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Symptoms and consequences of fracture of the coccyx

 
, medical expert
Last reviewed: 23.04.2024
 
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Probably not find a single person who would not have been injured at least once. However, many people do not pay much attention to the fact that such a bruise can have serious consequences. Therefore, the more we know about this or that pathology, the more correct our actions will be, and the result will be effective. In this article, we will try to highlight the topic "Symptoms and consequences of the coccygeal fracture" in more detail. We hope that the proposed material, someone will help to solve that difficult situation, which he got, allowing to make the right decision.

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Symptoms of a fracture of the coccyx

On the pathology under consideration may indicate a number of signs, noting that a person should be alerted and decide to visit a specialist. In this case, the manifestations are quite pronounced.

The first symptoms of a coccygeal fracture that occur after an injury is the pain that appears in the place of injury. At the same time, its intensity begins to increase with movement. The pain syndrome is so intense that it does not allow the victim to normally sit down.

Pain symptomatology is also enhanced with a sharp change in body position, even with a slight cough.

At the same time, slight puffiness can be observed in the bruised area, which eventually leads to problems in defecation. The level of edema directly depends on the strength of the fall and, accordingly, damage.

Similarly, when palpating a damaged area, the doctor, and the patient himself, can observe the pathological mobility of the bone process, the pain becomes unbearable.

With enough serious injury, it is difficult for the injured to climb and move independently. But with the support of another person, it can be done with difficulty. Any stirring causes acute pain. Somewhat calms the fact that such serious cases are extremely rare.

In any case, if the trauma is received and its consequences are "colored" by such a symptomatology, with the pain only increasing, you should immediately seek help from a qualified specialist. Perhaps the patient will be lucky, and he will get off only with a bruise - unpleasantly, but not so seriously. It is better to be safe and to hear such a diagnosis than to miss the early stage of the disease and subsequently suffer from the complications of the pathology in question, trying already to overcome the problem with greater efforts.

Fractured coccyx fracture

Injury of the rudimentary process is a very unpleasant and painful pathology, but it is further aggravated if this trauma occurs with the displacement of bone tissues relative to each other.

The created clinical picture aggravates:

  • The patient is difficult to move, any movement causes him unbearable pain.
  • About what would just sit down there can be no question.

To get a fracture of the tailbone with a shift is possible literally on a flat surface: "I slipped, fell, woke up ...". It is impossible to notice the consequences of the fall simply because of the severity of the symptoms.

To understand the mechanism of injury, it is worth a little look at the human anatomy. The coccyx scientists are attributed to the rudimentary organs of the human body, that is, those that by virtue of evolution have died out, but not completely lost by man. If we, as Darwin's theory claims, originated from a monkey, then this is our last tail.

This department is located on the lower extremity of our spine and is the least developed part of the skeletal structure, bearing almost no function. Exception of this judgment can be, perhaps, one thing - it is the place of attachment of a number of ligamentous and muscular tissues, including the pelvic groups.

Despite the fact that such a pathology as a percentage of fractures of the spine, is rare, it brings numerous complications. The consequences of such a disease can be problems of defecation, the formation of fistulas and suppuration and so on.

The displacement of bone tissue is the most serious situation that can be caused by such a disease. Its consequences can be very serious and dangerous. Particularly difficult is the situation when the bone fragment damages the spinal cord.

At the same time, even thoughts about self-treatment should not arise, one can not joke with this, because the consequences can be very deplorable. This diagnosis is a clear indication for hospitalization. If you do not do this in time, the bone corn will form on the fault site, which will fix the displacement, only aggravating the situation. And if at the early admission of the patient, it may be possible to avoid serious surgical intervention, then a long-lasting fracture is much more difficult and more costly to break.

Fracture of coccyx without bias

Less dangerous, but not less uncomfortable can be called a fracture of the coccyx without bias. The clinical picture with this diagnosis is due to less severe symptoms, which still gives the victim a lot of uncomfortable minutes. But no matter how easy this situation seemed to be, it is not worthwhile to treat the received disease yourself, hesitating or lazy to seek help from the doctors.

In most cases, such a patient is prescribed a hospital sheet and signs conservative therapy, which is carried out on an outpatient basis. In this case, the less time has passed since the injury, the shorter and more effective the treatment will be.

