What causes coccyx pain in women?

The coccyx is located at the buttocks and is an important part of the human skeleton. Coccyx pain is a relatively common symptom, which is caused by many reasons, such as vertebral injury, fracture, pelvic inflammation, tumors and other diseases. In addition, many women also experience coccyx pain during pregnancy. Next, I will introduce to you some relevant knowledge about coccyx pain!

1. What is the cause of coccyx pain?

1. True coccyx pain: The pain comes from the coccyx itself, and is commonly caused by coccyx injury or fracture.

2. Pseudo-coccydynia: The pain comes from outside the coccyx and is a reflex pain. It is commonly seen in pelvic inflammation, tumors, and urogenital system diseases.

Cause of pain: There are sensory nerves and coccygeal nerves in the coccyx area. When there is a lesion in the reproductive and urinary system in the pelvic cavity, the pain will involve the coccygeal nerves through the sacral nerve, causing pseudo-coccygealgia. Pain can be acute or chronic. Patients are often unable to sit or stand in a normal manner and always feel more comfortable lying in bed or standing. The pain is sometimes concentrated only at the tip of the coccyx, with local tenderness, while for some people the pain range is more vague. The pain is sometimes exacerbated by increased pressure on the levator ani muscles. If the pain worsens at night or when you cough or sneeze continuously, you should be especially careful, because sometimes tumors near the coccyx or spinal tumors can cause similar symptoms.

2. What causes coccyx pain during pregnancy?

This is mainly because after pregnancy, the fetus in the pelvis and abdominal cavity causes changes in pelvic shape and the forward shift of the body's center of gravity. This mainly occurs in the second trimester. During this period, the fetus grows rapidly in the pelvic cavity, and the hormones and stress in the body change. The micro-motion joints of the female pelvis, such as the sacroiliac joints and the immovable joints of the pubic symphysis, will gradually separate and widen, expanding the capacity of the pelvis. This is more obvious when pregnant with the first child. Some people may also have reflex pain in the back of the thigh, and the pain is obvious when the body position changes. This is generally caused by the fetus compressing the sciatic nerve behind the peritoneum. The main treatment is to reduce the lying position of the affected area to reduce compression.

3. Symptoms of coccyx pain

1. Pain: Patients who complain of persistent pain in the sacrum after trauma should undergo a detailed examination. Clear line tenderness is mostly caused by fractures and the fracture line can be determined along the direction of tenderness; conductive percussion pain is milder than lumbar fracture, especially when examined in the standing position

2. Fear of sitting: When sitting, gravity directly acts on the sacrum and coccyx, causing pain. Therefore, when patients come to see a doctor, they prefer to stand or sit on one side of their buttocks.

3. Subcutaneous congestion: Because the sacrum is superficial, deep injuries are easily exposed under the skin. Therefore, hematoma, subcutaneous congestion, or skin contusion and abrasion at the fracture site may be found during physical examination.