Females are more likely than males to experience tailbone injuries. Obesity is also a risk factor for tailbone problems. A physical exam and a rectal exam will give the doctor more information about the site of the pain, as well as what may be causing or contributing to it. Problems with the piriformis muscles and nearby joints, for example — such as the sacroiliac and lumbosacral facet joints — can contribute to pain in and around the tailbone. Testing for a broken tailbone will include cancer screening and medical imaging.
X-rays can help a doctor locate and assess the damage to the tailbone. If the X-ray does not provide a clear image, or if there are other concerns about what is causing the pain, an MRI scan can provide more information. Partly due to the structure of the coccyx and other conditions that might exist at the same time as the injury — such as obesity , gas, or constipation — it is not always easy to diagnose a broken tailbone. Unlike other broken bones, it is not possible to put the tailbone in a cast and immobilize it.
Instead, a doctor might recommend using techniques to reduce the pain. Doctors may recommend steroids or nerve blocks if the pain is very severe. Recovery from a broken tailbone can take some time. Most fractures take 6—12 weeks to heal. Many people who experience a broken tailbone are athletes, and they are usually eager to return to play.
Some experts say that the limiting factors are pain and the risk of pressure on the tailbone. Rest is very important when a bone is broken, and people need to give themselves time to heal when they have a fractured coccyx. However, it is also important to strengthen the muscles around the tailbone, stretching them regularly to keep tightness and imbalances from developing.
A doctor may provide a list of exercises to strengthen the hips and core, as well as pelvic floor exercises and stretches to relieve pressure on the gluteal muscles, back, and hamstrings. They may also refer a person to a physical therapist for more extensive treatment. A broken tailbone is a rare and painful injury that can affect people of all ages, from young athletes to older adults. Be sure to make and go to all appointments, and call your doctor or nurse call line if you are having problems.
It's also a good idea to know your test results and keep a list of the medicines you take. Call your doctor or nurse call line now or seek immediate medical care if you have new or worse symptoms in your legs or buttocks. Symptoms may include Watch closely for changes in your health, and be sure to contact your doctor or nurse call line if:.
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Important Phone Numbers. When should you call for help? Where can you learn more? Top of the page. Recovery time from a bruised or broken tailbone depends on your age and the severity of the injury. Children recover faster than adults, and young adults recover faster than older ones.
Average recovery time for a bruised tailbone is up to four weeks. A broken or fractured tailbone can take up to 12 weeks to heal. Rehabilitation will include physical therapy, home exercises, and possibly a special cushion for sitting.
Your doctor or physical therapist can give you exercises to strengthen the muscles around the coccyx. These include your stomach muscles and those of the pelvic floor. Kegel exercises help strengthen the pelvic floor.
Proper posture when sitting can also help. Sit with your back against the chair, and avoid slouching. Pain management includes massage, heat and ice, and nonsteroidal anti-inflammatory drugs. Keeping up with your exercises is also very important. But injuries to the coccyx are still common in children, because of their level of activity in sports and play.
Women are five times more susceptible to tailbone pain than men. Much of this has to do with pregnancy and childbirth. Weight gain and the consequent changes to posture during pregnancy increase the risk of injury to the coccyx. The location of the coccyx also makes it susceptible to injury during a difficult childbirth, especially one requiring use of instruments.
A broken or bruised coccyx will usually heal on its own. Physical therapy, exercises, and a special cushion can all help ease the pain and speed recovery. See your doctor if pain is severe, or if you have trouble with bowel movements or urination. Surgery is needed in fewer than 10 percent of cases. Tailbone pain is centered at the very bottom of your spine, right above your buttocks.
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