Pain in the tailbone

Pain in the tailbone

Sore tail

Oops! Tendon pain and tailbone pain can be incredibly painful and cause long-term ailments.

Pain in the coccyx can be caused by muscle dysfunction / myalgia, inflammation, sciatica / nerve irritation in the back or seat, as well as joint locks in the pelvis, lower back or hip. Feel free to contact us vår Facebook-side if you have questions / comments.

 

Scroll down for to watch two great training videos which can have an effect on your tailbone pain.

 



VIDEO: 5 Exercises against Sciatica and Sciatica

Irritation of the sciatic nerve inside the seat is often a major contributing cause of tail pain. This is why these five exercises can be of great help to you. The exercises can help loosen up in tense seated muscles. reduce nerve irritation and provide increased muscular elasticity. Click below to see the training program.


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VIDEO: 10 Strength Exercises against Sore Hips and Seat Pain

It is quickly done to forget the central role the hip plays in shock absorption and good tailbone functionality. Stronger and more flexible hip muscles will be able to relieve the pelvis and back - which thus means that you avoid overload and chronic pain.

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Common causes of tail pain

Some of the most common causes are overload, trauma, poor sitting position, wear and tear, muscular malfunctions (especially the gluteal muscles) and mechanical dysfunction in nearby joints (eg pelvis or lower back). Myalgias in the seat can also refer pain to the coccyx in so-called active myalgias (overactive muscles). Tail pain is a disorder that affects a larger proportion of the population at some point in their lives - both old and young. But especially women, often after pregnancy, are more prone to pain in the tailbone than others - which shows the pelvis' direct impact on this problem. More rare causes are ischiofemoral impingement syndrome, bone cancer and major infections.

 

Where is the tailbone?

The coccyx is called the coccyx in English. Coccyx pain is called coccydynia. You will find the coccyx at the end of the sacrum - which is the part that lies below the lower vertebra in the lumbar spine. See anatomical illustration further down in the article.

 

What can I do even against pain?

1. General exercise, specific exercise, stretching and activity are recommended, but stay within the pain limit. Two walks a day of 20-40 minutes make good for the body and aching muscles.

2. Trigger point / massage balls we strongly recommend - they come in different sizes so you can hit well even on all parts of the body. There is no better self help than this! We recommend the following (click the image below) - which is a complete set of 5 trigger point / massage balls in different sizes:

trigger point balls

3. Training: Specific training with training tricks of various opponents (such as this complete set of 6 knits of different resistance) can help you train strength and function. Knit training often involves more specific training, which in turn can lead to more effective injury prevention and pain reduction.

4. Pain Relief - Cooling: Biofreeze is a natural product that can relieve pain by cooling the area gently. Cooling is especially recommended when the pain is very severe. When they have calmed down then heat treatment is recommended - it is therefore advisable to have both cooling and heating available.

5. Pain Relief - Heating: Warming up tight muscles can increase blood circulation and reduce pain. We recommend the following reusable hot / cold gasket (click here to read more about it) - which can be used both for cooling (can be frozen) and for heating (can be heated in the microwave).

 

Recommended products for pain relief in muscle and joint pain

Biofreeze spray-118Ml-300x300

Biofreeze (Cold / cryotherapy)

 

Also read:

- Complete overview of muscle knots and their reference pain pattern

- Pain in the muscles? This is why!

 

Seat anatomy (from front, left, and back, right)

 

Seat and thigh muscles - Photo Wiki

Front part of the seat muscles:

In the picture we take special note iliopsoas (hip flexor) which can cause myalgia pain to the front of the seat, to the groin. On the outside of the seat in the attachment to the hip ball we also see TFL (tensor fasciae latae) which can pain on the outside of the seat against the hip and outside of the upper the thigh.

 



Rear part of the seat muscles:

This is where we find most muscular causes of seat pain. Especially the trio gluteus maximus, gluteus medius og gluteus minimus is often responsible for pain in the coccyx - gluteus medius and minimus can actually both contribute to so-called false sciatica / sciatica with referenced pain down the leg and leg. piriformis is also a muscle often involved in false sciatica - and has had the dubious honor of having a false sciatica syndrome named after him, namely piriformis syndrome. Piriformis is the muscle that is closest to the sciatic nerve, and thus muscle dysfunction here can give sciatic symptoms.

 

As we note from the pictures above, the body's anatomy is both complex and fantastic. This, in turn, means that we must focus holistically on why the pain occurred, only then can effective treatment be provided. It is also important to remember that it never does 'just muscular', there will always be a joint component, an error in movement pattern and behavior that also forms part of the problem. They only work together as a unit.

