Fibromyalgia and Coccyx Pain, Tailbone Pain, Coccydynia

Fibromyalgia is a very interesting and complex topic in relationship to coccyx pain…
Fibromyalgia can worsen the symptoms of coccyx pain:
  • On the one hand, people with fibromyalgia have diffuse/widespread pain throughout multiple areas throughout the body.
  • This can often make it difficult to figure out exactly how much of someone symptoms are coming from the tailbone specifically versus how much of those symptoms are really coming from the overall diffuse/widespread pain problem that is fibromyalgia.
Coccyx pain can  worsen the symptoms of fibromyalgia:
  • On the other hand, if someone does have fibromyalgia… then it generally will make musculoskeletal pain in just about any area feel worse. If someone has arthritis in a joint, or inflammation in the bursa, or a tear in a tendon or ligament, then unfortunately it probably will feel worse if the person is already suffering from  fibromyalgia that involves that body region.
  • Also, unfortunately the musculoskeletal arthritis/inflammation/bursitis/tendonitis/etc. can be a trigger that causes the fibromyalgia to be worse.
So, fibromyalgia and coccyx pain can worsen each other:
  • Thus, it unfortunately goes both ways: the fibromyalgia can cause worsening of coccyx pain, and the coccyx pain can cause worsening of the fibromyalgia. It can be somewhat of a “vicious cycle”.
Treating the fibromyalgia:
  • Often, fibromyalgia is treated by a rheumatologist. Treatment can include medications by mouth, physical modalities such as hot packs or icing over involved muscle areas, a stretching program for the involved muscle groups (perhaps with a physical therapist but then importantly doing it as a home program), some forms of massage for the involved muscle areas, etc.
Treating the coccyx pain might help the fibromyalgia:
  • Focal treatment for coccyx pain can sometimes relieved not only the pain at the coccyx but can sometimes also help to decrease the overall fibromyalgia. Basically, the explanation is that the coccyx pain can be an underlying cause of triggering/worsening of the fibromyalgia…  and therefore if we can effectively help to relieve the coccyx pain then the fibromyalgia may return to its baseline level of discomfort (rather than the exacerbated or flared-up levels of worsened fibromyalgia).

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– Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.

Patrick Foye, M.D.
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