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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.
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.
Sitting for extended periods of time, especially on hard surfaces
Effect of a direct trauma, such as a fall
Bone fracture, tumors or an infection can also cause this condition
How do you know whether it’s Coccydynia?
You will experience pain while sitting, especially on hard surfaces
Localized pain in or around the tailbone that worsens with touch or any pressure applied on it
The pain will become severe when you stand from a seating position after considerable amount of time
The pain might also start during sexual intercourse
The pain increases in women during their menstrual cycles
- Radiated or referred Coccydynia
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:
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.
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.
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.
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The hand is one of the most commonly used parts of our body and is susceptible to damage, wear and tear as well as injury. Pain in the hand can be attributed to numerous causes, including damage and other conditions that can affect the joints, cartilage, nerves and other parts of the hand. Know more about controlling Joints Pain
De Quervain's tendinitis: This is also known as de Quervain's tendinosis. It causes pain on the thumb side of the wrist. The pain may grow slowly or suddenly. It can also spread to every part of the thumb and up the lower arm. On the off chance that you have de Quervain's tendinitis, you may experience pain while performing the following actions:
- Clenching The fist
- Handling on or holding objects
- Turning the wrist
Treatment for this includes the following:
- Wearing a prop to rest the thumb and wrist
- Calming drugs
- Cortisone infusions
Carpal tunnel disorder: This is common amongst the well-known nerve issues. It can cause pain in the following parts of the hand:
- Palm and a few fingers
- Lower arm
The treatment methods includes the following:
- Resting the hand and wrist
- Wrist support
- Steroid infusions
- Active recuperation
Fracture: It's a crack or break in a bone that can cause immense pain in the hand. Other than this, the hand may also experience the following:
- Loss of proper motion and movement
The kind of treatment depends on the kind of fracture. Braces are usually used for small fractures. Sticks, wires, or plates might be used to treat severe fractures. Likewise, surgery may also be recommended to set the broken bone properly.
Arthritis: This is a disease causing joint inflammation and stiffness of the joints. It causes the joints to lose the ligament that permits them to move easily against each other. This tears the ligament, giving rise to crippling pain and swelling.
In the hand, the regions where this regularly happens are as follows:
- Base of the thumb
- Center joint of one or more fingers
- End joint, which is nearest to the fingertip
The treatment depends on the seriousness of the injury and the following may be used:
- Props for the fingers or wrist
- Non-intrusive treatment
Trigger finger: Also known as stenosing tenosynovitis, this defect causes the fingers or the thumb to bend. It can be difficult, particularly when bowing or fixing the influenced finger or thumb.
Knobs may form on the influenced ligaments. Also, the sheath itself may thicken. In the long run, the ligament may get to be adhered when you attempt to fix a twisted finger or thumb. Learn more about Ligament Injury.
Resting now and again while wearing a support may help resolve the issue. Over-the-counter torment pharmaceuticals can facilitate the agony. Corticosteroid infusions can mitigate side effects. Surgery might be recommended for extreme cases.