Hello doc. My sister aged 31 was diagnosed with coccydynia three days before. We took her to the physiotherapist. He gave her tens, laser,electro and ultrasound therapies. He asked to come for 14 days. The thing is that she gets worse after therapies when we come back. She cannot sit nor sleep on her right side. After therapies her condition worsens. Physio said it will happen nothing to worry. She has inflammation over tail bone and it is clearly visible. She screams a lot while therapies it really hurts. Can you please help out doctor. What to do now? Is all this normal after therapies? When will she recover?

Dr. Julie Mercy J DavidPhysiotherapist25yrs exp

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The lower end of the vertebral column is inflamed and that bone is called coccyx bone and the condition is called coccydynia. The conservative management would be to keep ice in that inflamed area during one time in a day and also to sit in a hot water bowl where the penetration of the heat would help to reduce the inflammation. And to reduce the weight falling on the inflammed surface we suggest patients to use air cushion pillow (also called as doughnut pillow) where in the buttock's weight will not fall exactly on the painful tail bone and that would automatically reduce the pain. For this the best treatment would be to undergo ultrasonic therapy in one of the nearby physiotherapy clinics.  

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