Coccyx Fracture Treatment
- What It Is
- Risk Factors
- Living With
- User Questions
- Alternative Treatment
- Care Guide
- Questions for Your Doctor
- When to Contact a Doctor
- Find a Doctor
- Resource Guide
How to Treat Coccyx Fracture
The goal is to manage pain until the bone can heal. Doctors usually do not try to correct a bad alignment. Muscles in the area are powerful and can pull the coccyx back out of position. The location of the coccyx and the number of muscles attached to it make immobilization very difficult.
The area may remain painful for a long period of time, even after the fracture has healed. You may be advised to stay in bed for a day or two, or move only as comfort allows. Steroid injections or surgery may be considered if severe pain persists. Surgery for a painful coccyx fracture is very rare and not very successful. Usually pain gradually disappears.
You may be given medication to ease the pain. To reduce discomfort during bowel movements:
- Drink plenty of fluids and eat a diet rich in fruits, vegetables, and whole grains.
- Stool softeners may help decrease straining during bowel movements.
- Sitz baths can help relieve muscle spasms. A sitz bath involves soaking the anal area in warm tap water for 10-20 minutes.
Sitting can be very uncomfortable after a coccyx fracture. Suggestions to make sitting less painful include:
- Sit on an air cushion or doughnut pad.
- Alternate between sitting on one side of the buttock or the other.
- Avoid sitting on very soft surfaces. Sinking into a soft chair sometimes increases the pressure on the coccyx.
- Slouch to move your weight forward and off the coccyx. Note: This advice holds only until you are well enough to sit properly again.
- Sit on a telephone book, with the area of the coccyx hanging off the posterior portion of the phone book.
If pain continues and causes disability, a coccygectomy might be recommended. During this procedure, the doctor removes the coccyx. It is not a common procedure and the success rate is not what one would hope for.
If you are diagnosed with a coccyx fracture, follow your doctor's instructions.