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How do doctors diagnose coccydynia?
Doctors may diagnose coccyx inflammation based solely on the symptoms and the examination findings of local pain. Other conditions can be excluded by the examination (such as shingles, which typically would be associated with local rash) and other testing (to exclude bone or tissue disorders, such as with CAT scan or MRI scan).
What is the medical treatment for coccydynia?
Patients with coccydynia are advised to use a well-padded seat when sitting and avoid long periods of sitting when possible. If the condition becomes severe or persistently troublesome, then medical attention should be sought to accurately evaluate the cause of the pain, especially if there is associated bruising or rash.
Rest, avoiding reinjury to the affected area, anti-inflammatory medications, and pain medications can relieve symptoms. Sitting on a pillow, cushion, or buttock support can help. Treatment for patients with persistent coccydynia involves local cortisone injections. This corticosteroid shot is simply performed in the doctor's office and can potentially dramatically relieve chronic pain and even resolve the symptoms for many. Sometimes, the injection includes fluoroscopy or ultrasound. Physical therapy with exercises can be helpful with a patient's recovery. Rarely, when patients have unrelenting or severe coccyx pain, surgery can be performed on the coccyx to remove the irritated bony prominence.
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