There are several types of pain commonly felt in the tailbone, sometimes similar to the pain felt in a fracture, or it may be a dull pain with paroxysmal tearing pain. Moreover, the pain often spreads to the perineum, buttocks and posterior sacral area, and even down the sciatic nerve to the back of the thigh. If a person has fewer and thinner hip muscles, sitting in a hard chair can also aggravate the pain and pressure of the tailbone. Examination protocol for the tailbone So, how do you examine the tailbone? Therapists can check the mobility of the tailbone by inserting the middle finger into the rectum; or by performing a mobility check outside the body. Moderate to severe spasm is often seen in the levator, caudalis and pear muscle, and the pressure and spasm can be diffuse, involving all myofascial and ligamentous structures of the posterior pelvic wall. Typically, the diagnosis of caudate relies on history and physical examination, including rectal examination. Occasionally, radiographic examination may reveal a fracture of the tailbone, a case of misalignment, or arthritic-like changes in the sacrococcygeal joint. Treatment of the tailbone If the diagnosis is clear, how should it be treated? If the tailbone is fractured or misaligned inward, the traditional treatment is bed rest with topical medication and the use of air washers in the sitting position. If the tailbone is in a state of chronic pain, some doctors may even recommend surgical removal of the tailbone. But in fact, this traditional treatment not only can not play the best treatment effect, but also will bring serious harm. Although bed rest or topical medication to promote blood circulation and reduce swelling can relieve symptoms, it does not change the reality of a misaligned or fractured tailbone, and over time it can also lead to symptoms of pelvic floor muscle relaxation, urinary leakage, impotence, pelvic organ prolapse, hemorrhoids or vaginal laxity. If the pain in the coccyx is too severe, a local infiltration block, a pudendal nerve block or a low sacral block (involving only the S5 spinal and pudendal nerves) is effective. Local anesthetic blocks can be applied repeatedly several times. If a local anesthetic block provides complete pain relief but is short-lived, a local destructive block can be performed with an ethanol or cryoprobe. Generally speaking, we do not recommend direct surgery to remove the tailbone, which will cut off the attachment of the gluteus maximus anal raphe caudalis muscle on the tailbone, leaving lifelong hidden problems, and even affect the future “sexual” life Oh. So, when the tailbone is misaligned or fractured, how should it be treated? Generally speaking, tailbone repositioning and soft tissue release treatment through the rectum is a more effective method. This requires the therapist to enter through the anus with sterile gloves and first feel the hard part of the sacrospinous ligament, proximal to the anal position is the coccygeal muscle and anal levator muscle, and then go in to the pear muscle (which also causes tailbone pain). Next, depending on the case, the tailbone is repositioned, and the surrounding muscles may also be released by manipulation. If the pain is caused by a small misalignment of the tailbone, it can also be resolved by exercise. In this case, the doctor will advise the patient to run 10 laps in the playground after the closure, the reason is that during the running process, the contraction of the gluteus maximus will restore the misaligned tailbone to normal. Finally, what are the best ways to relieve tailbone pain in daily life? As a professional rehabilitator, I recommend two sets of movements that have a good effect on relieving tailbone pain. However, if the pain is too severe or accompanied by other discomfort and lasts for a long time, you must ask a specialized therapist for timely diagnosis and treatment. Mountain pose with feet together, feet toes, inner feet, heels as close together as possible to activate the inner thighs; knees taut, knees up, both hips downward, lifting the muscles of the back of the thighs; abdomen slightly tucked, chest up, spine stretched upward, neck straight; body weight should not be placed only on the heels and toes, but evenly distributed. Butterfly pose sitting on the floor back place against the wall legs legs straight forward and together hands on both sides of the body, bend both knees retract both feet, palms of the feet relative, heels as close as possible to the inner thighs near the perineum position toes forward; hands grab both feet waist straight. Look ahead and bounce the legs up and down as if they were butterflies; press the knees with both hands and exhale deeply, using the strength of both elbows to press the legs flat on the ground for about 10 breaths and cooperate with the perineum collection. Then, restore to the initial position. Warm tip: Be sure to pay attention to the posture of daily life, which is the root cause of most spinal disorders. Even if you are a hardcore fan of “Ge You Lie” “Beijing four palsy”, this incorrect sitting posture must not learn Oh.