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What Ailments Can Contribute To Constant Pain At The Base Of The Spine Upon Sitting For A Long Duration?
Question: I would like to seek expert advice regarding a condition of my wife. Since 2-3 weeks she is complaining of pain at the very base of the spine, just above the anus (probably end of the tail bone). It pains while sitting for 30-40 minutes continuously or during vehilcular jerks on the roads.
Could this be anything related to Gynec or do I have to consult a different specialist. Who would that specialist be?
Please let me know if you have any additional questions to assess this case.
Thanks.
Could this be anything related to Gynec or do I have to consult a different specialist. Who would that specialist be?
Please let me know if you have any additional questions to assess this case.
Thanks.
Brief Answer:
Suggestive of coccydynia.
Detailed Answer:
Hello,
The symptoms you have described are suggestive of coccydynia caused by inflammation of the coccyx bone. The symptoms are generally worse when sitting for prolonged periods of time, or with direct pressure to the tailbone area.
Follow these measures for relief from the symptoms:
1) Avoid sitting down for long periods of time. When seated, avoid sitting on hard surfaces and try to do alternate sitting on each side of the buttocks. Also, lean forward and direct your weight away from the tailbone.
2) Take adequate rest and apply cold compresses, avoid any injury to the affected area and take some anti-inflammatory and pain medications like ibuprofen (motrin) or diclofenac. Some severe cases with persistent coccydynia are treated with a local cortisone injection and surgical resection of the coccyx.
This is not a gynecological issue. She needs to consult an orthopedician for proper examination and prescriptions.
3) She can also use a "doughnut" cushion or pillow to sit on. This cushion has a hole in the middle of it to prevent the tailbone from contacting the flat surface.
4) Also, eat a high fiber diet foods to soften stools and avoid constipation.
I hope this answers your query.
Wishing you good health.
Regards,
Dr. Praveen Tayal, Orthopaedic Surgeon
Suggestive of coccydynia.
Detailed Answer:
Hello,
The symptoms you have described are suggestive of coccydynia caused by inflammation of the coccyx bone. The symptoms are generally worse when sitting for prolonged periods of time, or with direct pressure to the tailbone area.
Follow these measures for relief from the symptoms:
1) Avoid sitting down for long periods of time. When seated, avoid sitting on hard surfaces and try to do alternate sitting on each side of the buttocks. Also, lean forward and direct your weight away from the tailbone.
2) Take adequate rest and apply cold compresses, avoid any injury to the affected area and take some anti-inflammatory and pain medications like ibuprofen (motrin) or diclofenac. Some severe cases with persistent coccydynia are treated with a local cortisone injection and surgical resection of the coccyx.
This is not a gynecological issue. She needs to consult an orthopedician for proper examination and prescriptions.
3) She can also use a "doughnut" cushion or pillow to sit on. This cushion has a hole in the middle of it to prevent the tailbone from contacting the flat surface.
4) Also, eat a high fiber diet foods to soften stools and avoid constipation.
I hope this answers your query.
Wishing you good health.
Regards,
Dr. Praveen Tayal, Orthopaedic Surgeon
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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