Tailbone Injections AFTER Coccygectomy (Surgical Removal of the Coccyx)

Coccygectomy is surgical removal of the coccyx. Fortunately, the vast majority of patients with coccydynia (coccyx pain, tailbone pain) respond well to NON-surgical treatment and therefore do NOT require coccygectomy. Typical treatments include coccyx cushions and tailbone injections. For those small percentage of patients who fail to get adequate relief despite injections, etc., it […]

Sit-Stand Coccyx / Tailbone X-rays After Coccygectomy?

I was recently asked: Do I order sitting-versus-standing coccyx x-rays for patients who have persistent pain after coccygectomy (surgical removal of the coccyx/tailbone).

MY RESPONSE:

1) First of all, do we know for sure whether the ENTIRE tailbone has indeed been surgically removed?

If we know for sure that the entire tailbone has been […]

Scar Tissue after Coccygectomy (Tailbone Removal Surgery)

Essentially all surgery results in some scar tissue at the surgical site. Not all scar tissue needs to be treated. If the scar tissue is not causing any symptoms or problems, sometimes it’s best to just ignore it. However, scar tissue can sometimes be painful or cause irritation of nerves, muscles, and tendons in […]

Do you want your tailbone after it is surgically removed?

Tailbone pain (also called coccyx pain, or coccydynia) sometimes requires surgical treatment. Surgery to remove the coccyx is called coccygectomy.

Fortunately, the vast majority of people with tailbone pain respond well to non-surgical treatment, such as the use of cushions, medications by mouth, and coccyx injections.

For those uncommon cases where the tailbone needs to […]

Why not just remove the tailbone in all people with tailbone pain?

You may be wondering… “If I have tailbone pain, why not just have it surgically removed? Why bother trying non-surgical approaches?”

Why not just remove the tailbone right off the bat for people having tailbone pain? My answer would be that the vast majority of patients do well with milder and easier treatments. The milder […]

Pelvic Floor Prolapse (Sagging) after Coccygectomy

At the time of surgery to remove the coccyx (coccygectomy), it is somewhat variable what the surgeon does. Sometimes the tailbone is partially removed, sometimes completely removed. Surgeons differ in their opinions as to how important it is or isn’t to try to re-attach the pelvic floor tendons that were previously attached to the […]

Tailbone wounds that will not heal

When there is skin breakdown of ulceration of the skin over the coccyx, it is worth looking for a cause. Sometimes people develop a bed-sore of the skin behind the sacrum and coccyx after spending too much time laying in bed. (The medical term for a bedsore is a “decubitus ulcer”.) Usually, a bedsore […]

Painful Sex after Coccygectomy for Tailbone Pain?

After coccygectomy (surgical removal of the tailbone) as a treatment for tailbone pain (coccyx pain), should patients worry about whether sex will be painful? I don’t know any published research on this one way or the other, but for patients I have treated after they have had coccygectomy, I don’t recall many that have reported […]

No Surgical Hardware for Tailbone Pain

Sometimes patients ask me whether tailbone pain (coccyx pain) can be treated by placing surgical hardware into or onto the tailbone to stabilize any instability of the tailbone.

At first consideration, this is a reasonable thought.

Firstly, unstable joints of the tailbone are one of the most common causes of tailbone pain (and this diagnosis […]

Pain and Pelvic Floor Prolapse after Coccygectomy (Tailbone Removal)

Coccygectomy is surgical removal of the tailbone (essentially amputating the tailbone).

There are not great long-term studies about long-term complications of having the tailbone removed.

The short-term risks include infection at the surgical site, especially in the first few weeks or months after the surgery.

Infection: In some studies up to 20% of patients need […]

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