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Sustaining an injury to the coccyx can result in discomfort and pain while assuming a seated position. In addition to causing physical discomfort and pain, prolonged sitting may also serve as a source of distraction from one's work. Individuals may experience reduced motivation and difficulties in maintaining concentration on the current task.

The correlation between suboptimal office chairs and decreased productivity has been established, as they fail to offer adequate bodily support, leading to a range of discomforts such as tailbone, hip, thigh, and lower back pain.

If left unaddressed, pain has the potential to develop into a chronic condition. Therefore, it is imperative to replace your office chair if it fails to offer the necessary support required by your body. Regrettably, the acquisition of an office chair that's comfortable can incur significant costs and may not necessarily furnish the requisite support for one's spinal column and physique.

Rather than investing a substantial amount of money in a potentially unsatisfactory upgraded chair, it may be advantageous to augment your current chair with the aid of cushions and pillows.


## <center>Factors contributing to coccyx injury</center>
The coccyx, commonly known as the tailbone, is susceptible to various forms of injury such as physical trauma and excessive strain.The prevalent factors that lead to coccyx injury are outlined below:

Experiencing impact to the coccyx region and assuming a seated posture. The most prevalent aetiology of coccyx trauma is the subject at hand.

Sports injuries, commonly resulting from contact sports, or any other form of trauma that leads to a direct impact on the coccyx, can cause coccydynia.

The process of giving birth has the potential to result in injury or fracture of the coccyx.

Prolonged and repetitive exertion of the coccyx can result in harm, as observed in activities such as cycling, rowing, or other comparable forms of physical exercise.

Pain may arise due to the presence of bone spurs and nerve compression.

Tumours and localised infection are infrequent aetiologies.

Coccydynia can also manifest in the absence of any identifiable traumatic event. Extended periods of sitting on rigid or uncomfortable surfaces can result in bruising.

Tailbone pain can be caused by obesity due to increased pressure on the coccyx while seated.

Insufficient body weight can also lead to discomfort, as individuals with low body weight may not possess adequate adipose tissue in their gluteal region to cushion the coccyx from rubbing against muscles, tendons, and ligaments, resulting in inflammation.

## <center>Various forms of coccyx injuries</center>
Tailbone injury can be caused by three distinct events. Further analysis of each occurrence enables us to examine the distinct categories of injuries and mechanisms by which the coccyx may sustain harm.

1. The impact of external physical force on an individual's body or psyche.
Breaks,Bruises and Dislocation

2. Intra-organismal Injury
Extended periods of sedentary behaviour and Childbirth

3. Other possibilities exist.
Infection, Abscess and Tumors.

The aetiology of coccydynia, which is characterised by pain in the coccyx, remains unidentified in approximately one-third of affected individuals. This implies that individuals who are encountering coccyx discomfort are probably unaware of the cause. 

It is possible that an individual may fail to recollect a fall, or alternatively, the onset of pain may have been sudden and unexpected. Individuals who engage in extended periods of sitting as a job requirement may experience coccydynia as a result of this sedentary behaviour.

## <center>Indications of Coccyx Trauma</center>
The nature of tailbone injury is a determining factor in the manifestation of symptoms, with a fractured tailbone exhibiting more pronounced symptoms compared to a contused tailbone.Tailbone injury symptoms encompass:

The sensation of discomfort that is either dull and persistent or sharp and intense. It is possible for the sensation to emanate from the coccyx.

The pain experienced during the transition from a seated to a standing position is more pronounced.

The experience of heightened discomfort is reported when maintaining a seated position for an extended duration.

Dyschezia.

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A coccyx injury may elicit non-physical symptoms such as insomnia, heightened depression, and anxiety. Mental health concerns frequently arise in individuals experiencing prolonged pain, particularly when such pain impedes their ability to perform daily activities.

