Coccydynia is the condition in which the Pain in or around the tailbone at the bottom of the spine.
- SIGNS AND SYMPTOMS OF COCCYDYNIA
- CAUSES OF COCCYDYNIA
- PATHOPHYSIOLOGY OF COCCYDYNIA
- DIAGNOSIS OF COCCYDYNIA
- TREATMENTS FOR COCCYDYNIA
- PROGNOSIS OF COCCYDYNIA
- COMPLICATIONS OF COCCYDYNIA
- COCCYDYNIA AND AYURVEDA8
- NIDANA- AYURVEDIC CAUSES OF COCCYDYNIA
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF COCCYDYNIA
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF COCCYDYNIA
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF COCCYDYNIA
- AYURVEDIC PROGNOSIS OF COCCYDYNIA
- CHIKITSA- AYURVEDIC TREATMENT FOR COCCYDYNIA
- AYURVEDIC LOCAL TREATMENT FOR COCCYDYNIA
- AYURVEDIC SAMANA TREATMENT FOR COCCYDYNIA
- AYURVEDIC SHODHANA TREATMENT FOR COCCYDYNIA
- COMMONLY USED AYURVEDIC MEDICINES FOR COCCYDYNIA
- HOME REMEDIES FOR COCCYDYNIA
- DIET AND BEHAVIOUR FOR COCCYDYNIA
- YOGA FOR COCCYDYNIA
SIGNS AND SYMPTOMS OF COCCYDYNIA
- Pain in the site of the tailbone
- Pain may radiate towards the leg
- Low backache
- Pain aggravated during sitting
- Tenderness
- Pain may be associated with bowel movement
CAUSES OF COCCYDYNIA
- Traumatic injuries
- Childbirth
- Infections
- Cancer and metastasis
- Weight gain
- Strain
- Poor posture
- Degeneration
PATHOPHYSIOLOGY OF COCCYDYNIA
Age-related wear and tear occur in the spine may lead to pain in the tail bone. External trauma usually occurs due to a backwards fall, leading to a bruised, dislocated, or broken coccyx.
DIAGNOSIS OF COCCYDYNIA
- Inspection
- Palpation – to find out the tenderness
- Movements
- X – rays
- MRI
- CT Scan
TREATMENTS FOR COCCYDYNIA
- Physiotherapy and pain relievers can help. A few cases may require surgery.
- Medications – Nonsteroidal anti-inflammatory drug, Analgesics
PROGNOSIS OF COCCYDYNIA
- Prognosis is based on the cause of the pain, duration and condition of the patient
COMPLICATIONS OF COCCYDYNIA
- Coccydynia due to fracture of the tailbone produce complications
- Chronic pain
COCCYDYNIA AND AYURVEDA
- In Ayurveda, coccydynia falls under Vatavyadhi or a Vata dosha imbalance disorder.
- It is manifested as katigraha (low backache)
- Vata vyadhi can be correlated to neurological or neuromuscular disorders. The causes and pathogenesis of diseases caused by vitiation of Vata dosha, in general, are the exclusive cause and pathogenesis ofpain, numbness, tingling sensation.
NIDANA- AYURVEDIC CAUSES OF COCCYDYNIA
- Excess consumption of ununctuous, cold food
- Excessive physical exercise.
- Suppression of natural urges.
- Trauma
- Injuries
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF COCCYDYNIA
- Sharp pain and numbness in the low back region or above the buttocks.
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF COCCYDYNIA
- Vata, pitta and kapha dosha move through all channels of circulation. Due to the subtle nature of vata it impels the remaining two doshas.
- The aggravated vata having provoked these two doshas, exacerbated and fills up the empty channels and moves greatly inside them or by getting enveloped by the other doshas.
- The aggravated vata resides in the lower spine and produces different kinds of aches and pains.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF COCCYDYNIA
- Toda – Pain
- Sada – weakness
- Tingling sensation
- Numbness
- Stiffness
AYURVEDIC PROGNOSIS OF COCCYDYNIA
- Pain associated with traumatic injuries is difficult to cure – krichra sadhya
CHIKITSA- AYURVEDIC TREATMENT FOR COCCYDYNIA
Ayurvedic local treatment for coccydynia
- Pain-relieving lepa application
- Valuka svedam – local fermentation
- Kateevasthi-panchaguna taila
- Kateepichu-Sahacharadi tailam
AYURVEDIC SAMANA TREATMENT FOR COCCYDYNIA
- Balarishtam
- Dhanwanthararishtam
- Ayaskrithi
- Maharasanadi Kashayam
- Rasnasaptakam Kashayam
- Rasnadi Kashayam
- Ksheerabala Tailam
- Gandha tailam
- Rasaraj ras
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
AYURVEDIC SHODHANA TREATMENT FOR COCCYDYNIA
- NASYA-Ksheerabala
- VASTHI-Erandamooladi yapana vasthi
- SNEHAVIRECHANAM-Eranda tailam
COMMONLY USED AYURVEDIC MEDICINES FOR COCCYDYNIA
Internal administration
- Balarishtam
- Dhanwanthararishtam
- Ayaskrithi
- Maharasanadi Kashayam
- Rasnasaptakam Kashayam
- Rasnadi Kashayam
- Ksheerabala Tailam
- Gandha tailam
- Rasaraj ras
- Laksha guggulu
- Trayodasanga guggulu
- Mahayogaraja guggulu
External application
- Sahacharadi tailam
- Panchaguna tailam
- Mahanarayana tailam
HOME REMEDIES FOR COCCYDYNIA
- Heat application on the affected area by a towel dipped with hot water
- Massage the painful area for 15 minutes ( NOT too much pressure )
DIET AND BEHAVIOUR FOR COCCYDYNIA
- Avoid food items which produce vata dosha imbalance like cold and dry food, hard to digest. Because vata imbalance aggravates the symptoms.
- Consume easily digestible food items, cow’s milk
- Avoid heavy exercises which further aggravate the conditions.
- Oil massage on affected area advised. Which alleviates vata dosha
- Take proper rest.
- Avoid long term sitting
YOGA FOR COCCYDYNIA
- Nadi Shuddi Pranayam – calms the mind and gets relief from aches and pains
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
- Bhujangasana
- Dhanurasana
- Pavanamuktasana
- Shisuavasana