I am a 24-year-old female and for the past 4-5 months I have had this pain at the end of my tailbone making it really painful for me to sit for longer as well as shorter duration. Now, apart from the pain whenever I try pooping I could actually feel the pain in the area near the end of the tailbone. Why is this and what could be the possible treatment.

Dr. Julie Mercy J DavidPhysiotherapist24yrs 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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Dr. Uttam SidhayePain Management Specialist24yrs exp

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This is known as coccydynia this needs aggressive treatment medication painkillers doughnut bag for sitting physiotherapy this you require, if pain is persistent then ideally you should go ahead with pain block in the sacrococcygeal joint i.e. Local steroid injection under xray or usg if need further information you can consult me on this.  

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