The old coccyx fracture

The situation is worse, if more than five days have passed after the trauma, at which the pathology under consideration has been obtained. After getting injured, our body, so destined by nature, begins to try to rebuild itself. After a certain period of time (here it is purely individual), the bone callus begins to form at the injury site, which tries to replace the damaged site, connecting the fragmented fragments of bone tissue.

Against the backdrop of a gradually emerging picture, the doctors state that the coccyx fracture has already broken down, which causes much more trouble for its owner and more trouble for the treating doctor. After all, uncontrolled splicing can lead to incorrect connection of disparate parts once a single whole.

The patient, of course, can also be lucky with a trauma without displacement, moreover, if he did not additionally injure the affected area, being completely at rest the first time after the incident, the restoration of integrity can occur independently and without consequences. But it's better not to risk your health and seek help from a specialist, then you can be sure that nothing bad will happen in the future.

Untimely the same medical care, and chronic disease can lead to neuritis of the coccygeal plexus, which threatens the victim with constant pain, which increases when sitting on a hard surface or at the time of getting up or sitting down.

This pathology requires an individual approach: in some cases, it may be sufficient physical procedures and therapeutic physical education, and in others - it will be necessary to resort to surgical treatment.

Fractured fracture of the coccyx

Fractured fracture of the coccyx - this is good and bad. It all depends on what kind of picture shows an x-ray. If there was no displacement of the appendage and the splicing was correct, then this is the purpose of arresting the disease, in which it is not necessary to expect any negative consequences.

If, however, a fragmentation occurred during bone rupture, or a wrong fusion occurred for some other reason, the pain becomes a constant patient companion. This phenomenon in medicine has its name - koktsigodiniya. In this situation, without surgery, the doctor can no longer manage and the surgeon performs an operation to remove the rudimentary process.

Compression fracture of the coccyx

Compression - this term comes from the word compression (compressio), which in Latin means - compression. In the light of the problem considered in this article, the compression fracture of the coccyx can be called the most severe consequence of trauma of this order.

In this type of injury, by sharp compression of the spinal column, not only the body of the coccygeal process, but also the spine itself, is injured, which, in the worst case, can lead to the failure of the lower extremities, loss of ability to move and, as a result, disability and chained wheelchair.

Such a clinic is manifested in violation of the integrity of the spine and deformation changes affecting the spinal cord of the affected person.

In this situation, it is not superfluous to correctly assess the situation and, without touching the victim (any shift or turn can worsen the situation), call for an ambulance.

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Fracture of coccyx at delivery

According to medical statistics, the first place for the reasons of trauma to the bony bone is a fall on the buttocks with a direct effect on the free tip of the lower spine, not so often the source of the pathology is the blunt impact applied to the outer surface of the area under consideration.

But there are also isolated cases of receiving the examined pathology, which was provoked by obstetrics. This pattern is observed when the newborn passes through the birth canal. Especially the risk of a fracture of the coccyx at delivery is increased for women:

  1. Having a very narrow pelvis.
  2. If the baby being born is very large.
  3. If a maternity injury is diagnosed before the pregnancy, the tailbone trauma is diagnosed.

Pain symptomatology after obstetrics doctors are considered normal. This postnatal phenomenon is called the term cocciogonia, and most often there is nothing terrible in this. A little time will pass, and the young mother will forget about such an unpleasant fact. But this does not apply to the situation when a break occurred. With this clinical picture, the main thing is not to miss the disease.

It is not uncommon for cases when pain symptoms, localized in the region of interest to us, appear even in late pregnancy. This situation is explained by the fact that shortly before birth, the fetus is already formed and has quite impressive dimensions, pressing on neighboring areas, and since in the normal state of the articulation of the closing part of the spine differ in immobility, this pressure leads to the manifestation of painful sensations. If there are such facts as fragility of bones and the big weight of the kid, such combination is quite capable to provoke a trauma of a coccyx, and even occurrence in it a crack or a full break. Although, it is worth reassuring women, this is rare enough and in isolated cases.

Consolidated fracture of the coccyx

Consolidated fracture of the coccyx - this combination of words in many patients causes a kind of psychological stress, because until the end it is not clear what it is. But if you run the search engine with the word "consolidated", you can read that this term denotes a fused pathology that does not allow deformation of the bone.

Consolidation of the fault can take place in three ways.

