Treatment of a fracture in the coccyx

Any therapy begins only after being diagnosed. Treatment of the tailbone fracture is symptomatic and largely depends on the type of disorders that occurred after the injury. But there are a number of recommendations that must be fulfilled in any case. This will not exacerbate the situation.

When injuring yourself or someone from relatives or children, the victim should provide first aid, adhering to certain rules.

• If there is a trauma, or the parents observe the symptomatology described in the article " Symptoms and consequences of the tailbone fracture " in your child , it should be remembered that one should not feel the affected place on its own. The more dangerous it is to correct the dislocation yourself.
• The first thing to do is put the victim on his side, so that the sore spot does not touch the surface - this will reduce the intensity of pain and at least slightly, but improve the patient's condition.
• To reduce puffiness and the extent of hemorrhage, the place of impact should be put ice.
• To reduce the pain intensity, you can drink an analgesic. In case of trouble with the child, the drug and its dosage should correspond to the age of the small patient. Therefore, before use, you should carefully read the instructions to the drug.
• After this, you should call an ambulance at home or take the injured person to the emergency room yourself. In this case, the transportation of such a patient is done in the prone position on the side.

In the role of analgesics, you can use: aldolor, spazgan, maxicold, paracetamol, sumatriptan, analgin, solpadein, citramone, tramadol, bralangin, tramal, panadol, efflergan and others.

If the child is injured, then, for example, effer langan is quite suitable. The drug can be taken with milk, juice and plain water. Its dosage directly depends on the age and body weight of the small patient. It is prescribed at a rate of 10 to 15 mg per kilogram of the weight of a small patient, divided into three to four daily doses. The maximum possible daily amount of a drug corresponds to a figure not exceeding 60 mg per kilogram of weight. The gap between the inputs must be maintained within four to six hours.

Contraindications for the use of effergangan include severe impairment of kidney and / or liver function, individual intolerance to the constituent of the drug, including paracetamol, in case of blood disease, the presence of a deficiency in the enzyme glucose-6-phosphate dehydrogenase in the patient's anamnesis.

Analgin can be taken either orally, or by injection into a muscle or vein.

Inside is given before eating. The starting dosage for adult patients - 250-500 mg, taken two to three times a day, is prescribed for small affected patients at a rate of 5 to 10 mg per kilogram of the weight of a small patient, divided into three to four daily doses.

For severe pain, the drug should preferably be administered intramuscularly or intravenously. In this case, the adult dosage is 1 to 2 ml 25% or 50% solution twice - three times a day, but not more than 2 g daily. To small children - at the rate of 0.1-0.2 ml (50% solution) or 0.2-0.4 ml (25% solution) taken for every 10 kg of the child's weight. Subcutaneously, the drug is not given in view of the high likelihood of developing an allergic reaction. Analginum is contraindicated in case of hypersensitivity of the patient's organism to its components, as well as in the case of presence in the anamnesis of the patient of narrowed bronchial lumens (high risk of bronchospasm development).

As noted earlier, therapy in this case is symptomatic. If a dislocation is diagnosed, the doctor, giving the patient a sick leave sheet, treats the patient outpatiently.

If the diagnosis of a fracture of the coccyx, this is a direct indication for hospitalization and bed rest. It can last, depending on the severity of the pathology, up to two to three weeks. In this case, the patient has to lie only on his side or stomach. In this case, if the patient needs to sit down, a rubber circle is used for this purpose, which is placed under the buttocks.

The analgesic can be taken in a variety of forms. This can be an oral tablet, a therapeutic rectal suppository, or a solution administered intramuscularly and intravenously.

When a trauma with displacement in the affected area is injected with novocaine.

Local anesthetic novakoyin is used in this case, 2% solution and is administered by a dose of 5 - 10 ml. Only after this, a reposition is performed through the rectum (returning the displaced bone site to the site). In this case, the specialist does not allow sharp movements, his actions are gentle, sparing the patient's body. In this procedure, the doctor should be very careful not to injure the back of the rectum.