Pain may also manifest in other anatomical regions, such as the lumbar region and gluteal region. This phenomenon is frequently observed in injuries resulting from extended periods of sitting. An uncomfortable or hard surface can have an impact on multiple areas. In addition, the back and hips may incur harm.

Tailbone pain, also known as coccydynia, is a common condition that can cause discomfort and pain in the area surrounding the tailbone. *There are various home remedies that can be utilised to alleviate the symptoms of this condition.*

In cases where the tailbone pain is of a mild nature, such as contusions, it can typically be managed through self-care measures at home. Tailbone pain can be managed through various treatment options. The following are some of the most effective approaches:

It is recommended to refrain from prolonged periods of sitting. Prolonged sitting on rigid surfaces may intensify discomfort, thereby impeding effective management of the condition.

Apply ice to the affected region three to four times per day, with each session lasting 15 to 20 minutes, for several days following the incident. It is possible to alternate between heating and non-heating periods every few hours.

To alleviate the discomfort that one is currently undergoing, it is recommended to consume nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen. In cases of kidney disease or blood thinning medication usage, it is recommended to utilise paracetamol as an alternative. Acetaminophen, such as Tylenol, is considered a safer option; however, it does not possess anti-inflammatory properties.

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Acquire a cushioned seat or pillow to utilise when it is imperative for you to be seated.

Individuals who encounter discomfort in various regions, such as the lumbar region and hips, may consider engaging in stretching exercises or practising yoga to alleviate muscle tension and mitigate generalised discomfort.


## <center>What is the typical healing time for a tailbone contusion?</center>

The complete healing of a coccyx injury may require a period of eight to twelve weeks. Nevertheless, in case the pain is solely associated with the contusion of the coccyx, it is anticipated to subside within a duration of four weeks. In the event that the aforementioned symptom persists beyond the expected duration, it is advisable to seek medical attention to evaluate the possibility of the injury being more severe than a mere contusion.

The utilisation of a seat cushion has been shown to potentially mitigate the occurrence of tailbone bruising.

In order to mitigate the occurrence of discomfort while seated and to proactively prevent future tailbone bruising, it is recommended that an economical seat cushion be procured.


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## References

• “What You Can Do for a Bruised Tailbone.” Everlasting Comfort, 13 May 2021, www.everlastingcomfort.net/blogs/comfy-reads/what-to-do-for-a-bruised-tailbone.

• “Tailbone Trauma - Aftercare Information | Mount Sinai - New York.” Tailbone Trauma - Aftercare Information | Mount Sinai - New York, www.mountsinai.org/health-library/selfcare-instructions/tailbone-trauma-aftercare#:~:text=A%20tailbone%20injury%20can%20be,healing%20takes%20about%204%20weeks. Accessed 17 Apr. 2023.

• “What to Do for a Bruised Tailbone: Treatments and Pain Relief.” What to Do for a Bruised Tailbone: Treatments and Pain Relief, www.medicalnewstoday.com/articles/bruised-tailbone. Accessed 17 Apr. 2023.

• “Bruised Tailbone: Symptoms, Treatments, and More.” Bruised Tailbone: Symptoms, Treatments, and More, www.healthline.com/health/bruised-tailbone. Accessed 17 Apr. 2023.

• “Broken Tailbone Symptoms, Diagnosis, Treatment, and Care.” Broken Tailbone Symptoms, Diagnosis, Treatment, and Care, www.healthline.com/health/broken-tailbone. Accessed 17 Apr. 2023.

• “Tailbone (Coccyx) Injury: Causes, Symptoms, and Treatments.” WebMD, 20 Sept. 2021, www.webmd.com/fitness-exercise/tailbone-coccyx-injury.

• @ClevelandClinic. “Tailbone Pain (Coccydynia): Causes, Treatment and Pain Relief.” Cleveland Clinic, my.clevelandclinic.org/health/diseases/10436-coccydynia-tailbone-pain. Accessed 17 Apr. 2023.

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