Trinity Tailbone Pain & Physiotherapy Center - JP Nagar

Dementia is a general classification of a brain disease that causes a long haul and frequently steady abatement in the capacity to think and recall that is sufficiently incredible to influence a man's everyday  functioning. Other normal manifestations incorporate passionate issues, issues with dialect, and a lessening in motivation. An individual's awareness is not influenced. The most common example of dementia is the Alzheimer's disease.

Physiotherapy for Dementia:
A patient with dementia can benefit from physiotherapy regardless of the possibility that the patient can't perceive their own family. Physiotherapy, notwithstanding, can be of good advantage to the individual who has dementia and also their family and parental figures at different stages. The principle explanation behind this is that recovery administrations can help the dementia patient to be as utilitarian as would be prudent for whatever length of time that is conceivable. Here are 5 ways physiotherapy benefits an Alzheimer's patient:

1. Physiotherapy can keep up the Alzheimer's patient's freedom and mobility as much as one could expect reasonably. A physiotherapist can outline a home activity program and work intimately with relatives to administer to the Alzheimer's patient.
2. Physiotherapists, as independent experts, embrace much detailed, separately custom-made appraisals of the disorders, action confinements and restrictions imposed upon individuals with dementia.
3. The caretakers of individuals with dementia regularly show weakness when contrasted with their same aged companions. Physiotherapy helps with diminishing the weight of consideration by instructing caregivers to provide encouragement and upliftment to individuals with dementia.
4. Patients with dementia are always at a risk of falling down and hurting themselves. Poor balance accounts for the danger of falls. This can be worked upon and improved by physiotherapy driven exercises. Exercise can have a huge and positive effect on behavioral and mental indications of dementia, enhancing psychological capacity and mindset, which can decrease the doses of strong medicines. Special exercise routines are assigned to the patients which help improve their body balance while walking.    
5. Physiotherapy has crucial influence in advancing and keeping up portability of individuals with dementia. It assumes a basic part in the end of life consideration by overseeing situations, seating and complicated muscle contracture. Individuals with dementia regularly experience issues in communicating pain. Pain influences cognizance, inspiration and reaction to any intervention. Physiotherapists are specialists in recognizing and treating pain in dementia patients and give training to care home staff and caregivers of the patients.

Physiotherapy is very important for dementia patients. Regular physiotherapy sessions are beneficial for patients for improvement in condition. If you wish to discuss about any specific problem, you can consult a physiotherapist.

Hello All,

I am Dr. Rajveer here, sharing exerience of mine with regards to treatment of coccydynia / Tailbone Pain. We get 70-80% cases from sitting professionals. Therefore be alert you might be one of them. Be careful before you reach me for treatment. To avoid damage, regular with exercise, walking, jogging, running, as per your interest. And if anything​ major kindly contact us.

According to many fitness experts, swimming can be an effective and rigorous fitness workout for people of all age, and everyone should try to hit the pool every day. While this is a regular regime for some, many are into a misconception that swimming is like child’s play. There are also those who think that swimming is not an effective form of weight loss. But the reality is that swimming is one of the best cardio exercises, and you must include it in your regular fitness regime.

And, in case you are running out of reasons to indulge in swimming, here are a few important points to convince you.

1. Swimming is good for heart health: Swimming is known to provide an unparalleled conditioning of cardiovascular health if you can practice it with an untainted consistency. Even though other kinds of exercise such as running or cycling can be more effective to boost the levels of metabolism, you should include swimming in cross-training routine. Pushing yourself to swim regularly will improve the overall fitness.
2. Helps in balancing the structure of muscles: Swimming aids in building longer and leaner muscles which complement the denser muscles produced from weight training. These newly formed muscles also aid in speeding up the metabolism process for keeping the calorie for burning longer.
3. Swimming is an excellent form of cross-training: Swimming helps in improving the cardiovascular capacity and increase muscle strength. But the reason why swimming is famous among fitness enthusiasts is that swimming offers the much-needed break from the high impact workouts such as weight-lifting, running and basketball. It allows athletes a respite from the regular intensive routine and helps the body to heal properly without compromising the daily fitness sessions.
4. Swimming helps in improving the overall flexibility of the muscles: Hitting the pool gradually relaxes the major muscle groups in the body and increase flexibility along with stretching it. If you indulge in lactic acid building workouts such as weight-lifting, cycling and running, swimming for half an hour assists in flushing out the toxins and spare the muscles from becoming tight and sore the following day.
5. Assists in strengthening the core: One of the most prominent reasons why you should hit the pool regularly is that it helps in improving the core body strength. This is due to utilisation of the major muscle groups at the same time. Even though about 70 percent of the body’s effort rises from the upper portion, moves such as fin and kickboard can offer an excellent lower body workout.

