সংজ্ঞা

Coccydynia is pain in the area of the coccyx, or tailbone. The coccyx is a small, curved, V-shaped bone at the bottom of the spine.

Coccydynia

কারণসমূহ

This condition is caused by an injury or stress that affects the tailbone, as well as the muscles and nerves surrounding it. Examples include:

  • Fall or trauma
  • Pressure and strain, as during childbirth
  • Prolonged sitting on hard surfaces
  • Spinal cyst or tumor
  • Dislocation from injury or obesity, which can cause bones to shift
  • Repeated stress (eg, horseback riding, bicycling, motorcycle riding)

ঝুঁকির কারণ

These factors increase your chance of developing coccydynia:

  • লিঙ্গ মহিলা
  • Brittle bones (eg, osteoporosis, arthritis)
  • Low back pain
  • Participation in contact sports or certain activities (eg, horseback riding)
  • Infections (eg, tuberculosis, osteomyelitis)
  • স্থূলতা

আপনার যদি এই ঝুঁকির কারণগুলির কোনটি থাকে তবে আপনার ডাক্তারকে বলুন।

লক্ষণ

If you have any of these symptoms, do not assume it is due to coccydynia. These symptoms may be caused by other conditions. Tell your doctor if you have any of these:

  • Pain when:
    • Sitting down
    • Changing position from sitting to standing
    • Moving bowels
    • Having sex
  • Tenderness directly over tailbone
  • All-over backache
  • Pain or spasm of pelvic muscles

রোগ নির্ণয়

Your doctor will ask about your symptoms and medical history. He will do a physical exam, looking to see if the tailbone area is swollen, red, or warm. Tests may include:

  • সিটি স্ক্যান—এক ধরনের এক্স-রে যা শরীরের ভিতরের কাঠামোর ছবি তুলতে কম্পিউটার ব্যবহার করে
  • X-ray —a test that uses radiation to take a picture of structures inside the body, especially bones

These tests can show if there is a fracture or dislocation.

চিকিৎসা

আপনার জন্য সেরা চিকিত্সা পরিকল্পনা সম্পর্কে আপনার ডাক্তারের সাথে কথা বলুন। চিকিত্সার বিকল্পগুলির মধ্যে নিম্নলিখিতগুলি অন্তর্ভুক্ত রয়েছে:

  • Bed rest
  • Use of special pillows to sit on
  • Sitz baths (which involves soaking hips and buttocks)
  • Medication, including steroid injections, pain medications, stool softeners
  • Manual realignment of spine
  • Relief of pain by massage of surrounding nerves
  • Physical therapy, involving:
    • Strengthening of muscles in pelvic area
    • Relief and stimulation with heat therapy and ultrasound therapy

প্রতিরোধ

To help reduce your chance of getting coccydynia, take the following steps:

  • Learn proper sitting posture.
  • If you have to sit for long periods at work, ask for an ergonomics consultation.
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