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Treatment of a Broken Tailbone

Physiotherapist supporting patient's leg during lower back and pelvic treatment session

Physiotherapy session focused on improving mobility and reducing pain following a tailbone fracture.

Treatment of a Broken Tailbone

Treatment of a Broken Tailbone is usually non-surgical and focuses on relieving pain, reducing inflammation, and allowing the coccyx to heal naturally. In most cases, treatment of a broken tailbone involves rest, lifestyle adjustments, and physical therapy, with surgery reserved for persistent, unresponsive pain.

Pain relief is the primary goal. Over-the-counter medications like paracetamol or ibuprofen are often recommended to reduce inflammation and discomfort. In more severe cases, a short course of prescription painkillers or muscle relaxants may be necessary.

Modified seating plays a major role in recovery. Special cushions (often donut- or U-shaped) reduce pressure on the tailbone and make sitting more tolerable. These are particularly helpful for people who work at desks or must sit for long periods.

Patients are advised to avoid hard surfaces and to lean slightly forward when sitting to shift weight away from the coccyx. Standing and walking should be done regularly to prevent stiffness and improve circulation.

Ice packs can help in the first 48 hours post-injury to reduce swelling. After that, warm compresses may aid in loosening tight muscles and reducing discomfort.

Stool softeners may be prescribed to prevent constipation and reduce strain during bowel movements — a common trigger of pain after tailbone fractures.

Treatment of a Broken Tailbone

Physical therapy can aid recovery by improving posture, strengthening supporting muscles. Additionally, teaching techniques to reduce pressure on the coccyx during daily activities. Therapists may also offer massage or manipulation techniques in cases where the coccyx is dislocated.

In rare cases where pain becomes chronic (lasting more than several months), further intervention may be necessary. Corticosteroid injections, nerve blocks, or surgical removal of the coccyx (coccygectomy) may be considered when all other treatments fail.

The majority of people recover with conservative treatment of a broken tailbone. Especially when care begins early and lifestyle adjustments are followed closely.

[Next: Complications and Recovery from a Broken Tailbone →]

Diagnosis of a Broken Tailbone
Broken Tailbone
Causes of a Broken Tailbone
Symptoms of a Broken Tailbone

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