 

Anatomy of the pelvis

What we call the pelvis, also known as pelvis (ref: large medical lexicon), consists of three joints; the pubic symphysis, as well as two iliosacral joints (often called pelvic joints). These are supported by very strong ligaments, which give the pelvis a high load capacity. In the 2004 SPD (symphysis pubic dysfunction) report, obstetrician Malcolm Griffiths writes that neither of these three joints can move independently of the other two - in other words, movement in one of the joints will always lead to a counter-movement from the other two joints.

 

If there is uneven movement in these three joints we can get a combined joint and muscular torment. This can become so problematic that it will require musculoskeletal treatment to be corrected, e.g. physiotherapy, chiropractic or manual therapy.
Pelvic Anatomy - Photo Wikimedia

Pelvic anatomy - Photo Wikimedia

 

What is pain?

Pain is the body's way of saying that you have injured yourself or are about to hurt you. This is an indication that you are doing something wrong. Not listening to the body's pain signals is really asking for trouble, as this is its only way to communicate that something is wrong. This applies to pain and aches all over the body, not just back pain as so many people think. If you do not take the pain signals seriously, it can lead to long-term problems, and you risk the pain becoming chronic. Naturally, there is a difference between tenderness and pain - most of us can tell the difference between the two.

 

Treatment and specific training guidance by a musculoskeletal expert (physical therapist, chiropractor or manual therapist) is often advised to overcome the problem for a long time. The treatment will target and treat dysfunctions in the muscles and joints, which in turn will reduce the incidence of pain. When the pain is attenuated, it is necessary to weed out the cause of the problem - maybe you have a slightly bad posture that leads to some muscles and joints being overloaded? Unfavorable working position? Or maybe you do not perform the exercises in an ergonomically good way?

 

Pain in the seat? Photo: LiveStrong



Some common causes / diagnoses of tail pain are:

Osteoarthritis (The pain depends on which joints are affected, but tail pain may be due osteoarthritis of the hip)

pelvic locker (pelvic locking and associated myalgia can cause pelvic and tail pain, and further to the hip)

Soft tissue damage

Gluteal myalgia (pain in the seat, against the tailbone and hip, against lower back or hip)

Hamstrings myalgia / muscle damage (causes pain on the back of the thigh and against the tailbone, depending on the area that is damaged)

Iliosacral joint locking (joint restriction in the lumbar and iliosacral joints can cause pain in the tailbone)

Iliopsoas bursitis / mucus inflammation (often results in reddish swelling in the area, night pain and extreme pressure)

Iliopsoas / hip flexors myalgia (Muscular dysfunction in the iliopsoas will often cause pain in the upper thigh, the front, the groin and occasionally the seat)

Ischiofemoral impingement syndrome (most common among women, preferably athletes - involves a squeezing of the quadratus femoris)

Sciatica / sciatica (Depending on how the nerve is affected, it may cause referenced pain against the seat, leg, thigh, knee, leg and foot)

Joint locker / dysfunction in the pelvis, tailbone, hip or lower back

Lumbar prolapse (nerve irritation / disc injury in the L3, L4 or L5 nerve root can cause referred pain in the seat)

Piriformis syndrome (may give rise to false sciatica)

tendon Dysfunction

Spinal stenosis

Spondylistesis

 

Rare causes of sore throat:

Inflammation

Coccyx fracture

hemorrhoids

Infection (often with high CRP and fever)

bone cancer or any other cancer

Make sure you do not walk with sore tail for a long time, rather consult a clinician and diagnose the cause of the pain - this way you will make the necessary changes as early as possible before it has a chance to develop further.

What is a Chiropractor?



Common Reported Symptoms and Pain Presentations in Tail Pain:

Inflammation of the coccyx

- Deafness in the coccyx

- Burning in tailbone

Deep pain in tailbone

Electric shock in tailbone

- Hogging i tailbone

- Knute i tailbone

- Cramps in tailbone

- Joint pain in the coccyx

- Mauring i tailbone

- Murring i tailbone

- Muscle pain in the coccyx

- Nummen i tailbone

- Tendonitis in the coccyx

- Shake in tailbone

- Skewed i tailbone

- Tired i tailbone

Stitching in tailbone

Støl i tailbone

- Sores in the coccyx

- Pain in the coccyx

- Sore tailbone

 

Clinical signs of tailbone pain and tailbone pain

Swelling can occur around a trauma or through an infection.

- Pain during prolonged sitting in a chair, for example during a seminar or flight.

- Pressure tenderness over the pelvic joint may indicate defects in muscular or joint function.

