Tailbone or Coccyx Injuries

Fall on Low Back or Seat Bones May Cause Pain, Bruising and Injury

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Coccyx or Tailbone Injuries Can Be Painful - Magnus Manske
Coccyx or Tailbone Injuries Can Be Painful - Magnus Manske
Falls or other injuries to the coccyx, the lowest part of the spinal column, can cause misalignment, bruising, pain, cramps, constipation and other digestive complaints.

The coccyx or tailbone is one of the smallest bones in the body, but it sure hurts when it's injured – and untreated tailbone injuries can have serious health consequences, including cramps, digestive problems, leg and low back pain.

What is a Coccyx Injury?

The coccyx (pronounced "cock-sicks") or tailbone is made up of the final, bottom vertebrae in the spinal column. These vertebrae are typically well-protected, but when they are injured during a fall or other trauma, the tailbone can be bruised or misaligned. Coccyx pain, called coccygodynia or coccydynia, is very common after a fall on the lower back or seat bones.

An injury can misalign the tailbone so that it is in the wrong place, either side to side (to the left or right) or positioned too far to the front or back. Any form of misalignment can cause problems because of the many nerves and muscles that are attached to the coccyx – nerves that run throughout the entire spine, the muscles of the pelvic floor, intestinal regions, and the thigh and upper leg.

How Does Tailbone Injury Happen?

Coccyx injuries usually happen because of a fall - down stairs, on ice, or onto any hard surface that impacts the posterior. Tailbone injuries are more common in women because the shape of a woman's pelvis leaves the coccyx more exposed.

Some of the reasons for coccyx injuries include:

  • A fall onto the tailbone
  • Direct impact during sports or violence
  • Coccyx misalignment or fracture during childbirth
  • Repetitive strain while rowing, cycling, etc.
  • Bone spurs, infection, and tumors are the least common causes of tailbone injury

Risks and Effects of Coccyx Injuries

Medical wisdom says that most coccyx injuries repair themselves given time, but holistic experts believe otherwise.

In the immediate aftermath of a coccyx injury, while bruises are healing, doctors usually warn patients to expect discomfort during bowel movements and some constipation. These problems are expected to clear up as bruising heals – but they often don't, and other problems can appear with time.

Because the nerves and muscles connected to the tailbone run throughout the lower body and up the spine, the effects of coccyx injuries can be far reaching:

  • headaches
  • low back pain
  • sciatica pain
  • pain in the coccyx area that does not abate over time (coccygodynia or coccydynia)
  • chronic digestive problems, especially constipation
  • menstrual cramps
  • pain during intercourse (for women)

Some of these problems may appear right after a tailbone injury, while others show up in the following months or years. Even if am injury appears to be healing on its own, it's usually a good idea to investigate treatment (see below) to realign the lower spine.

Treatments and Solutions for Coccyx Injuries and Pain

Most doctors recommend that pain be treated with ice, pain killers, and by avoiding further trauma to the area using special coccyx cushions that avoid placing pressure on the tailbone, so that coccydynia can mend itself.

If coccyx pain (and its associated problems) does not go away within a few weeks, the only medical option is surgery to remove the coccyx – which does not always work to alleviate the pain (prompting some doctors to consider lasting coccyx pain a psychosomatic issue instead of a physical pain condition).

A more holistic approach links many symptoms (see above) with tailbone injuries. These problems are best addressed by healing the source of the problem – the original coccyx misalignment.

Coccyx injuries can be treated on a deep level through practices like reiki, energy medicine, and acupuncture, but the most effective treatments for this kind of injury are craniosacral massage and osteopathy. These practices correct the subtle misalignment of the coccyx that causes digestive problems, cramps, and low back pain – bringing relief for pain and any other symptoms.

Sources

  • eMedicine Health, "Tailbone (Coccyx) Injury," eMedicineHealth.com, 2009.
  • Sick Kids (The Hospital for Sick Children), "Tailbone Injury," AboutKidsHealth.com, 21 June 2004.
  • WebMD, "Tailbone (Coccyx) Injury," WebMD.com, 2009.
Victoria Anisman-Reiner, B.Sc., C.C.A., C. Anisman-Reiner

Victoria Anisman-Reiner - Victoria Anisman-Reiner is a freelance writer with extensive experience in holistic health care and animal training.