  • If there is a rigid fixation of the split bones, but when they are joined, complete restoration of the integrity of the bone, the circulatory system, and the sensitivity of the nerve endings is observed. In this case, the callus is not formed.
  • If in the presence of incomplete comparison of fragments, their relative mobility is also observed, often accompanied by a violation of blood circulation. With such a picture of the disease, one can speak of secondary splicing. In this situation, the callus is formed, but differentiated in small sizes.
  • If bone fragments are observed on the X-ray, they have considerable mobility, accompanied by a malfunction in the circulatory system, no such splicing is observed at such a clinic.

The very process of consolidation is accomplished through a layer-by-layer restoration of bone integrity. This procedure is due to the multiplication of specific cells of the Havers channels, periosteum, endosteum, periosteum and connective tissues.

Already after five to seven days the defective lumen between fragments gradually begins to be filled with structured cells of blood vessels, osteoblasts and fibroblasts. After the completion of corn formation, this area is distinguished by a noticeable thickening. In this case, the traumatologist separates the primary callus, which is formed four to five weeks after the injury, and the secondary, formed after five to six weeks.

The next stage of recovery is the reformation of bone tissue. It can last for more than one year. During this period, osteoblasts "work" on the resorption of the fragments of the bone tissue itself, as well as the excess volumes of bone callus.

It should also be noted that this process of recovery is more prolonged for such a population as elderly people, patients with a history of diabetes mellitus, severe depletion of the body, vitamin deficiency and the period of gestation (in women). If we start from local causes, then inhibition of healing can:

  • Problems with the circulation of the area.
  • The presence of numerous fractures.
  • Passage of chemotherapy and radiation therapy.
  • Purulent infection of soft tissues, which is of an infectious nature.
  • Presence of signs of osteochondrosis.
  • Great physical activity.
  • Excessive activity of the victim.

Symptom of inhibition of bone formation is:

  • Increased mobility of the affected area after a sufficient amount of time.
  • Appearance of pain symptoms in the area of interest.
  • The failure of regenerative processes leads to the development of a false joint.

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Fracture of coccyx and pregnancy

Conception and immediately the period of bearing a baby is a huge burden on a woman's body. Due to the growth of the fetus, there is an increase in compression on the internal organs of the future mother. In this case, if a woman does not fully fill her mineral and vitamin reserve, the process of demineralization of bone tissue, leading to increased brittleness, may become more active. Already these two components are enough to cause deformation, and with a more unfavorable confluence of factors, and even less pleasant pathology. It is encouraging that such a confluence of diagnoses is rarely established.

Therefore, in no case should be put an equal sign between such two concepts as a fracture of the coccyx and pregnancy.

Echoes of pain below the sacrum - this is not such a rare fact, but it should not be immediately associated with the presence of a pregnant woman, considered in this article pathology. The reason for the pain can be quite different: it can be caused by:

  • Fissure of the anal canal.
  • Hemorrhoids - this pathology often goes hand in hand with pregnancy.
  • Exacerbation of chronic diseases of the genitourinary system or intestines.
  • Infection of the tissues of the uterus or fallopian tubes.
  • Deficiency of magnesium and potassium in the body of a pregnant woman, which reduces the strength characteristics of the musculoskeletal system.
  • Quite an active growth of the cyst, which leads to a disbalance of the hormonal background, only aggravated by pregnancy.
  • Disease of the rectum, including its infectious lesion.
  • Increased muscle and ligament tissue tension.
  • Pathological changes affecting the kidneys.

If a woman begins to feel pain, it is necessary to tell her obstetrician - the gynecologist, who leads the pregnancy. After all, a number of causes of pain symptoms, causes can significantly complicate the genus, for example, infection. Therefore, such a problem should be resolved before the onset of labor.

Fracture of coccyx in child

The true form of this disease is relatively rare. After all, the considered part of the body, represented by a complex of successively connected vertebrae, is protected fairly well. But, nevertheless, there are such cases, and it would not be correct to avoid their attention.

Traumatological statistics indicate that the fracture of the coccyx in a child, mainly, occurs because of a trauma caused to the ligaments and joints that are attached to the rudimentary organ in question. A rupture in the vertebrae is also possible, but a deformation with a violation of the integrity of the vertebrae itself is rare in small patients.

This disease in children has the same classification as in adults.

  • Dislocation.
  • Dislocation in combination with a violation of the integrity of the bone.
  • Breach of bone integrity without bias.
  • Breach of bone integrity with bias.

The severity of the pathology in this list is displayed from a fairly easy to more severe disease.