Predominantly, such actions are sufficient to ensure that further healing is correctly passed. But it is not uncommon for cases when a breakaway site does not hold the right position. If, during repeated radiography of the affected area, the picture shows another shift, the trauma doctor appoints a surgical treatment to the patient. Usually the essence of the operation is the removal of the distal part of the coccyx (which is separated from the entire bone).

When therapy is possible and the use of special ointments, it is necessary that the skin of the treated area is not damaged. But it should be remembered that self-medication is fraught with multiple complications and deterioration of the patient's condition. Therefore, the appointment of the drugs necessary for treatment is the prerogative of a qualified specialist, in this case, the attending physician. Only with his permission such ointments can be used. Especially their administration is dangerous in case of an open fracture or if there is a local purulent fistula on this site.

In the protocol of treatment, the patient is also given calcium preparations.

Calcium gluconate is applied orally immediately before meals or after an hour and a half after a meal. The tablet drug is best washed with milk, but water is also suitable.

The starting one-time dosage for adult patients and adolescents older than 14 years is prescribed in the amount of 1 to 3 g, which corresponds to two to six tablets. For small patients, a single dose depends on age:

• Children from three to four years - 1 g, which corresponds to two tablets. They must be crushed and given to the child.
• Five to six - 1 - 1.5 g, which corresponds to two - three tablets. They can also be grinded.
• From seven to nine years - 1,5 - 2 g, which corresponds to three to four tablets.
• Adolescents, whose age falls into the age category from 10 to 14 years - 2 - 3 g, which corresponds to four - six tablets.

The drug is taken two to three times during the day. The maximum daily dosage for elderly patients should not be more than 2 grams, and, accordingly, four tablets. The duration of the treatment course is determined by the treating doctor individually, based on the picture of the disease and the patient's condition.

When the disease is in the first days, the patient is given an enema for the defecation to pass. What method of excretion of stool masses is justified by the necessity during the first few days to avoid the displacement of damaged bones.

After the acute period has passed, the patient is prescribed restorative therapy, which includes:

1. Medical and sports complex.
2. Electroanalgic - the affected area is subjected to an electric current of a certain strength, reducing pain sensitivity.
3. Healing massages.
4. Hirudotherapy - therapy using a medical leech. Sucking the blood from the affected area, it allows you to quickly remove the hemorrhage and improve local blood flow, which increases the healing activity.
5. Physiotherapy.

Operation in case of fracture of the coccyx

In most cases, the splintered fragment of the bone is perfectly replenished, after which its correct splicing and subsequent recovery of the patient occur.

However, the situations when the fragment does not hold in the right place and when the X-ray is repeated shows another shift is not so rare either. Operation with a fracture of the coccyx is assigned precisely when receiving such a clinical picture.

The essence of surgical intervention is the removal of the dissected process, but if the rudimentary process is strongly fragmented, it is completely removed. Can resort to such a procedure and in the event that by force of the squeezing of the colon, the process of defecation is hampered. The operation is performed under general anesthesia.

Cocciectomy (excision of the coccyx) is recommended, and if after passing through the treatment complex the patient continues to experience local pain, which eventually leads the patient to disability. But to the joy of the doctors - they rarely resort to such a procedure.

As the statistics show, the treatment, in the protocol of which there is also a surgical intervention, on average takes a person from three to four weeks, after which he returns to the usual way of life. In some, especially severe cases, rehabilitation may take several months.

To shorten the recovery period, the doctor appoints the physioprocedures to the victim.

In the future, such a patient is not recommended to ride a bicycle, sleigh, engage in sports that can lead to re-injury, exclude and large physical exertion.

