Coccyx Fracture (tailbone fracture), Symptoms and Rehab

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The coccyx, also known as the tailbone, is a small triangular bone at the bottom of the spine. A coccyx fracture is a break in this bone, usually caused by a fall onto the buttocks or a direct blow to the area.

Coccyx fractures are relatively rare and often heal on their own with conservative treatment such as pain management and rest. However, in some cases, the fracture may require medical intervention, such as surgery or manipulation of the bone, to alleviate pain and aid in healing.

Symptoms of a coccyx fracture include pain and tenderness in the tailbone area, swelling, bruising, difficulty sitting or standing for long periods, and pain during bowel movements. If you suspect that you have a coccyx fracture, it is important to seek medical attention promptly to prevent further damage and promote healing.

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Can you self-treat coccyx fracture?

It is not recommended to attempt self-therapy for a coccyx fracture as it can worsen the condition or cause further injury. It is important to seek medical attention promptly if you suspect you have a coccyx fracture. Your doctor can determine the severity of the fracture and recommend an appropriate treatment plan.

However, if you are experiencing mild to moderate pain from a coccyx injury, there are some self-care measures you can take to help manage your symptoms. These include:

  1. Rest: Avoid sitting for prolonged periods, especially on hard surfaces. Lie down on your stomach or side as much as possible to relieve pressure on the tailbone.

  2. Ice therapy: Apply an ice pack to the affected area for 15 to 20 minutes at a time, several times a day. This can help reduce pain and swelling.

  3. Pain management: Over-the-counter pain medications such as acetaminophen or ibuprofen can help relieve pain and inflammation.

  4. Use a cushion: If you need to sit, use a cushion or pillow with a hole in the center to reduce pressure on the coccyx.

  5. Physical therapy: Your doctor may recommend gentle stretching exercises or other physical therapy techniques to help reduce pain and improve mobility.

It is important to follow your doctor's advice and avoid any activities or movements that may worsen your condition. With proper treatment and self-care, most people with a coccyx fracture can recover fully within a few weeks to a few months.

What does physical therapy look like for coccyx fracture?

Physical therapy for a coccyx fracture typically focuses on relieving pain, improving mobility, and restoring function to the affected area. The specific treatment plan will depend on the severity of the fracture and other individual factors, and should be developed in consultation with a healthcare professional.

Some common physical therapy interventions for coccyx fracture may include:

  1. Soft tissue massage: This involves gentle manipulation of the soft tissues around the coccyx to help reduce pain and improve circulation.

  2. Stretching exercises: These exercises help to improve flexibility and mobility in the surrounding muscles, such as the hip flexors, glutes, and lower back muscles.

  3. Strengthening exercises: These exercises are designed to help build strength in the muscles around the coccyx, which can help support the area and prevent further injury.

  4. Posture and body mechanics training: Your physical therapist may teach you proper posture and body mechanics to help reduce stress on the coccyx and prevent future injuries.

  5. Modalities: Your physical therapist may also use modalities such as heat or cold therapy, ultrasound, or electrical stimulation to help reduce pain and promote healing.

Overall, physical therapy for a coccyx fracture is aimed at helping patients manage their pain, regain function, and return to normal activities as soon as possible. With proper treatment and guidance from a healthcare professional, most patients with a coccyx fracture can achieve a full recovery within a few weeks to a few months.