What medicine should I take for coccyx pain

Lumbar muscle strain is a very common disease among modern people. Due to the high work pressure and daily workload, the body will be fatigued. However, the most direct damage of lumbar muscle strain is the coccyx. This bone will be deformed and very painful. If you have coccyx pain, you need to take some anti-swelling medicine. You can choose safflower, Panax notoginseng, etc. You must choose the appropriate medicine according to your condition, otherwise it will bring side effects.

【Causes and classification】

There are many factors causing coccygeal pain, some of which are directly caused by local factors, while others are caused by adjacent lesions. They are summarized as follows.

1. Sacrococcygeal ligament strain The sacrococcygeal ligament is located at the lowest part of the spine and can be injured due to falling and sitting on the buttocks, local kicking or collision. The pressure when sitting, the pulling and squeezing caused by changes in sitting posture, and even the impact of dry and hard feces during defecation can further damage the damaged ligaments and cause them to develop into chronic strain. The sacrococcygeal joint itself is fragile and is often accompanied by coccygeal subluxation. Sacrococcygeal ligament strain can aggravate sacrococcygeal joint instability, and sacrococcygeal joint instability can promote the pathology of damaged ligaments, forming a vicious circle. Sacrococcygeal ligament strain causes tissue fiber rupture, edema, exudation, hyperplasia and adhesion, which not only causes functional disorders, but also pulls and compresses adjacent or intrinsic nerve fibers, leading to tail pain.

2. Degenerative changes of the sacrococcygeal joint Traumatic sacrococcygeal subluxation or sacrococcygeal joint instability can cause the joint space to narrow, the articular surface to wear, proliferate and harden, and degenerative changes to occur. Coccyx injury is also common during childbirth, leading to fibrosis and stiffness of the sacrococcygeal joint. Degeneration or osteoarthritis of the sacrococcygeal joint can cause pain when sitting or when the end of the coccyx is compressed.

3. Coccyx fracture or dislocation Coccyx fracture or dislocation is often caused by direct violence when the buttocks are injured while sitting on the ground. The distal end of the fracture may be displaced forward due to external force and strong contraction of the attached levator ani muscles and coccygeal anal muscles. For fresh, non-displaced fractures or dislocations, bed rest is sufficient. People with old fractures, dislocations and poor bone healing often have residual coccygeal pain symptoms.

4. Most cases of coccyx deformity are caused by a long coccyx, and sitting compresses the soft tissue of the tail, causing pain. The coccyx may be long and twisted or form an acute angle or hook shape.

5. Pelvic infection: The spread of pelvic infection to the pelvic floor muscles can reflexively cause repeated muscle spasms, resulting in coccygeal pain.

6. Coccyx tumors include chordoma, enchondroma, glomus tumor and chondrosarcoma.

7. Coccyx tuberculosis or osteomyelitis

8. Lumbar and sacral diseases such as L5-S1 intervertebral disc herniation, L5 spondylolisthesis, lumbar spinal stenosis, etc. can cause coccygeal pain due to compression of the dura mater and nerve roots.

【Clinical manifestations】

Pain in the tail is the main symptom. Most patients have a history of tail trauma. The pain is more obvious when sitting, especially on a hard bench. The pain is relieved or even eliminated when walking. Patients usually sit on one side of their buttocks or use sponges or pillows as cushions to avoid pressure on the coccyx. The pain may increase when coughing or defecating, especially when constipated, and patients often have a fear of defecation.

Physical examination revealed tenderness at the sacrococcygeal joint, coccyx tip, and adjacent soft tissues. During digital rectal examination, pinch the coccyx with the index and thumb and shake it back and forth. This may increase the pain. Conventional X-ray examinations can only reveal coccyx fractures or dislocations and coccyx deformities, but they are helpful for differential diagnosis.

【treat】

For fresh sacrococcygeal dislocation or displaced fracture, intraanal reduction should be performed immediately using manual manipulation. After reduction, you should rest in bed, get up and practice activities after 1 to 2 weeks, use an air ring or pillow when sitting to prevent further injury, and give physical therapy.

Massage therapy or local blockade therapy can be used for those suffering from strain or degenerative changes. Physical therapy can be performed before massage, and then the index finger can be inserted into the anus to massage the spasmodic muscles attached to the front of the sacrum and its left and right sides, with the technique ranging from light to heavy, 3 to 4 times a week. Most patients can relieve or eliminate pain after this treatment. For those whose symptoms are difficult to control, pain point blockade with hydrocortisone acetate or Conacute (triamcinolone suspension) plus procaine or lidocaine can be performed. During closure, the most obvious tenderness must be determined and the puncture depth must be controlled to prevent accidental injection of the drug solution into the rectum. All kinds of coccyx pain can be treated by taking a hot water sitz bath 1 to 2 times a day. Reduce walking to relieve anococcygeal muscle spasms. It is also very important to change your sitting posture. Keep the sitting bones and thighs bearing weight or use air cushions to assist, and try to keep the coccyx free from pressure, which is beneficial to the recovery of the disease. However, this sitting habit usually needs to be maintained for 3 to 6 months, otherwise pressure on the coccyx can often cause the disease to restart. Analgesics and antimicrobial drugs may be used as appropriate.