Osteosynthesis in case of fracture of the coccyx

Medicine does not stand still, introducing various innovations to help doctors. Recently, more and more often traumatologists use, in case of fracture of the coccyx, osteosynthesis - the comparison of bone fragments surgically, to ensure the most effective splicing of fragments. At the same time, various specialized fixing structures are used to ensure continued immobility of the crushed biological material.

Treating coccygeus fracture at home

Recovery after injury is a long process, and you'll have to be careful all your life. Especially severe case, if the pathology with displacement was ascertained. But nevertheless a number of prescriptions which can be useful during the rehabilitation period is.

It should only be remembered that the treatment of a fracture of the coccyx at home should take place with the permission of the attending physician and under his supervision.

• Affected at home, you can apply dry heat to the sick area. It can be a belt of dog or camel wool, a blanket, a blanket.
• Perfectly recommended itself a therapeutic ointment on the basis of comfrey. To make it, you need a glass of crushed leaves of the plant and as much vegetable oil. Mix everything and boil on fire for half an hour. Then let the broth slightly cool and drain. Then in the medicine to enter vitamin E (you can easily buy in any pharmacy) and 50 ml of beeswax. Give the ointment completely take the room temperature. The drug is applied to the affected area twice a day. The procedure takes from half an hour to an hour. In order not to smudge the underwear, it is better to put a bandage on top of this time.
• Compresses based on herbs, which have analgesic, healing characteristics, will work. In such a situation, tinctures and decoctions of such plants will suit: mullein high, mountain pepper, parsnip inoculum, clover meadow, common aleic, basil fusiform, cornflower meadow, camomile, stone stony, ordinary bellies, medicinal sage, flax ordinary, eucalyptus globular, rosemary officinalis, linden, common hops, lemon balm, juniper, peppermint, sea buckthorn, plantain, fragrant violet, wormwood and others.
• Actively used and geranium. To prepare the trays, you should brew two tablespoons of leaves of the plant in a liter of water. The composition should be boiled for five minutes. Then drain. If compresses are used, the method of obtaining the composition is similar, only the ratio of the plant component and water varies: one tablespoon per glass.
• The mummy used in the form of a home-made ointment is also used. To make it, you need 0.5 g of organic - mineral product and a small amount of rose oil. Ingredients should be mixed and carefully wiped into the skin of the affected area.
• Very nutritious is the vitamin mixture, prepared from such ingredients: lemon, dried apricots, cores of walnut, honey and raisins. It is desirable that all components are massively taken in equal proportions, so it is better to build on the weight of the lemon. Lemon, dried apricots and raisins should be washed and dried. All the ingredients are passed through a meat grinder and combined with honey. Stir well. Eat three teaspoons a day after eating. For the prevention will go one teaspoon on an empty stomach once a day, in the morning. This vitamin "bomb" is useful not only for fractures and bruises. It can be eaten and cores, and just healthy people.
• You can prepare applique based on raw potatoes. Wash the tubers, grind them to a shallow fraction. Apply on the area of the bruise, from above to fix. Such compresses have analgesic characteristics.
• At home, you can prepare another ointment. To do this, take a gram of 20 spruce resin. Insert into it a medium bulb ground in a blender or on a grater. Add also 15 g of copper sulfate and 50 grams of olive oil. All the ingredients thoroughly mix, bringing to a homogeneous state. After that put on fire, heat, but do not bring to a boil. Apply to a sore spot.
• Many know that the egg shell is rich in calcium, but not many use it for treatment. In our situation, it should be thoroughly washed, rid of the inner film and ground or ground into a fine powder. This mineral deposit can be mixed in a small amount in any food, or you can do it differently: by typing a half of the powder into a teaspoon, sprinkle with lemon juice and swallow it with the necessary amount of water. It turns out that in an acidic environment, calcium is absorbed by the body in greater quantities. In this case it is desirable to take the shell of domestic eggs, but the factory ones will do the same.
• Such a plant as a golden rose can save the affected person from swelling and pain, which inherently accompanies a bruise and fracture. Take 200 ml of boiling water and inject one tablespoon of the crushed plant. After the ingredients are combined, the composition is insisted for about two hours, then for a minute or three minutes they boil on a small flame. After this, they are allowed to settle and filter. In a warm form they are used in the form of compresses.