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18 Comments

Comments

Mar 28, 2010 1:53 AM
Guest :
I found it to be informative and comprehensive.
I just fell today and I was quite shaken by it. Needless to say, I'm having some aches and pains and I feel quite sore, especially in the tailbone area. Oh boy!!
Jul 8, 2010 3:12 AM
Guest :
I had a fall and landed on my tail bone more than 18 months ago. I was told there is no treatment for it (conventional doctor). About six months ago I started to do breast stroke during my daily swim. The breast stroke kick seems to cause re-alignment somehow. I now have no pain on the days I swim--I do at least two-three laps of breast stroke and kick out HARD. If I miss two days of swimming and sit for an extended period, the pain returns. I hope this suggestion works for everyone.
Jul 13, 2010 11:13 PM
Guest :
I think it sounds like what I have and it really Hurts.
Aug 20, 2010 9:37 AM
Guest :
Best I've seen so far ... thanks. SL
Aug 28, 2010 10:16 AM
Guest :
Has anyone tried and found helpful any of the following: 1)craniosacral massage 2)osteopathy or 3)having a chiropractor or physiotherapist go through the anus and rock the broken coccyx back to it's original position?
I have a broken tailbone and herniated disc and I'm in so much pain and the conventional doctors I've seen disagree with one another regarding treatment
Oct 19, 2010 1:22 AM
Guest :
Had a fall on friday the 15th rush to hospital xray found that had a broken tail bone painful week off work but could take up to 6 to 8 week to mend
Oct 31, 2010 8:58 AM
Guest :
This was VERY helpful to me. I suffered a fall on January 6th and I am continuing to have problems with my left leg (numbness, pain, tingling) and my lower back running up into my left arm. I can't do the things I loved to do (i.e. swimming, biking, walking, sitting)! I was injured at work and due to the bosses FAILURE to file a work comp claim on time, I HAD to work through my injury! The bosses blew me off like I was faking it or something. I wasn't compensated for time off NOR did I receive the medical help I needed! I am far from my "normal" self. Going to the bathroom is STILL painful and I am almost always constipated! :( The medicine prescribed to me helps some, but I don't want to be dependent on medicine to lead a normal life! I now have a lawsuit against my ex-bosses/insurance company for PROPER medical treatment. I am unemployed and have no income all due to this serious injury.
Nov 4, 2010 9:10 PM
Guest :
Helpful and informative. I fell down about 17 stairs and landed on my coxis on a concrete floor.. Needless to say ...great pain and discomfort. Going on 4th week and still hurting. I will purchase the donut to relieve the pressure when sitting and will see an osteopath or chiropractor whichever will be easier to arrange.

Article reassuring in that this thing more or less will heal itself in most cases . I think it makes sense to see a chriopractor or osteopath.
Dec 31, 2010 10:11 AM
Guest :
Chiropractor broke my tailbone.. careful when choosing one, do lots of research!
Jan 22, 2011 5:10 PM
Guest :
This article is very thorough. Easy to understand. I fell down some stairs last month(first time on the 21st and second time on the 25th) and while the bruises are gone I am still having pain and discomfort when I get up from a chair. How long is it supposed to take to completely heal?
Jan 28, 2011 1:18 PM
Guest :
I broke my coccyx 3 years ago and today i had a fall down the stairs,i am in alot of pain on mainly on my right buttock,i am worried that i may have caused some more damage to my coccyx again,can anyone advise me please.Donna
Feb 3, 2011 9:38 PM
Guest :
I posted the 10/31/10 comment. MY UPDATE: I had an MRI (to find soft tissue damage), they found a tear,a bulging disc & I have degenerative disc disease.I still have pain when I sit, I still have numbness and discomfort from left buttock down left leg to foot which is cold & tingly, and I am still on medication (one that works best so far for me is called NEURONTIN). I am seeing a neurologist for my injuries (Dr. Nick Nenadovich) & the therapist I saw can't work on my back until they get the pain out of my leg (sciatic nerve damage)& locate it to my back (where it should be-therapist said). So next step Dr. says is an epidural to help relieve the pain in the back (and hopefully other places too). There is video on YouTube showing an epidural procedure for pain. The nurses I know all agree w/ Dr.'s decision saying an epidural will make you feel better. I will post more about my condition around the 9TH after the epidural. Hope this post helps!
Feb 13, 2011 7:44 PM
Guest :
i think i injured mine..i slipped on ICE while carring my 2 yr old.. :( i guess im going to need treatment
Feb 14, 2011 3:40 AM
Guest :
I think i have injured my coccyx as when playing football twisted by back when skilling i thought it would repair its self but it has been over a month and still hurts
Feb 27, 2011 9:17 PM
Guest :
OK...I had my epidural (it was NOT horrific either) and I waited this long to write about it so I could see fully it's accomplishments. I have to say it was NOT worth the long wait I had to endure for no notable results! I am still suffering with ALL the symptoms I had prior. It has been 1 year and almost 2 months since the fall. The ONLY thing that has helped me through all of this has been the pain medication and the Neurontin. Vicodin helps ease the pain, but I still have to deal with numbness, sensitivity, pins & needles, pain when sitting on hard surfaces. I am not sure what is going to happen next. I have an appointment with Dr. Nenadovich tomorrow, then I will find out what the next step will be. I will continue to post on my situation in hopes of helping anyone I can.
Mar 4, 2011 10:49 PM
Guest :
i fell 3 years ago and wrapped myself around a beam from gymnastics its been a year now sence i started feeling numbness in the leg and foot. my lower back hurts sometimes but not as much as my right leg. i want it to go away cause it is the worst pain to feel when you wanna go do something and you cant. please help!
Jan 16, 2012 10:54 AM
Guest :
when i was little i damaged my coccyx bone on a pogo stick and found out my coccyx bone is slightly different from everyone elses, i have now damaged my sciatica nerve could these be related ?
Feb 4, 2012 6:16 AM
Guest :
i have a icy cold feeling down my leg after a fall down stairs 1 year ago anyone got any suggestions as to help myself thanks guest
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