyx cushion in the meantime
@@charlottewalker3504 thank you
@@modestly.vaneeza worst pain ever. Been having for 4-5 months
@@modestly.vaneeza Do cow pose and cobra pose and if possible do bow pose
Hi Dr. Nabil, I am 25 years old and have been experiencing this pain for 5-6 months now, but the pain only seems to have gotten worse.
It wasn’t caused by injury… what do you suggest?
Is there anybody else that had experienced the pain for this length of time (or longer) and now got over it?
I also feels the same from past 2 months, now it got worsen,
I’ve had it for around 2 years now.
More than a year, but getting better
@@pumsie What helped you to feel better?
I've been with pain for almost a year now.
Me too my back pain and coccyz is very painful when I am sit after 2 years nothing improvements cn I go for massage therapy in this case..
Nice explanation
i experienced this first time today. it hurts real bad.
Bro how is ur pain now? Its gone? 🙂🙂
@@toxidappuzbld6087 it is gone. turns out it was just about my sitting position. had my day off and rested and i am well.
Feeling hurtful during running or even sometimes walking
Mine siting issue 😰
@@Sanakhan-ff4nx Do cow pose and cobra pose and if possible do bow pose
sounds normal at 2X speed
Sleeping on plain surface helped me lot
what do u mean plain surface??? I hav it too and am a student 😔
😍😍😍😍Prof/Dr Nabil Bullets
Hello and thank you for the insight, We were wondering if this is the same video from 10 years ago or is there any new insight for 2020 or 2021? It does look like the same one.. do you all have any ney update as to treatments for the Coccydynia?
I know everything about 😂😂😂 this part🎉
The best!
Sir, if a girl has coccyx and coccyx pain, is it okay to marry the same girl or not? Please Gaid me
Helpful 🙏🙏🙏
I cant play pjsekai like this 😭😭😭😭😭😭😭😭
can loosing weight cause my coccyc to hurt.?
I started losing wait too and then boom, pain from my butt to my heel 😮💨
@@josephinelemian does yours still hurt??
I thought same. I lost 7 pounds in 6 months, then with much sitting I got the pain. X-Ray shows it's already angulated inwards, but I might not get the pain earlier due to the buttocks fat. Now, I'm eating much to get the fat again and Cat/Cow pose + kegel exercise.
👌👏👏
Asslam and so thankful dr for this..fell on ice and got tail bone pain..de wrote 6 medicine and advised ice pack..
How is the pain now ?
Hi my name samreen, am facing tailbone pain since 7 months. doctor said my tailbone dislocated external side.i don't know what to do my age is 25. If anyone faced this problem and cured please tell me
i have tailbone pain since 5 years i fell on stairs directly on my hips
so what doctor said about dislocated tailbone how it can be cured
@@Prashantsingh-lz1uc 5 yrs is not a small thing as if now am ur junior what does your Dr said
@@samreenmohammad5244 my tailbone is dislocated dear
@@Prashantsingh-lz1uc same here my doctor said abt steroid injections etc but I feel it's not safe.what does your Dr said
I slipped kicking a football in the rain. Hope this pain goes away soon
@@ee.sooo01 still feel a slight pain when sitting. Hopefully with more time it goes away completely.
Hindi mein added kiya karo