 

How to prevent pain in the coccyx

- Live healthy and exercise regularly
- Seek well-being and avoid stress in everyday life - try to have a good sleep rhythm
- Make sure you have good hygiene
- chiropractor og manual therapists can both help you with joint and muscle ailments.

 

Pain in the pelvis? - Photo Wikimedia

 



Imaging diagnostic examination of coccyx pain

Sometimes it may be necessary imaging (X, MR, CT or diagnostic ultrasound) to determine the exact cause of the problem. Normally, you will manage without taking pictures of the coccyx - but this is relevant if there is a suspicion of muscle damage, fracture of the coccyx or lumbar prolapse. In certain cases, X-rays are also taken with the intention of checking for changes in wear and any fractures. Below you see various pictures of what the coccyx / pelvis looks like in the different forms of examination.

 

X-ray of coccyx and pelvis (from front, AP)

X-ray of female pelvis - Photo Wiki

X-ray image of female pelvis - Photo Wiki

X-ray description - X-ray of the coccyx: In the x-ray above you can see a female pelvis / pelvis (AP view, front view), consisting of sacrum, ilium, iliosacral joint, tailbone, symphysis etc.

X-ray of tail fractures

X-Ray Description: In the X-ray we see a fracture of the tailbone. The woman with the fracture had fallen off her bicycle.

 

MR picture / examination of the coccyx and pelvis

Coronal MRI image of female pelvis - Photo IMAIOS

Coronal MRI image of female pelvis - Photo IMAIOS

MR description: In the MR image / examination above you see a female pelvis in a so-called coronal cross-section. In MRI examination, versus X-ray, soft tissue structures are also visualized in a good way.

 

CT image of the seat

CT image of the seat - Photo Wiki

Here we see a CT examination of the seat, in a so-called cross-section. The picture shows the gluteus medius and maximus, which in pronounced myalgia can cause pain in the coccyx.

 

Diagnostic ultrasound of the seat (above the right tuberosity majus)

Diagnostic ultrasound of the seat - gluteus medius and gluteus maximus - Photo Ultrasoundpaedia

Here we see a diagnostic ultrasound examination of the seat. The examination shows the gluteus medius and gluteus maximus.

 

Time classification of sore throat. Is your pain classified as acute, subacute or chronic?

Pain in the coccyx can be divided into acute, subacute og chronic pain. Acute tailbone pain means that the person has had pain in the tailbone for less than three weeks, subacute is the period from three weeks to three months and the pain that has a duration of more than three months is classified as chronic.

 

Clinically proven effect on the relief of pain in the coccyx

A study published in 2013 (Barton et al) showed that those with weak gluteal muscles had a higher risk of developing PFPS (patellofemoral pain syndrome - in the knee). Chiropractic traction bench therapy can provide symptom relief and functional improvement in spinal stenosis (Cox et al, 2012) which can be a cause of seat pain. A study published in 2015 (Pavkovich et al) showed that dry needling combined with stretching and exercises had symptom-relieving and function-improving effects in patients with chronic thigh and hip pain. A systematic meta-analysis published in 2010 (Kalichman) found that dry needling can be effective in treating musculoskeletal pain problems.

 

Conservative treatment of tail pain

home Practice is often printed and used to address improper use of musculature, with the intention of providing a long-term, long-lasting effect. Ultrasound can be used both diagnostically and as ultrasound therapy, the latter works by providing a deep-warming effect aimed at musculoskeletal problems. Joint Mobilization or corrective chiropractic joint treatment increases the movement in the joints, which in turn allows the muscles that attach to and near the joints to move more freely. Chiropractic joint treatment is often combined with muscle work in the treatment of tailbone problems and muscle tension.

Stretching can be relieving for tight muscles - Photo Seton
Massage It is used to increase blood circulation in the area and thus reduce muscular tension, which in turn can cause less pain. heat treatment used to give a deep-warming effect on the area in question, which in turn can give a pain-reducing effect - but it is generally said that heat treatment should not be applied to acute injuries, as is ice treatment to prefer. The latter is used for acute injuries and pains to help ease the pain in the area. laser treatment (also known as anti-inflammatory laser) can be used at different frequencies and thus achieve different treatment effects. It is often used to stimulate regeneration and soft tissue healing, plus it can also be used anti-inflammatory.

