Coccyx, Tailbone pain /coccydynia - Everything You Need To Know - Dr. Nabil Ebraheim

this video is for the coccyx

we call it the tailbone the coccyx is at

the lower end of the spine below the


the lower back is called the lumbar


followed by the sacrum and in the coccyx

the tailbone

the coccyx is a very small bone and most

of the doctors are not familiar with it

the coccyx provide important attachment

to the tendons ligaments and muscles

lumbosacral the spine x-rays and MRIs

will not show the coccyx if you want to

view the coccyx order coccyx views or

MRI dynamic views of the coccyx with the

patient is sitting and leaning backwards

it the best to image the coccyx we will

compare this x-rays to a

non-weight-bearing films with the

patient is standing or lying to the side

excessive movement of the coccyx is


the coccyx is a shock absorber when

sitting it shifts slightly forward the

coccyx bear more weight when the person

is sitting and leaning backwards

compared to when leaning forward

coccyx pain symptoms Cox edenia includes

pain during sitting or when getting up

from sitting pain above the anus in the

middle pain improves when leaning

forward or leaning to the side local

tenderness just above the anus the most

frequent causes of coccyx pain include

falling in the buttocks or backwards

fracture dislocation due to trauma or

injury malignancy watch out the tumor in

the coccyx

watch out chordoma of the coccyx

infection pregnancy and labor idiopathic

without any apparent cause falling on

the tailbone can lead to coccyx pain we

call it Cox edenia with chronic

inflammation of the sacral coccygeal


this location of the coccyx who cares

when there is a separation of the coccyx

from the sacrum these are the published

types of coccyx injuries anterior

dislocation posterior dislocation

anterior angulation hope coccyx a lot of

people think it's a big deal in causing

the pain in the tailbone

the side Bend deformity of the coccyx is

another type that causes coccyx pain

Durell tension causing sickle coccygeal

syndrome low back pain and the other

symptoms is enum proven theory but I'm

gonna try to explain it to you you can

see the dural sheath or tube and

distally you see the filum terminale the

normal during tension occurs because the

filum terminale

is connected to the neural tube and

there is that a smooth movement of the

dural tube as the coccyx moves normally

excessive curving of the coccyx causes

increase dual tension by the pole on the

dural tube and if the coccyx is extended

that the neural tube will be relaxed and

the tension will be relieved

so as the back pain this is just a

theory an unproven theory

treatment of coccyx injuries include

manipulation therapy cushions for

setting such as donuts and balloons

injections surgery in the last resort

socially includes incision at the end of

the spine to expose the coccyx

the attachment of the muscles inserted

into the coccyx

the French

six is removed and care should be taken

to avoid injury to the rectum

the wound is irrigated and closed and

the patient is given antibiotics for a

few days

all my videos and this video is for

educational purposes only please consult

your doctor before you make any decision

about your medical care