To sum up, these benefits are definite to compel anyone to consider swimming on a regular basis and improve the quality of life without hurting the muscles. And in no time, you would start enjoying it too!" If you wish to discuss about any specific problem, you can consult a physiotherapist.

Standing becomes easier then sitting: Tailbone pain / Coccydynia

Back problems account for more than 12 million visits to doctors each year. Besides the common cold, back pain results in more lost workdays than any other physical affliction in persons under the age of 45. Back problems can lead to nerve irritation. When the nerve gets involved then pain starts radiating mostly either to upper arm or if its lower backache then downs the leg, a condition called sciatica can develop. 

Tailbone pain can be defined as: 
In very simple way: when walking becomes easy than sitting in luxury car.

Coccydynia is a medical term meaning pain in the coccyx or tailbone area (end part of the spine), usually brought by:

• Standing becomes easier then sitting: -tailbone pain/coccydynia
• Back problems account for more than 12 million visits to doctors each year. Besides the common cold, back pain results in more lost workdays than any other physical affliction in persons under the age of 45. Back problems can lead to nerve irritation. When the nerve gets involved then pain starts radiating mostly either to upper arm or if its lower backache then downs the leg, a condition called sciatica can develop. 

Tailbone pain can be defined as:

• In very simple way: when walking becomes easy than sitting in luxury car.
• Coccydynia is a medical term meaning pain in the coccyx or tailbone area (end part of the spine), usually brought by: -
• Sitting abruptly, or continuous sitting as in software jobs, (50-60%).
• Fall on buttocks, accidently or due to sports injury like skiing, rugby, volleyball, football, cricket, etc. 
• Post pregnancy,
• Bike or car accident, fracture coccyx.
• It is very similar to low back pain and shows more or less same symptoms as low back pain, so it is very important to differentiate it with low back pain by proper diagnostic procedures.

Symptoms-
•    pain during or after sitting, the level of pain depending on how long you sit. 
•    acute pain while moving from sitting to standing. 
•    pain caused by sitting on a soft and hard surfaces. 
•    deep ache around the coccyx.
•    sensitivity to finger pressure on the tip of tailbone.
•    rectal burning.
•    shooting pains down the leg.
•    like sitting on a knife.
•    pain during bowel movements, and sometimes before.
•    pain during sexual intercourse, either in men or women. 
•    increased pain around the time of a woman's monthly period - this may be due to variations in the levels of estradiol.

Other similar conditions same as tail bone pain-
Pilonidal sinus, pudendal neuralgia also known as alcock canal syndrome, piriformis syndrome.

To avoid damage- 

•    lean forward
•    find comfortable clothes,
•    standing while others sit,
•    comfortable position for sex.

This condition has been neglected and not they’re in practice because of lack of awareness, and knowledge of treatment. Ultimately we are forgetting that we are inviting so many diseases and health problems because of lack of exercises.
As it affects the private parts of our body therefore so many people feel shy and avoid sharing with their family, friends which leads to delay in treatment and by the time they reach us its already few years late. 
In 80% of low back pain and tail bone pain conditions physical treatment, which would include spinal adjustments (specific manipulation of the spine), posture correction and lower back exercises works very well and most of the cases can avoid surgery to a large extent.

The back bone or spine is made of a series of bones extending all the way from the neck (cervical) to the tail (coccyx). These joints, like others, are prone to inflammation, sprain and strain, some more than the others. The coccyx in particular is highly prone to inflammation and can lead to localized pain, which is very typical, with the pain in the tailbone. This is known as coccydynia. Read on to know more about this common condition.

What is Coccydynia?

1. Literally, coccydynia translates to tailbone pain.
2. It is characterized by a sharp, localized pain between the buttocks in the tail bone.
3. It is often caused by injury to the pelvic area or the tail bone.
4. Sitting and/or leaning against the buttocks make it worse.
5. Pregnancy, when the additional hormones relax on the pelvic floor, also leads to increased pain of the tailbone.

