From the Research
For a tailbone (coccyx) contusion, rest on soft surfaces and avoid prolonged sitting for 1-2 weeks, using a donut cushion or pillow when sitting to reduce pressure on the tailbone, as this approach is crucial in reducing inflammation and pressure on the injured area while it heals. The management of tailbone contusions involves a combination of rest, pain management, and protective measures to alleviate discomfort and prevent further injury. Key recommendations include:
- Resting on soft surfaces to minimize pressure on the coccyx
- Avoiding prolonged sitting for 1-2 weeks to reduce strain on the tailbone
- Using a donut cushion or pillow when sitting to further reduce pressure on the tailbone
- Taking over-the-counter pain medications like acetaminophen (Tylenol) 500-1000mg every 6 hours or ibuprofen (Advil, Motrin) 400-600mg every 6-8 hours as needed for pain, not exceeding maximum daily doses, as supported by studies such as 1 and 2 which demonstrate the efficacy of these medications in pain management
- Applying ice packs for 15-20 minutes several times daily for the first 48-72 hours, then switching to warm compresses to help reduce pain and inflammation
- Engaging in gentle stretching and movement to prevent stiffness, as most tailbone contusions heal within 4-6 weeks without specific treatment
- Seeking medical attention if pain worsens, spreads to legs, or is accompanied by numbness, weakness, or bowel/bladder problems, as these symptoms could indicate a more serious injury, as noted in 3 which discusses the importance of proper diagnosis and treatment of coccydynia. The tailbone is vulnerable to injury because it has little muscle protection and bears weight when sitting, so following these instructions is essential in managing the condition effectively.