A pathological condition in which pain constantly or periodically occurs in the coccyx area is called anokopchikovym pain syndrome. Unpleasant symptoms may develop independently against the background of an injury or indicate other pathological conditions. In any case, it is impossible to postpone the visit to the doctor.
Description of the pathological process
Anokopchikovy syndrome can be suspected with prolonged pain in the perineum. Such a pathological process requires careful diagnosis to identify the exact cause. There are many factors that can trigger the appearance of unpleasant symptoms. Additionally, the patient may experience anorectal pain. However, the nature of the discomfort may differ. If the coccyx hurts when you sit and get up, this may indicate a violation of the integrity of the bone structure. Constant aching pain may indicate the development of an infection in the rectal area.
Anokopchikovy pain syndrome is almost never associated with osteochondrosis and diseases of the genitourinary system. Unpleasant sensations can appear suddenly and just as abruptly disappear with a change in body position. The most common pathologies in which a similar symptom occurs will be described below.
Diagnosis
In various pathological conditions, coccygodynia may appear. Diagnosis using various methods is of great importance. Properly conducted studies make it possible to prescribe appropriate therapy. A specialist needs to confirm or refute a coccyx injury, rectal diseases, neuralgic pathologies, sciatica, endometritis, etc.
The first thing the doctor needs to do is to examine the patient in the knee-elbow position and on the gynecological chair. A proctologist and a gynecologist can take part in the study. Thanks to palpation, it is possible to identify the presence of cicatricial changes, signs of an inflammatory process. The feelings of the patient during the examination are of great importance. With an injury or inflammation, the pain will increase.
Sigmoidoscopy may be prescribed to rule out colon diseases. The study provides an opportunity to get an idea of the state of the mucosa. During the diagnosis, it is possible to identify hemorrhoids, cracks, erosions and polyps. If malignant tumors are suspected, an X-ray examination of the rectum is prescribed.
Coccyx injury
Anococcygeal pain syndrome can be primary and secondary. In the first case, we are talking about a pathological process that is not associated with other diseases. Most often, primary coccygodynia develops with an injury to the coccyx. This is a common injury that can occur in everyday life. The number of such injuries increases sharply in winter during ice. When the coccyx is bruised, a slight hematoma and edema occur. In addition, myositis may develop, which is also accompanied by pain.
A specialist can diagnose a coccyx injury based on complaints. The specialist confirms his guesses with the help of X-ray examination.
What to do with a bruised tailbone?
Treatment is carried out on an outpatient basis, and it begins in the emergency room. An ice pack is applied to the diseased area, and pain medication is given to the victim.
During rehabilitation, the patient is not recommended to sit and lie on his back in order to avoid stress on the damaged area. In most cases, the prognosis is favorable. Within 7-10 days, the pain syndrome disappears completely. In rare cases, post-traumatic coccygodynia develops. In this case, physiotherapy procedures (UHF, infrared irradiation, electrophoresis), as well as physiotherapy exercises, help to remove pain in this case.
Hemorrhoids
Anococcygeal pain syndrome (coccygodynia) can develop with advanced hemorrhoids. This disease is characterized by varicose veins of the anus. ATAs a result, painful hemorrhoids are formed. This is the most common proctological pathology. The main factor in the development of the disease is a violation of blood circulation in the hemorrhoidal plexuses. As a result, knots appear that become inflamed, pain occurs.
Hemorrhoids often develop in people suffering from constipation. Negative factors also include overweight, a sedentary lifestyle, excessive consumption of fatty foods and alcohol. Professional factors also matter. People who are forced to sit for a long time also often develop this ailment.
Treatment tactics are chosen based on the stage of the disease. In the acute period, anti-inflammatory drugs are prescribed, as well as hemostatics. The following medicines show good results: Procto-Glivenorl, Relief, Proctosan, etc.
Anus fissures
Anal fissure is a nuisance that both adults and children can face. Statistics show that this disease is in third place among other proctological pathologies. Women face the problem more often than men. Anal fissures are rarely diagnosed in children. A crack is a defect in the mucosa of the anus. At this point, the shell is torn, the muscle layer opens. Against the background of the pathological process, coccygodynia may develop. Symptoms in women often appear after childbirth. In men and children, the disease can be causedprolonged constipation.
Severe pain in the coccyx area usually occurs during defecation or immediately after going to the toilet. Most often, discomfort lasts 10-15 minutes, then goes away. Another characteristic sign of anal fissures is streaks of blood in the stool.
If the crack has just appeared, you can try to let it heal on its own. It is important to watch your diet to avoid constipation. To quickly relieve inflammation and heal a crack, drugs such as Relief, Troxevasin will help.
Proctitis
The disease is associated with an inflammatory process in the area of the rectal mucosa. Most often, the pathological process develops against the background of malnutrition, the presence of parasites in the rectum, diseases of the gastrointestinal tract. Proctitis can develop in both men and women. In children, pathology is rarely diagnosed. Initially, the disease always develops in an acute form. One of the signs is pain in the coccyx and anus. If therapy is not carried out in a timely manner, the disease will become chronic.
In the acute form of the disease, the pain syndrome can be quite strong. Unpleasant sensations intensify at the time of defecation. The patient may also have symptoms of general intoxication, such as a slight increase in body temperature, weakness.
At the initial stage of proctitis, treatment can be carried out on an outpatient basis using anti-inflammatory suppositories. In addition, a sparing diet is prescribed andbed rest.
Sigmoiditis
The disease is characterized by inflammation in the sigmoid colon. The pathological process can be both acute and chronic. The disease can occur in both sexes. Intestinal infections, dysbacteriosis, ulcerative colitis, Crohn's disease can provoke inflammation.
Pain in the coccyx is not the only sign of a pathological process. In the acute period of the disease, the patient may experience symptoms of an acute abdomen, nausea and vomiting often appear. Some symptoms of acute sigmoiditis may resemble appendicitis. An accurate diagnosis can be made with the help of endoscopy.
When sigmoiditis patients are prescribed diet number 4, it is necessary to abandon fried and spicy foods. If the disease is caused by bacterial microflora, broad-spectrum antibiotics are prescribed.
Prostatitis
If the coccyx hurts when you sit and get up, this is not always associated with pathologies of the skeletal system. In men, such symptoms can be observed against the background of inflammation of the prostate. This is the most common pathology of the genitourinary system in the stronger sex. The disease can occur in both young men and older men. Hypothermia, the presence of other chronic diseases in the body, and constant constipation can provoke the appearance of unpleasant symptoms. Overweight men who lead a sedentary lifestyle are more prone to developing prostatitis.
Pain in the coccyx and perineum, problems with urination, fever - all this indicates the development of the inflammatory process. With a significant deterioration in the patient's well-being, therapy is carried out in a hospital. The patient is prescribed antibiotic therapy, non-steroidal anti-inflammatory drugs help to improve well-being. With secondary prostatitis, the underlying disease is treated.
Other causes of anococcygeal pain syndrome
Symptoms, treatment, possible causes of the disease - this information should be studied by those who once encountered pain in the coccyx. It often happens that in the course of a thorough diagnosis, no violations can be detected. Coccygodynia can develop in people who are forced to sit in one position for a long time. Especially often unpleasant symptoms are observed in the elderly. In this case, no special treatment is required. All it takes is more movement.
Absence of stool for several days can also trigger coccyx disease (coccygodynia). How to treat constipation? You can use glycerin suppositories. It is also important to review the diet, to give up fast food and convenience foods.
