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28 years
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I'm suffering from a mild pain between my butt cheeks for the past 5 days and it hurts when i sit down in a certain position. no sign of bump or swelling. How would i know if its a nest of hair?
Jan 24, 2015
Opinion requested

Dr. Zakia Dimassi Pediatrics
This is known as coccydynia, or pain in the coccyx (tailbone area). The two main causes for this condition are:
- sudden impact due to fall, and                    - (in females) coccydynia caused by childbirth pressure.
There is also the possibility of partial dislocation of the joint with consequent abnormal movement of the coccyx from excessive sitting, and repetitive trauma of the surrounding ligaments and muscles, resulting in inflammation of tissues and pain.
When there is high tension in the muscle, tendon or joint capsule, pain ensues.
In patients with chronic pain in the tailbone area, almost invariably a history of a direct injury such as a kick or a fall during childhood, is elicited. This is especially prominent in trampoline springers (if they fall on the hard bar) and horse riders who fall off a horse fall onto their back or pelvis, but some may have the impact direct to the tailbone. An x-ray in these cases usually shows no fracture.

The condition is exacerbated by sitting on the affected area, so using a cushion with a cutout at the back under the coccyx is recommended. In case of tailbone pain with bowel movements, stool softeners and high-fiber foods in the diet may help. Non steroidal anti inflammatory drugs (NSAIDS) are also useful to relieve the pain.
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