Hi, this is jyoti, I am 33 years old. While doing sledging in kashmir on march 1st week my lower bone or tail bone I am not sure got badly hit by the wooden sledge and when I came back to bangalore I was able to sit properly but while getting up from sitting position I was feeling pain. And after 2 weeks when I was performing some exercise, I getup quickly forgetting my pain so whole pressure was put on my tailbone and after that I am not able to sit properly and having pain from last 2 weeks. I am not sure if the pain is in my lower back or tailbone? Please suggest what should I do?

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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