Tailbone Pain Awareness Day: November 15

“Tailbone Pain Awareness Day” is November 15 Goals of Tailbone Pain Awareness Day: The goal of Tailbone Pain Awareness Day is to draw attention to tailbone pain (also called coccyx pain), and to offer educational materials, support, understanding, and compassion for people suffering from tailbone pain. Goals also include providing useful educational materials for people […]

What Causes Fuzzy MRI images of the Coccyx (Tailbone) in Patients with Coccyx Pain (Tailbone Pain, Coccydynia)?

Someone recently told me online that their treating physician tried to look at the coccyx MRI, to try to find the cause of the person’s coccyx pain (tailbone pain, coccydynia). But the physician reportedly said that the MRI images of the coccyx looked “fuzzy,” so they were not able to see very much detail.

What […]

How Soon After a Coccygectomy Can You Have a Steroid Injection?

Someone recently asked me:

How Soon After a Coccygectomy can you have a Steroid Injection? The answer is: “it depends.” Most patients tolerate corticosteroid (steroid) injections very well. These injections can be very helpful for a wide variety of painful musculoskeletal conditions. But it is important to recognize that there are some people who are […]

Nuclear Medicine Bone Scans, but NOT DEXA Scans, for Coccyx Pain, Tailbone Pain

Regarding “Bone Scans” for Tailbone Pain, Coccyx Pain… Someone recently asked me to explain the difference between a DEXA Scan and a Nuclear Medicine Bone Scan. DEXA: A dual energy X-ray absorptiometry (DEXA) scan, also called a bone density scan, is a common technique used to measure bone density. This test is basically done to […]

TWO Different Causes of Coccyx Pain (Tailbone Pain) in the Same Patient

Someone recently asked me whether it was possible for someone to have coccyx pain being caused by TWO different causes in the same patient.

Yes, it is certainly possible for patients to have more than one location of coccyx problem. For example, I frequently see patients who have both the most common cause of coccyx […]

Pants' Zippers Blocking View of the Coccyx on X-rays

Pants’ Zippers Blocking View of the Coccyx on Tailbone X-rays Many radiology imaging centers have no idea how to properly perform x-rays of the coccyx for people who have tailbone pain (also called coccyx pain or coccydynia). Sometimes even the most basic problems occur. I have seen many, many patients over the years where the […]

MRI showing Inflammation around a Distal Coccyx Bone Spur, on T2 and STIR images, in Tailbone Pain

“STIR” images and “T2″ images on MRI are essentially like filter settings where fluid shows up bright. Some amount of fluid is normal, since many of our body tissues contain significant fluid content (for example, our fat cells [adipose] have significant fluid content). Also, we of course have the fluid we call urine within […]

How often to Repeat Injections for Coccyx Pain, Tailbone Pain, Coccydynia

Many patients with coccyx pain (tailbone pain, coccydynia) get excellent relief and improved quality of life via various types of coccyx injections. Prior to injections, it is important that the patient undergo a thoughtful, careful evaluation regarding the actual source of their pain. Having an accurate diagnosis is important so that the physician can […]

Sacrospinous Ligament, External Palpation on Physical Exam, in Coccyx Pain, Tailbone Pain

Below is a very good video where a Pelvic Floor Physical Therapist explains palpation of the sacrospinous ligament on physical exam.

The sacrospinous ligament (SSL) is a connective tissue structure that spans from the sacrum to the ischial spine, hence the name sacrospinous (i.e., sacro – spinous).

However, despite being called the “sacrospinous” ligament, this […]

Videos of Standard X-rays of the Coccyx (Tailbone), AP and Lateral Views

Below are a couple of videos showing how standard x-rays are done at the coccyx (tailbone).

These are sometimes done for patients who have coccyx pain (coccydynia, tailbone pain).

In general, the best x-rays are the sitting-versus-standing x-rays, and you can read more about those here at this link: http://tailbonedoctor.com/sitting-versus-standing-coccyx-x-rays-for-tailbone-pain/

But unfortunately most radiology centers […]

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