Here you should add those products that must necessarily be present on the table of the victim:

Rich in calcium:

• Milk and dairy products
• Cottage cheese and hard cheeses.
• Soy and string beans.
• Fish and nuts (especially sesame).
• Green vegetables.
• Seafood.
• Fruits: oranges, persimmons.

Rich in silicon:

• Cowberry, currant and strawberry.
• Legumes and olives.
• Nuts and whole grains.
• Chicken and quail eggs.
• Different kinds of cabbage.
• Turnip and radish.

It is not superfluous to note that these recipes are time-tested, but still should not be treated with self-medication. Before you introduce this or that folk method into therapy, it is worth consulting with a specialist.

Orthopedic pillow in case of fracture of the coccyx

In this pathology, the injured person is prescribed bed rest and minimum movement. During the recovery, he should never sit down, in order not to injure the tailbone even further. But craftsmen have found a way out of this situation. An orthopedic pillow was invented in case of a fracture of the coccyx, giving the person the opportunity to sit, having the problem considered in this article.

It allows you to minimize the burden on the injured area, reduce the tone and tension of the muscle tissue of the perineum.

This product is different in variety (in form and material), which allows you to purchase a convenient tool for a reasonable price.

The pillow is made in the form of a ring. The central hole makes it possible to avoid pressing on the affected area when landing. At the same time, the weight load gradually spreads over the entire surface of the cushion. It is very important that when planting the sciatic bumps touch the circle, and the rhizomatous process and perineum hit the center of the void. It should also be remembered that this product should be placed on a hard surface. These pillows are made from two types of material: polyurethane foam or ordinary rubber.

If you compare these two materials, then noticeably wins polyurethane foam. It is durable, has an optimal density, which allows it to withstand significant loads in the form of the patient's body weight. They do not have to be pumped like rubber.

There are other drawbacks to the rubber material. Rubber can cause a local reaction: rash, irritation, flushing. The only advantage of such a product is that it costs less than polyurethane foam.

Goods in the form of a rectangle. In the case of a perineal fit, the affected area should be placed in such a way that they fall into the central void. Weight, as in the first case, just spread evenly around the perimeter. Most of these pillows are made of polyurethane.

Recovery after a fracture of the coccyx

Immediately after the trauma, on the second day the attending physician - traumatologist appoints the injured a complex of therapeutic physical training (LFK). In this case, recovery after the fracture of the coccyx is conventionally divided into three periods, the selection of exercises and their intensity throughout which changes.

During the first period, which lasts three to four days, the patient is assigned breathing exercises, gymnastic exercises for the upper extremities and neck, isometric exercises for the pelvis. The number of exercises should correspond to six - eight approaches, three times - four times a day. At this time, it is necessary to increase the general tone of the body, activate and normalize the function of the intestine. The first period ends when a person is able to independently raise his lower limbs above the orthopedic pillow.

The second period is spent in order to strengthen the muscles of the back and pelvis. It ends when the victim is able to rise himself. The border to the third stage of rehabilitation usually falls on the eighth - the tenth day after the injury. During this time, the muscles of the lower extremities are strengthened. The number of exercises should correspond to eight - ten approaches, three times - four times a day.

The duration of the third stage of the recovery period usually lasts until the 16th-21st day after the injury. During this period, the complex of exercises is aimed at restoring a normal gait. The main exercises of this complex are push-ups, walking on socks and heels, slopes, swinging feet, squats, circular movements of the hip joints.

In this period, as in the future, you should avoid cycling, sledging and specialized shoulder blades with slides, intense sports and increased physical activity.

Is it possible to wear heels in the tailbone fractures?

