Causes of a coccyx contusion

A bruise or contusion is generally caused by an external blunt force, which leads to tearing of connective tissue structures (so-called collagen fibers) in the tissue. This results in the influx of fluid and blood, which ultimately leads to the formation of hematomas. This hematoma in turn presses on nearby vessels and nerves and compresses them.

This then manifests itself in the typical feelings of pain and numbness. Depending on the severity of the violent impact, a distinction is made between a slight bruise (slight pain, disappears by itself after a few days), a moderate and a severe bruise. A coccyx contusion is usually caused by a violent fall on the buttocks.

This can occur during various sports such as figure skating, ball sports or even martial arts. Older people who are prone to falls due to their insecure gait are also frequently affected by a coccyx bruise. External injuries are by definition rarely seen, but abrasions or small hematomas can occur. Even cyclists who only have a slight but constant strain on the coccyx can be affected by a coccyx contusion or coccyx fracture over the long term.

Symptoms of coccyx contusion

The dominant symptom of a coccyx contusion is the severe pain in the pelvic region. Often the pain occurs at rest and worsens with movement, which in turn makes it impossible for many affected persons to walk or stand. Sitting is also only possible to a limited extent or not at all due to direct pressure on the coccyx.

In severe cases, a coccyx contusion can also cause pain when lying down. This pain can in turn lead to insomnia, sleep deprivation and the resulting psychological stress such as irritability, lack of concentration and even depressive moods.Also numbness, muscle hardening or bruise marks in the area of the coccyx are often typical accompanying symptoms of a coccyx contusion. Due to the poor possibility of immobilizing the coccyx, the healing process and pain last for several weeks.