Most often, children can observe dislocation in combination with a violation of the integrity of the bone. The localization of the crack is most often diagnosed in the articulation of the sacrum with the coccygeal process. With such a trauma, it is almost impossible to recognize the problem even with the help of an X-ray image. In this situation, a careful examination of an experienced pediatric trauma doctor is necessary, since the symptoms of many diseases associated with the area under consideration are quite similar.

In a number of cases, a banal bruise can cause panic, while more severe trauma goes unnoticed. Therefore, at any degree of bruise, it is not superfluous to show the baby to a specialist.

If possible, parents should receive information from the child about the nature of the pain. As with a dislocation, the pain syndrome is able to change the intensity, or even temporarily stop. Whereas with the described pathology the pain is of high intensity and has an increasing character.

Parents should be alerted and encouraged to seek help from a doctor:

  • Painful defecation.
  • The appearance of a large hematoma in a child.
  • Local swelling of tissues.
  • Strong pain causes the baby to show appropriate emotions.
  • Discomfort increases with any attempt to change the position of the body.
  • It is difficult for a baby to get up and sit down.
  • With palpation, one can ascertain the unhealthy mobility of the appendage.

If you find at least some of the above symptoms, you should immediately take the child to the emergency room for examination by a specialist. Only he is able to confirm or refute the suspicions.

Consequences of a fracture of the coccyx

Only a person who has encountered this problem is able to fully appreciate the consequences of a fracture of the coccyx. But these "theoretical" knowledge will not prevent other respondents. Perhaps they will contribute to the fact that a person will be more attentive to his health, and if pathological symptoms occur, immediately seek help from the necessary doctor.

As the statistics show, a strong bruise can develop into a chronic condition in a very short time. But observations note that the more dangerous is the bruise, the consequences of which are not immediately apparent, but with time.

It is worth noting that the victim begins to experience severe pain in the coccygeal zone, but doctors say that this is not the worst thing in the situation. As monitoring of the disease showed, in 30% of cases the headache is associated with deformation of the process under consideration.

Especially dangerous is the situation when the deformation occurred with displacement. After all, some remember from the school course that the vertebral column is a construction assembled from hollow inside sections (as in the designer). In the upper part it connects to the cranium, the receptacle of the brain, and below the cavity is closed by the coccygeal sections. Inside the cavity is the spinal cord.

Now let's see what can happen if a deformation has occurred and the splinter splinter, having shifted, touched the spinal cord. This is the most severe consequence of trauma. Compression pressure can provoke a migraine.

Just such an effect can lead to squeezing the nerve endings, stretching from the spinal cord to almost any internal organ. If this relationship is broken, the development of a disease occurs. Although at first glance it is not possible to catch such a connection.

But the most terrible thing is compression of the spinal cord, which goes to the section of chronic diseases.

Another consequence of the pathology may be an incorrect fusion of bone tissue, causing problems with defecation, a long time not healing fistulas and abscesses, and in pregnant women - severe traumatic births, both for the baby and for the mother in childbirth.

With improper splicing, the traumatologist insists on surgical intervention and removal of the rudimentary process.

At the site of damage, bone callus is necessarily formed, which is a "provoker" of deposited salts, due to which, after a long time (up to several years), the mobility of the body in this area can significantly decrease.

If you follow all the recommendations of a traumatologist, then after a course of physical therapy and physical therapy, the symptomatology that has appeared on the background of the disease will go away by itself. If you do not make any effort, you can wait for such complications, which were described above.

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Temperature in case of fracture of the coccyx

As the mechanism of the course of pathological changes shows, with a fracture of the coccyx, the temperature does not rise above the norm. But this absolutely does not mean that high temperature indices against the background of the disease can not be in principle.

Heat and high indicators on the thermometer can cause concomitant diseases, for example, when the trauma began to progress the inflammatory process, which became the push to high figures on the measuring instrument.

Therefore, if the injured person experiences an increase in temperature after a bruise, it is not necessary to postpone the trip to the doctor. Only a qualified specialist is able to identify the source of the problem and help him to stop.

As can be seen from the above data, the pathology considered in this article is capable of leading to a hard ending, if the injured person ignores the symptoms and consequences of a coccygeal fracture. The correct decision will be in such a situation, after receiving an injury, immediately visit the trauma center and undergo an examination with a doctor - a traumatologist who confirms or refutes suspicions of the disease. And after the diagnosis is established, he will give the necessary recommendations and will decide the treatment. Therefore, be more attentive to yourself and your health!

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