 



List of treatments (both much alternative and more conservative):

 

Chiropractic treatment for tailbone pain

The main goal of all chiropractic care is to reduce pain, promote overall health and improve quality of life by restoring normal functioning of the musculoskeletal system and nervous system. In case of tailbone pain, the chiropractor will both treat the seat locally to reduce pain, reduce irritation and increase blood supply, as well as restore normal movement in the lower back, pelvis and hip. When choosing a treatment strategy for the individual patient, the chiropractor places emphasis on seeing the patient in a holistic context. If there is a suspicion that the seat pain is due to another disease, you will be referred for further examination.

 

The chiropractor treatment consists of a number of treatment methods where the chiropractor mainly uses his hands to restore normal function of the joints, muscles, connective tissue and nervous system:

- Specific joint treatment
- Stretches
- Muscular techniques
- Neurological techniques
- Stabilizing exercise
- Exercises, advice and guidance

 

Chiropractic treatment - Photo Wikimedia Commons

 

What does one do chiropractor?

Muscle, joint and nerve pain: These are things that a chiropractor can help prevent and treat. Chiropractic treatment is mainly about restoring movement and joint function that can be impaired by mechanical pain. This is done by so-called joint correction or manipulation techniques, as well as joint mobilization, stretching techniques, and muscular work (such as trigger point therapy and deep soft tissue work) on the involved muscles. With increased function and less pain, it may be easier for individuals to engage in physical activity, which in turn will have a positive effect on both energy, quality of life and health.

 



Exercises and training in the sore leg

An expert in muscle and skeletal disorders can, based on your diagnosis, inform you about the ergonomic considerations you must take to prevent further damage, thus ensuring the fastest possible healing time. After the acute part of the pain is over, in most cases you will also be assigned home exercises that also help to reduce the chance of relapse. In chronic conditions it is necessary to go through the motor movements you do in everyday life, in order to weed out the cause of your pain occurring time and time again.

In case of pain in the tailbone, tight muscles are often included in the diagnostic picture, so stretching hamstrings, gluteal muscles and lumbar muscles can have a positive effect. It may also be beneficial to train stability in the hip, pelvis and lower back. Feel free to use these exercises for gentle (but very effective) training of deep lower back muscles.

 

Women's advice against pain in the tailbone

We choose to bring some rubbish advice against sore throat. We have also tried to understand the meaning behind them and thus put a little explanation in brackets.

- Drink ginger tea (Ginger reduces muscle pain)
Rest in the sun (The sun provides the basis for vitamin D. Vitamin D deficiency has been linked to increased muscle pain)
- red bell pepper powder (Red bell pepper has among the very highest content of vitamin C - needed for soft tissue repair)
- Eat blueberries (Blueberries have a pain-relieving and anti-inflammatory effect)
- Eat onions and garlic (This one we're not sure about, but maybe again it's the focus on anti-inflammatory action?)

 

Also read: - Is it tendonitis or tendon INJURY?

Is it a tendon inflammation or tendon injury?

Also read: - Ischiofemoral impingement syndrome: A rare cause of chronic seat pain

Gluteal and seat pain

 

References:
  1. Barton et al (2013). Gluteal muscle activity and patellofemoral pain syndrome: a systematic review. Br J Sports Med. 2013 Mar; 47 (4): 207-14. doi: 10.1136 / bjsports-2012-090953. Epub 2012 Sep 3.
  2. Cox et al (2012). Chiropractic management of a patient with lumbar spine pain due to synovial cyst: a case report. J Chiropr Med. 2012 Mar; 11 (1): 7–15.
  3. Pavkovich et al (2015). EFFECTIVENESS OF DRY NEEDLING, STRETCHING, AND STRENGTHENING TO REDUCE PAIN AND IMPROVE FUNCTION IN SUBJECTS WITH CHRONIC LATERAL HIP AND THIGH PAIN: A RETROSPECTIVE CASE SERIES. Int J Sports Phys Ther. 2015 Aug; 10 (4): 540–551. 
  4. Kalichman et al (2010). Dry Needling in the Management of Musculoskeletal Pain. J Am Board Fam MedSeptember-October 2010. (Journal of the American Board of Family Medicine)
  5. Images: Creative Commons 2.0, Wikimedia, WikiFoundy, Ultrasoundpaedia, LiveStrong

 

Also read: Are you struggling with 'restless bones'in the evening and at night?

Restless bone syndrome - neurological sleep state

 

Frequently Asked Questions Regarding Pain In Tailbone And Tail Pain (Pain In Tailbone And Tail Pain):

 

I have pain in my tailbone and tailbone pain for no reason. Do you have any theory or answers as to why I might have a sore tail even without hitting myself?

