Coccyx fracture

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Coccyx fracture
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Synonyms	Tailbone fracture
Pronounce	N/A
Specialty	N/A
Symptoms	Pain in the tailbone area, especially when sitting
Complications	Chronic pain, coccydynia
Onset	Sudden, usually after trauma
Duration	Weeks to months
Types	N/A
Causes	Trauma, such as a fall or direct blow
Risks	Osteoporosis, contact sports
Diagnosis	Physical examination, X-ray
Differential diagnosis	Coccydynia, sacral fracture
Prevention	N/A
Treatment	Pain management, physical therapy, cushion use
Medication	NSAIDs, analgesics
Prognosis	Generally good with appropriate treatment
Frequency	Common, especially in women
Deaths	N/A

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Grays anatomy picture 100

A coccyx fracture is a break in the coccyx, also known as the tailbone, which is the small, triangular bone at the base of the spinal column. This type of fracture is relatively rare and is most commonly caused by trauma such as a fall or a direct blow to the base of the spine.

Causes

The most common cause of a coccyx fracture is a fall onto a hard surface, such as ice or concrete, which results in a direct blow to the tailbone. Other causes can include childbirth, during which the coccyx can be fractured if it is pushed aside too forcefully, and repetitive strain or overuse injuries, such as those experienced by cyclists or rowers.

Symptoms

The main symptom of a coccyx fracture is pain in the lower back, particularly when sitting or moving from a sitting to a standing position. Other symptoms can include bruising and swelling in the area of the tailbone, difficulty having a bowel movement, and pain during sexual intercourse.

Diagnosis

Diagnosis of a coccyx fracture typically involves a physical examination and a review of the patient's medical history. Imaging tests, such as an x-ray or MRI, may also be used to confirm the diagnosis and assess the severity of the fracture.

Treatment

Treatment for a coccyx fracture usually involves conservative measures such as rest, pain relief medication, and the use of a specially designed cushion to relieve pressure on the tailbone when sitting. In severe cases, or if conservative treatment does not relieve symptoms, surgery may be required to remove the coccyx.

Prognosis

The prognosis for a coccyx fracture is generally good, with most people making a full recovery within a few weeks to a few months. However, some people may experience ongoing pain or discomfort, known as coccydynia, which can require further treatment.

See also

• Coccydynia
• Spinal fracture
• Trauma