Causes of Coccyx Pain
Causes of coccyx pain can be varied, ranging from physical trauma to degenerative changes or prolonged pressure. Identifying the root cause is essential to determine the most effective treatment for coccyx pain.
1. Trauma or Injury
A direct blow or fall onto the tailbone is one of the most common causes. Slipping on ice, falling backwards, or landing hard while seated can bruise, dislocate, or fracture the coccyx, leading to persistent pain.
2. Repetitive Strain
Activities that involve sitting on hard surfaces for extended periods, such as cycling or rowing, can cause repeated microtrauma to the coccyx. Over time, this irritation leads to inflammation and discomfort.
3. Childbirth | Causes of Coccyx Pain
During childbirth, the coccyx may be pushed backward to allow the baby to pass through the birth canal. In some cases, this results in dislocation, bruising, or ligament strain, especially in prolonged or difficult deliveries.
4. Poor Posture
Slouching or sitting in a poor posture for long hours, especially on unsupportive surfaces, increases pressure on the coccyx and contributes to chronic pain.
5. Obesity or Rapid Weight Loss
Excess body weight increases pressure on the tailbone when sitting. On the other hand, rapid weight loss can reduce the protective cushioning around the coccyx, making it more susceptible to pain from minor pressure.
6. Degenerative Conditions | Causes of Coccyx Pain
Arthritis or degeneration of the sacrococcygeal joint can cause inflammation and pain, particularly in older adults.
7. Infection or Tumour (Rare)
In rare cases, coccyx pain may be due to an infection such as a pilonidal abscess or, very rarely, a tumour pressing against the bone.
The causes of coccyx pain vary widely, and in many cases, no specific cause is found. Regardless, treatment can usually manage symptoms effectively and improve quality of life.
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