Diagnosis: The pain can be easily confused with other conditions like sciatica, fractured tailbone, tailbone infections like shingles, etc. However, for a trained medical person, the symptoms of tenderness and pain are quite diagnostic. Pilonidal sinus, fistula, pudendal Neuralgia is also same as Coccydynia and show same symptoms. 

 Management:

1. If there is a rash or inflammation, it needs to be evaluated further for additional problems.
2. Where possible, rest completely for a short period of time till the acute phase of pain subsides.
3. In case of injury, ensure there is no repeat injury to the same area.
4. Pain medications are used to relieve pain, where it is severe and intolerable.
5. In severe cases, cortisone injection may be given in the doctor’s office. In addition to pain relief, it may even take care of the underlying problem per se.
6. Avoid sitting for prolonged periods where possible.
7. After the acute phase is over, when sitting for prolonged periods, sufficient padding is advised. This could be in the form of pillows or padded seats.
8. Sleeping on the sides is difficult, so sleep straight. If required, take a pillow in the middle.
9. Physiotherapy is also helpful in some people who have repeat attacks. This helps in pain management and controlling acute phases. There are specific tailbone stretches, which should be done under supervision.
10. Walking is one of the many effective ways to keep the tailbone “unlocked”, which helps in getting rid of the pain and avoiding spasms of the muscles around the tailbone.
11. Best internal manipulation and pain management can be done with Coccyx exercise.

The time taken for healing of the tailbone depends on whether it is a simple bruise or a severe one. The former would heal completely in about four weeks, while the latter will take about 12 weeks. If you wish to discuss about any specific problem, you can consult a physiotherapist.

We all have lost our tail with evolution…but did you ever think that the vestigial (redundant) part of that tail which has been left over in us in the form of tailbone can mess up with our daily activities and torture us to the level of not allowing us to sit!

If you are not able to sit or if you are experiencing pain when sitting right at the tail bone region, you may be having ‘Tailbone Pain or Coccydynia’.

What is Coccydynia?

The coccyx, also referred to as the ‘tailbone’ is the last segment of one’s vertebral column. Coccydynia is referred to a disabling pain that occurs in/around the coccyx. This type of pain usually starts when one sits all of a sudden or rises up from the seat after having been seated over a long period of time. Also known as coccygodynia, this condition can mar one’s quality of life. The pain, often described as ‘stabbing’ or ‘piercing’, can radiate to the buttocks, the lumbar spine, and rarely, to one’s thighs.

Anatomy

The coccyx is the final part of one’s vertebral column. The vertebral units are fused together. The frontal portion of the coccyx is the fusion site of the muscles and ligaments which control the functions of the pelvic floor. The coccyx also supports the anus’s position. The gluteus maximus is attached to the posterior part of the coccyx. Ligament or muscle damage, or muscle weakness can cause the coccyx to assume an abnormal position, thus causing pain.

Common Causes:

1. Sitting for extended periods of time, especially on hard surfaces

2. Effect of a direct trauma, such as a fall

3. Giving birth

4. Bone fracture, tumors or an infection can also cause this condition

How do you know whether it’s Coccydynia?

1. You will experience pain while sitting, especially on hard surfaces

2. Localized pain in or around the tailbone that worsens with touch or any pressure applied on it

3. The pain will become severe when you stand from a seating position after considerable amount of time

4. The pain might also start during sexual intercourse

5. The pain increases in women during their menstrual cycles

Diagnosis

1. Local Coccydynia

   • Traumatic

   • Idiopathic

2. Radiated or referred Coccydynia

3. Psychogenic Coccydynia

4. Chronic proctalgia

Physiotherapy Approach For Treating Coccydynia

Patients diagnosed with Coccydynia are advised to avoid factors which might provoke the pain. The initial line of treatment will include making certain adjustments such as applying gel cushion when one is sitting for extended periods of time. This helps reduce localized pressure and improve his posture. Other modes include:

1. Mobilizations: This can help realign the posture of the coccyx. Initially, there might be tenderness; hence, it is advised to start with rotational mobilization. To start with, either side should be mobilized first.

2. Manipulation: This can be done intra-rectal and when the patient is lying in a lateral position. The coccyx is repeatedly extended and flexed with the help of the index finger. However, care must be taken so as to not hurt the rectal mucosa.

