Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.
Coccydynia is diagnosed based on the history and physical examination.
Conservative measures usually resolve coccydynia.
What is coccydynia?
Inflammation of the tailbone (coccyx or bony area located deep between the buttocks above the anus) is referred to as coccydynia. Coccydynia is associated with pain and tenderness at the tip of the tailbone between the buttocks. The pain is often worsened by sitting.
What causes coccydynia?
Coccydynia is often caused by an injury, but it may occur seemingly spontaneously. There are many causes of tailbone pain that can mimic coccydynia, including sciatica, infection (including
shingles of the buttocks), pilonidal cysts, sacroiliitis, and fractured bone (broken tailbone or tailbone fracture).
What are risk factors for coccydynia?
The major risk factor for coccydynia is injury to the coccyx or pelvic bones.
Pain and local tenderness at the tailbone are the major symptoms of coccydynia. This can lead to difficulty sitting or leaning against the buttocks. Along with the pain with sitting, there is typically exquisite tenderness at the tailbone area.
Many conditions and diseases can cause pain in the buttocks. These range from temporary annoyances, such as bruising and shingles, to more serious diseases with long-term consequences, such as cancers and arthritis of the sacroiliac joints. All symptoms related to buttock pain must be evaluated in terms of their intensity, duration, location, aggravating or relieving factors, and in view of the presence or absence of accompanying medical issues in order to precisely identify the cause.