If Sit-to-Stand Worsens Coccyx Pain (Tailbone Pain) Think of Tailbone Hypermobility

Coccyx pain (tailbone pain, coccydynia) is usually painful while sitting. But sometimes the pain is even WORSE during the few seconds while you start to stand up. This tailbone pain exacerbation during standing up is an important symptom. This is often seen in patients who have coccyx hypermobility (excessive movement of the coccygeal bones while sitting).

I recently created a video on this topic, which is shown down below. Meanwhile, here is the text from that video.

Let’s briefly discuss coccyx pain or tailbone pain that gets worse during that transition when going from sitting to standing.

I’m Dr Patrick Foye I’m an M.D. or medical doctor.

I’m the director of the Coccyx Pain Center (or Tailbone Pain Center) here in the United States, online at www.TailboneDoctor.com  

Classically, coccyx pain (or tailbone pain, coccydynia) typically is worse when you’re sitting and worse when you’re sitting leaning back.

Because when you’re sitting and sitting leaning back, you’re putting more of your body weight onto the coccyx, or tailbone.

However, a significant number of people with coccyx pain (or tailbone pain) will report that their pain gets significantly worse during the first few seconds of that transition of going from sitting to standing.

As they first stand up their pain level skyrockets for just those first few seconds in particular.

And there was an interesting study that was done on this by Dr. Jean-Yves Maine. Dr. Maine in Paris France found that that particular symptom pain with going from sitting to standing specifically that coccyx pain was associated with people who had something called dynamic instability which is hyper mobility (so excessive movement of the coccygeal joints).

The test that’s done to assess for that is something called the sitting-versus-standing x-rays or dynamic x-rays.

And what’s done is to take an x-ray of the tailbone while somebody is sitting.

So they’re sitting and putting their body weight onto the tailbone and sitting leaning back.

And then they compare the position of the coccyx in that position with the position of the coccyx while they’re standing up and not putting their body weight onto it.

And you can assess for whether there’s abnormal or excessive movement in between those two positions.

The difficulty is that there’s it’s challenging to find a radiology center that’s experienced at performing those.

But if you can, they can be very helpful.

So, not every single patient who has pain with sit-to-stand always has hypermobility and not every patient who has hypermobility has that pain that’s worse with sit to stand.

But it is an important association those two are commonly linked.

And it’s one more reason why the sitting-versus-standing x-rays can be really important if you’re able to find a place that can do those properly for you.

So, I hope that’s helpful information about that pain with going from sitting to standing for people who have coccyx pain or tailbone pain.

If you want more information on coccyx pain certainly if you go to Amazon you can get a copy of my book “Tailbone Pain Relief Now!”

It’s 272 pages all about the coccyx.

Or if you’re interested in seeing me in person in the United States, in New Jersey, you can go to my website which is www.TailboneDoctor.com

Here is the video:

Or you can use this link: https://youtu.be/nIZJITnuVy0

Here is a screen shot from the video:

COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person by Dr. Foye’s Coccyx Pain Center in the United States, go to: www.TailboneDoctor.com

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

Patrick Foye, M.D.
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