Coccyx pain, subluxation of mechanical origin (coccydynia)
The coccyx or tailbone (popularly known as tailbone or corner) is the last segment of the spine, is located below the sacrum is composed of four or five pieces generally attached and some people articulated into two segments (coccygeal vertebrae) in triangle shape. The coccyx provides inserts of the coccyx and gluteus maximum and the ligament fibrous intersection of the muscle, as part of what is known as pelvic diaphragm or perineal region.
Three signs characterized by coccydynia:
- Pressure pain at the tip of the coccyx
- Pressure pain in the sacro-coccygeal interlining
- Spasm of the per-coccygeal muscles
The pain in the tailbone area called coxigodinia. The coxigodinia can range from mild discomfort to severe pain.Sitting causes or aggravates the pain, so that is actually a group of conditions that may have different causes and require different treatments.
Injuries can be traumatic from falls backwards, or by micro trauma to repeat as cyclists and riders, by internal pressure as in the time of delivery, and in some cases by tugging on the meninges (membranes that surround the central nervous system and which terminate in a strong thread in the coccyx).
Other times you appear related to a lumbosacral problem; follow LBP and lumbosacral may disappear after adjustments
In the case of birth injury has the particularity that movement is coccyx posteriorly, while in other cases it is generally above.
Traumatic injuries may be fractures, dislocations or subluxations, in cases of fracture behavior is to follow the rest waiting to be consolidated and resolved cases of non-surgical solution is sometimes needed.
Falling on the buttocks is the usual cause of traumatic coccigodinias, the authors representing 60 to 70% of cases. Generally coccygeal pain is immediate, but in some cases may be a time lag of one month to two years between the fall and the establishment of coccydynia; during the interval a slight pain or prolonged contact is seen seated.
There are also non-traumatic causes of pain in the coccyx area, such as anorectal infections, cysts or tumors whose presumption requires the chiropractor to specialist referral and treatment escapes your chiropractic concerns.
In cases of subluxation, many orthopedic surgeons choose infiltration analgesic obtaining results that are often temporary, analgesia achieved can relax the muscle spasm and prolong coccygeal benefit.
It is also useful for pain using specially designed cushions where the pressure on the tailbone is avoided.
Chiropractic treatment instead seeks to reduce subluxation or tailbone is the alignment by adjusting both the sacroiliac joint, coccyx and work on the ligaments and muscles to relieve tension and prevent spontaneous recurrence.
The above position is a disadvantage because the tailbone is turned inward on the pelvic floor, and this complicates the external approach. Simultaneously, it can be pulled to the right or left, and this is reflected in the increased tension in the sacro-tuberous ligament.
Treatment begins with external correction maneuvers, although they are not the most effective, they are the most comfortable for the patient and with some frequency and in combination with settings sacroiliac joint is usually enough, but if that does not result positive correction in a couple of sessions, you should propose to the patient’s internal correction, which although it is more uncomfortable that is performed by a digital rectal examination, is more direct, is not painful and is more biomechanically efficient.
It is clear that this type of procedure may make some people uncomfortable, both physically and emotionally. Physically, if the coccyx is extremely sensitive, you may be reluctant to let anyone touch it. And emotionally, this type of internal adjustment can refer to issues of intimacy and vulnerability.
The chiropractor will do everything possible to make the experience not physically or emotionally painful for the patient.
With female patients, it is performed in the presence of a family member or if you prefer an assistant for your comfort and safety.
In the previous sessions will clearly explain the procedure to the patient’s prior authorization will be made if it is an adult, and if less, will also require the consent, the consent of parents.
The adjustment is smooth is not a sudden maneuver, is a slow release which is nothing more uncomfortable than a rectal exam.