How Big is that Coccyx Mass, Cyst, Tumor, or Cancer?

Sometimes I find that my patients with tailbone pain (coccyx pain, coccydynia) actually have a mass, cyst, tumor, or cancer either within the tailbone itself or in the nearby tissues. Examples can include pilonidal cyst, retro-rectal hamartoma (tailgut cyst), chordoma (a type of bone cancer that tends to happen at the coccyx and is […]

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 […]

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 […]

Bone scans often FAIL to show tailbone cancer or coccyx injury

A “bone scan” is a test performed by the nuclear medicine part of a radiology center.

The nuclear medicine bone scan is generally considered to be very good for detecting bone destruction from things like bone cancer (malignancy), bone infection (osteomyelitis), or bone injuries (such as fractures).

If the bone scan is truly being done […]

Tailbone pain: Cancer and Infection

In the news…

A United States military veteran with tailbone pain (also called coccyx pain, or coccydynia) turned out to have cancer and infection (a pus-filled abscess) in the tailbone region.

This shows the importance of proper medical care and thorough medical work-up.

Here is the news article and video: http://wlfi.com/2015/07/15/news-18-special-report-va-investigating-wl-doctor-after-veterans-complaint/

(FYI: he’s not […]

Tailbone Removal (Coccygectomy): Drains, Antibiotics

Surgical removal of the tailbone (coccyx) is medically known as coccygectomy.

In the United States the coccygectomy surgery would often be considered an outpatient surgery, meaning that you have the surgery in the morning and go home by that evening. But that may vary depending on how someone is doing in the recovery area after […]

Bone infection after tailbone removal surgery (coccygectomy)

One complication of surgical tailbone removal (coccygectomy) is that infection may occur at the surgical site.

Part of the reason for the relatively high likelihood of infection at this surgical site (compared with others) is that the coccygectomy site is so close to the anus.

Superficial infections can happen at the skin, which is called […]

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