Pain is the body's way of warning you. You do not normally get pain in the tailbone or tailbone pain for no reason. A possible reason or cause may be that you have dysfunctions in the pelvis, lower back and / or nearby gluteal muscles - the muscles in the glans can refer to pain towards the coccyx and especially the piriformis and gluteus maximus and gluteus medius are known to contribute to pain in this the area. Other muscles - more internal such - are the sphincter ani, levator ani and coccygeus.

 

Q: Can foam roll help me with the tailbone?

Answer: Yes, a foam roller can help you in part, but if you have a problem with the coccyx, we recommend that you contact qualified health professionals in musculoskeletal disciplines and get a qualified treatment plan with associated specific exercises. Foam roller is often used against the outside of the thigh, against the iliotibial band and tensor fascia latae - which can take some pressure off the seat and hip.

 

Q: Why do you get pains in the tailbone?
Answer: Pain is the body's way of saying that something is wrong. Thus, pain signals must be interpreted as meaning that there is a form of dysfunction in the area involved, which should be investigated and further remedied with proper treatment and exercise. Causes of pain in the seat can be due to sudden misload or gradual misload over time, which can lead to increased muscular tension, joint stiffness, nerve irritation and, if things have gone far enough, discogenic rash (nerve irritation / nerve pain due to disc disease in the lower back, so-called lumbar prolapse with affection against L3, L4 or L5 nerve root).

 

Q: Pregnant woman asks - what should be done with a sore tailbone full of muscle knots?

Reply: muscle knots has most likely occurred due to muscle imbalance or incorrect load. Associated muscle tension can also occur around joint locks in nearby lumbar, hip and pelvic joints. Initially, you should get qualified treatment, and then get specific exercises and stretching so that it does not become a recurring problem later in life. Some people think that a so-called pregnancy pillow can provide good relief for sore back and pelvic pain. If so, we recommend Leachco Snoogle, which is the best seller on Amazon and has over 2600 (!) positive feedback.

 

Frequently Asked Questions About This Topic: Tail Pain, Tail Pain, Tail Pain

 

 

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3 replies
  1. Helle says:

    Hello. I have pain in the bottom of the tailbone right by the butt in a way. It has been sore and painful for about 3 months now and does not go away. Talked to my doctor the last time I was there (for other reasons) and he said it was probably muscular but that I should come back after a month if it did not go over. That was in April. The last few days it's a little more painful. Mostly when I get up and when I bend my knees but also a little when I walk. Trying to feel but only knows the bone and that it is like a huge bruise that sits in the middle of the bone. The doctor did not have an appointment until the end of June so I thought I would ask here. It's annoying when I work in bhg and am very active. And especially every time I sit, it's like it rushes through inside the tailbone / buttocks region. Also feel it while sitting, slight discomfort then.
    Regards Helle Sundvall Hovde

    SVAR
    • Alexander v / Vondt.net says:

      Hi Helle,

      There can be - and are probably - several causes of the pain you experience in the sacrum / coccyx. First rule: It's never "just muscular". A musculoskeletal problem always involves several components such as muscles, tendons and joints.

      MUSCLES AROUND THE TAIL
      But he is probably right that muscles are part of the problem. Particularly tight (and often weak) gluteal muscles, as well as dysfunctional piriformis muscle can lead to deep pain as you describe. The latter in particular are often involved and can also in certain cases lead to what we call sciatica (sciatica symptoms / ailments due to muscles and / or joints).

      PELVIN JOINTS AND TAILS
      There is also a strong suspicion that your lower back and pelvis are involved in this - often in combination with many exposed lifts in your job in the kindergarten. This can then be what we call reduced joint movement / joint restriction in one of the pelvic joints, which thus causes an incorrect load when you sit and compress the joint. The pelvic joint is known to be a "weight transmitter" that is to transfer the weight from the lower part of the body and further towards the back. In the event of a malfunction here, this could also go beyond the intervertebral discs (the soft "shock absorbers" between the vertebrae and muscles in the area.

      FURTHER MEASURES AND QUESTIONS
      1) You should consult a muscle and joint expert for an assessment (eg chiropractor). If you contact us at PM via our facebook page then we can help you with a recommendation. Ok?
      2) Have you experienced numbness / radiation or tingling down your legs? Possibly some decreased muscle strength or muscle failure?

      Regards.
      Alexander v / Vondt.net

      SVAR
  2. Helle says:

    So quick response! Super!
    I have not experienced numbness, tingling or decreased muscle strength.
    I work with young children and lift regularly at work, but I am aware of how I lift.
    Straighten your back, bend your knees and lift with your legs. But this is probably related yes. Sends report of recommendation to chiropractor. Thank you very much.

    SVAR

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