3. Massage: Massaging the coccygeus muscles has also been proven to relieve pain. Biofeedback can also be integrated with it in order to avoid incidences of muscle pull on the coccyx.

We all have lost our tail with evolution…but did you ever think that the vestigial (redundant) part of that tail which has been left over in us in the form of tailbone can mess up with our daily activities and torture us to the level of not allowing us to sit!

If you are not able to sit or if you are experiencing pain when sitting right at the tail bone region, you may be having ‘Tailbone Pain or Coccydynia’.

What is Coccydynia?

The coccyx, also referred to as the ‘tailbone’ is the last segment of one’s vertebral column. Coccydynia is referred to a disabling pain that occurs in/around the coccyx. This type of pain usually starts when one sits all of a sudden or rises up from the seat after having been seated over a long period of time. Also known as coccygodynia, this condition can mar one’s quality of life. The pain, often described as ‘stabbing’ or ‘piercing’, can radiate to the buttocks, the lumbar spine, and rarely, to one’s thighs.

Anatomy

The coccyx is the final part of one’s vertebral column. The vertebral units are fused together. The frontal portion of the coccyx is the fusion site of the muscles and ligaments which control the functions of the pelvic floor. The coccyx also supports the anus’s position. The gluteus maximus is attached to the posterior part of the coccyx. Ligament or muscle damage, or muscle weakness can cause the coccyx to assume an abnormal position, thus causing pain.

Common Causes:

1. Sitting for extended periods of time, especially on hard surfaces

2. Effect of a direct trauma, such as a fall

3. Giving birth

4. Bone fracture, tumors or an infection can also cause this condition

How do you know whether it’s Coccydynia?

1. You will experience pain while sitting, especially on hard surfaces

2. Localized pain in or around the tailbone that worsens with touch or any pressure applied on it

3. The pain will become severe when you stand from a seating position after considerable amount of time

4. The pain might also start during sexual intercourse

5. The pain increases in women during their menstrual cycles

Diagnosis

1. Local Coccydynia

   • Traumatic

   • Idiopathic

2. Radiated or referred Coccydynia

3. Psychogenic Coccydynia

4. Chronic proctalgia

Physiotherapy Approach For Treating Coccydynia

Patients diagnosed with Coccydynia are advised to avoid factors which might provoke the pain. The initial line of treatment will include making certain adjustments such as applying gel cushion when one is sitting for extended periods of time. This helps reduce localized pressure and improve his posture. Other modes include:

1. Mobilizations: This can help realign the posture of the coccyx. Initially, there might be tenderness; hence, it is advised to start with rotational mobilization. To start with, either side should be mobilized first.

2. Manipulation: This can be done intra-rectal and when the patient is lying in a lateral position. The coccyx is repeatedly extended and flexed with the help of the index finger. However, care must be taken so as to not hurt the rectal mucosa.

3. Massage: Massaging the coccygeus muscles has also been proven to relieve pain. Biofeedback can also be integrated with it in order to avoid incidences of muscle pull on the coccyx. If you wish to discuss about any specific problem, you can consult a physiotherapist.

You probably spend a whole day working at your office when your back remains in the same position. Then when you come back from work, you complain about your back pain, put some medicine and hope it goes away the next day. However, in such cases there are chances that the pain might return after a few days. You may not be aware of the fact, but there are certain fairly simple exercises you can do to strengthen your back and prevent back pain. Here are some of them.

1.Opposite arm leg raises
Lie on your stomach with one arm in the air as your starting position. Then finish the exercise by slowly lifting your leg. Hold this position for two seconds and then repeat this for the other arm and leg as well.

2. Prone hold
Hold a posture where you are holding your entire body weight on just your toes and your elbows for as long as it is pain-free.

3. Supermans
Lie on your belly with your arms above your head. Slowly lift your arms and legs from this position as far as possible and then put it down again. Repeat this as many times as you can do it in a pain free way. Once again, it is imperative to not do this when it is painful as you may get injured.

4. Side holds
To do this, you have to be on your side putting your entire body weight on the side of your foot and your elbow. Hold it for as long as you can maintain the correct posture and it is pain free for you.

5. Resistance band rotation
Stand straight up or on your knees with your back straight up. Then using a resistance band rotate your body back and forth. If you wish to discuss about any specific problem, you can consult a physiotherapist and ask a free question.