Tailbone bruise – damage of soft fabrics in the field of a tailbone and sacral and coccygeal connection. Usually arises when falling on buttocks, meets in winter season more often. It is shown by hypostasis and the pain amplifying in a sitting position and during movements. Formation of a hematoma is possible. In the remote period such trauma can be complicated by a koktsigodiniya – the chronic pains resulting from damage of the nervous textures located in the field of a tailbone. The diagnosis a bruise of a tailbone is exposed on the basis of symptoms, these survey and a X-ray analysis. Treatment is conservative.
Tailbone bruise – rather widespread traumatic damage. Usually arises in life, when falling on buttocks. The quantity of similar injuries sharply increases in winter time, especially in the period of ice. In some cases bruises of a tailbone are connected with falling during sports activities (at skaters, mountain skiers, is more rare – at athletes, fighters etc.) or with blow about rigid bicycle sitting during driving on uneven roads. Damage comes to light at children more often that is caused by their high physical activity. When falling in life (for example, during ice) women suffer more often than men that can be connected with insufficient coordination of movements, and also wearing unstable footwear on a high heel.
Tailbone – the lower department of a backbone consisting of several accrete vertebras. The top vertebras of a tailbone massivny lower therefore in a form it reminds the turned pyramid. In fact, the tailbone represents a tail analog at mammals, but, despite rudimentary character of this anatomic element, it continues to perform a number of important functions. To a tailbone the ligaments and muscles lifting back pass and participating in work of urinogenital system fasten. Around a tailbone several nervous textures from which nerves, the innervating muscles of a pelvic bottom and skin in the field of back pass depart settle down. The tailbone assumes a part of loading during the sitting and inclinations of a kzada.
At a bruise of a tailbone hematomas are formed, there are hemorrhages in soft fabrics. In the subsequent hematomas can resolve or osumkovyvatsya, squeezing surrounding anatomic educations. On the place of hemorrhages small scars which can also influence functioning of sheaves and muscles of area of a tailbone are formed. After bruises the miozita which are followed by a pain syndrome quite often develop. Everything listed increases probability of development of a koktsigodiniya – the chronic pains in the field of a tailbone which are hard giving in to treatment.
Symptoms and diagnosis of a bruise of a tailbone
At the time of a trauma patients feel sharp pain in the field of a tailbone. Within several hours the pain syndrome, as a rule, decreases therefore victims not always ask for medical care. In the next several days of pain arise or amplify at the movements and attempt to sit down, and also during the act of defecation and sexual intercourse. Irradiation in back pass, a crotch, area of buttocks and the lower extremities is possible.
In some cases normal sitting with a uniform support on both buttocks becomes impossible and patients try to sit down on edge of a chair, leaving a tailbone on weight. Because of pains patients move carefully, slowly and accurately. At survey the moderated or unsharply expressed puffiness of the struck area is found. Sometimes in a zone of a tailbone hemorrhages or hematomas which can be both superficial, and located in the depth of soft fabrics come to light. The palpation of area of a tailbone is sharply painful, at palpation of surrounding soft fabrics insignificant pains or discomfort come to light. Krepitation is absent.
The diagnosis is exposed on the basis of the anamnesis, complaints and data of survey. For an exception of a change appoint a tailbone X-ray analysis. In doubtful cases of the patient direct to a computer tomography (if it is possible – spiral). At suspicion of the large deeply located hematoma use a magnetic and resonant tomography which allows to estimate a condition of myagkotkanny structures and to reveal volume educations (including – hematomas).
First aid and treatment at a tailbone bruise
The tailbone which was injured with a bruise stack sideways or on a stomach, put cold to the field of damage (a hot-water bottle with cold water or the ice in a plastic bag wrapped in a towel). At severe pains give the anesthetizing medicines. Transportation is made in a prone position on one side to avoid pressure upon the damaged area. Without survey of the expert and carrying out special researches the bruise of a tailbone cannot be differentiated with more serious injuries (tailbone changes, ruptures of sinkhondroz between accrete coccygeal vertebras, shift of coccygeal vertebras) therefore at all damages of this anatomic zone it is necessary to address the traumatologist at once.
Treatment of bruises of a tailbone is performed on an outpatient basis in emergency station. To the patient recommend not to sit and not to lie on a back to exclude pressure upon the struck area. During sitting it is possible to use a rubber circle or the special orthopedic pillow allowing to unload area of a tailbone. In the first days put cold to a bruise, in the subsequent direct the patient to UVCh. Advise the victim to eat the easy food which is not provoking locks.
At the expressed pain syndrome appoint NPVS in tablets, in the form of gels and ointments for local application. It is necessary to consider that treatment term nonsteroid anti-inflammatory medicines for intake has to make no more than a week as at prolonged use such medicines can exert the destroying impact on a stomach wall. Along with NPVS for elimination of pains it is possible to use rectal candles with analgetics. The disability period usually makes 2-3 weeks.
Consequences of bruises of a tailbone
In most cases the forecast favorable, comes full treatment. The pain syndrome gains persistent character from some patients. Pains can be aching, pricking, cutting or stupid, arise during the movements, sitting or the act of defecation, sometimes develop at night, pass independently or after reception of analgetics. In similar cases in traumatology expose the diagnosis a post-traumatic koktsigodiniya and appoint the conservative treatment including physiotherapeutic procedures (ultrasound with novocaine, lidocaine or glucocorticoids, ozokerite, paraffin, mud cure, UVCh, infrared radiation), massage of a rectum, alcohol- blockade, blockade with triamtsinolony, diprospany and other medicines.