Often, many women have beauty in the first place. And, wearing a high heel, the fair sex does not even think how dangerous it is for their health. After all, the heel is a very unstable construction and the woman, wearing model shoes, runs the risk of losing balance, falling and injuring herself.

As the statistics show, women, and most of them on high heels, fall into the emergency department more often than men. And they beat all the records of fractures and contusions of the sacrococcygeal zone.

Perhaps everyone will easily answer the question: "Do you really need a representative of the beautiful half of humanity, being on high heels to fall." Little. A fairly light frost with snow or uneven asphalt and the risk of injury swiftly rushes up.

In view of the above, the answer to another question: "Is it possible to wear heels in case of fractures of the coccyx"? Is solved by itself - absolutely not.

Exercises in case of fracture of the coccyx

In this article, we are ready to propose a series of exercises for a fracture of the coccyx, which should support the body, improve its condition and lead to a faster recovery. But it is worth remembering that in order not to damage the health of the victim, the complex of recommended exercises at this stage of the exercises should be prescribed by the attending doctor, and to conduct and monitor the result of the doctor - exercise therapy.

Of the most effective, at an early stage of rehabilitation, you can name these:

• To perform this exercise, you need to take a rubber ball. To lay a rug or carpet, lie on your back, stretching your legs, hands along the trunk. The ball is fixed between the feet. For five seconds, we press our feet on the ball, then the tension of the legs is weakened. We take a break for 10 - 15 seconds and repeat this exercise again. In one block, ten such approaches should be done.
• The starting position is not changed, only the legs should be bent at the knees. Raise the hips and bend the knees to the side. Doing this exercise, you should strain the muscles of the buttocks. Fix in this position for five seconds, then return to the starting position. In one block, ten such approaches should be done.
• This exercise is again carried out using a rubber ball. It should be clamped between the knees. We lift the buttocks, straighten the abdomen and strain the muscles, start squeezing the clamped ball with the knees, stand for five seconds. We return to the starting position. In one block, ten such approaches should be done.
• Do the same exercise, but only without the ball. Press one knee to the other. In this case, you need to closely monitor the abdomen. It should not protrude. Do ten such approaches with 10 to 15 second breaks.

Such simple exercises will reduce pain and strengthen a certain group of muscles. But it is worth remembering that physical therapy should begin with the permission of the doctor. Immediately after the injury, any body movements can be dangerous.

Gradually, as the injury heals, the complex of exercises is modified, other muscle groups are connected, the load becomes more serious. If, in the performance of an exercise, pain occurs, it should be deleted for some time from the performed complex, by connecting at a later date. It should also limit the sudden movements, maintaining a smooth, measured pace.

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Yoga after a fracture in the coccyx

This eastern gymnastic complex with its philosophical overtones is increasingly entering the life of many of our compatriots. Therefore, having received such a trauma, the interest in whether yoga after the coccygeal fracture will not hurt, rises quite legitimately.

This article already raised the issue of physical exertion and a set of specialized exercises. Therefore, it can be unequivocally said that immediately after the injury you should not resort to employment. Subsequently, a series of exercises, for example, held in a sitting position, should be removed from the daily complex.

Over time, some asanas of yoga can be included in daily gymnastics, but you can do this only with the consent of the attending physician, and the selection of effective and safe asanas should be provided to a specialist.

Many people are simply afraid of doctors panicky, but most still adequately perceive a visit, for example, an otolaryngologist or gastroenterologist, but if the pathology touches intimate places, then the person falls into a stupor and embarrassment. He pulls and gathers with the spirit to get the courage to turn to a specialist. Such a delay can cost a serious deterioration in health. It is necessary to remember the main thing, there can be no "shame" if the question is about your health. This is especially true in the case of the disease considered in this article. The earlier the treatment of the tailbone fracture has begun, the more effectively and quickly the relief of the problem will be resolved, and the less complications the patient's body will face. Therefore, you should pay more attention to your body and no restraint should stop you in the fight for his health!