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What Causes Tailbone Pain With A Persistent Lump?
Question: Hi. Tailbone pushed too hard in massage followed by what felt like bleeding in that area, plus discoloration on the outside, about 4 inch diameter bruise area...post 3 months, lump still there, feels like a mass inside, jelly like , not soft, not hard.plus can't sit for long as buttocks go numb ........ultrasound says no hematoma......lump inside is same size, plus am having pain in lump area as well as down inside of right leg........ read online re thrombophob, but not available here in Canada...what should be done?
Brief Answer:
MRI scan will help.
Detailed Answer:
Hello,
Thanks for posting your query.
The pain in the area and a persistent lump is likely to be due to a soft tissue injury in the area. Due to the local swelling it is causing a mild nerve root compression that is leading to numbness. An MRI scan will help in detecting the proper site and extent of injury that you have suffered.
Applying throbophob ointment 3 months after the injury will not help.
Follow these measures for relief from the symptoms:
1) Avoid sitting down for long periods of time. When seated, do not sit on hard surfaces and 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 re-injury to the affected area and take some antiinflammatory and pain medications like ibuprofen(motrin) or diclofenac. Some severe cases with persistent coccydynia are treated with local cortisone injection and surgical resection of the coccyx.
3) You 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.
For persistent symptoms do consult an orthopedician for MRI scan.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
MRI scan will help.
Detailed Answer:
Hello,
Thanks for posting your query.
The pain in the area and a persistent lump is likely to be due to a soft tissue injury in the area. Due to the local swelling it is causing a mild nerve root compression that is leading to numbness. An MRI scan will help in detecting the proper site and extent of injury that you have suffered.
Applying throbophob ointment 3 months after the injury will not help.
Follow these measures for relief from the symptoms:
1) Avoid sitting down for long periods of time. When seated, do not sit on hard surfaces and 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 re-injury to the affected area and take some antiinflammatory and pain medications like ibuprofen(motrin) or diclofenac. Some severe cases with persistent coccydynia are treated with local cortisone injection and surgical resection of the coccyx.
3) You 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.
For persistent symptoms do consult an orthopedician for MRI scan.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by :
Dr. Raju A.T
Thank you for your prompt reply.
I forgot to add that I have a bulging disc (L3-L4), so it is too painful for me to lean/bend forward. Also, the lump has not decreased in size. What is the probability that it will decrease in size given that it has been the same size for three months? I will contact you when I have the results of the MRI.
XXXX
I forgot to add that I have a bulging disc (L3-L4), so it is too painful for me to lean/bend forward. Also, the lump has not decreased in size. What is the probability that it will decrease in size given that it has been the same size for three months? I will contact you when I have the results of the MRI.
XXXX
Brief Answer:
Yes. It can decrease.
Detailed Answer:
Hello.
Thanks for writing again.
The lump can be a fibrosed area or a benign mass. This can resolve with time if it is a fibrozed hematoma. Do share your MRI report with me.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Yes. It can decrease.
Detailed Answer:
Hello.
Thanks for writing again.
The lump can be a fibrosed area or a benign mass. This can resolve with time if it is a fibrozed hematoma. Do share your MRI report with me.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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