Symptoms
The coccyx pain manifests itself classically as the name suggests in the form of pain in the coccyx region. The pain characteristic can vary from dull to stinging, but in any case it is tormenting and is perceived as unpleasant. The pain in the coccyx can possibly radiate into the surrounding back region.
If the coccyx pain is particularly strong, one even speaks of coccygodynia, which, as already explained, describes a strong pain in the coccyx region that radiates into the anal, lumbar and hip areas.Coccyx pain occurs more frequently in early or late pregnancy (1st trimester of the 3rd trimester). Since pain can be provoked mainly by pressure on the coccyx, it occurs more frequently when sitting or lying down. However, the coccyx pain is also noticeable when walking, since the hip and pelvic region with its muscular and bony parts are integrated into the movement mechanism.
Normally, the pain is not long lasting, but if the opposite is the case, care must be taken to ensure that the coccyx pain does not become chronic and appropriate therapeutic measures must be taken. Coccyx pain can also occur for non-gynecological reasons (trauma, malignant neoplasms in the pelvic area, nerve disorders,). These must be taken into consideration during the clarification.
Past infections of the internal female reproductive organs can also lead to transport disorders of the fallopian tubes. On the basis of this transport disorder, a fertilized egg cell can erroneously implant itself in the fallopian tubes. However, the cells divide in exactly the same way as they would if they were correctly implanted in the lining of the uterus.
The enlargement causes the fallopian tubes to stretch and become tense. This causes pain, which can occur in the lower abdomen as well as in the back or buttocks. A gynecologist should be consulted to check the implantation with the help of an ultrasound device.
If the pain occurs in connection with vaginal bleeding, a gynecologist and a hospital should also be contacted, since a miscarriage is possible. Towards the end of the pregnancy, protraction and labor pains may occur. These contractions require a better position of the child with regard to the birth.
Especially the contractions can be relatively strong and cause pain as well as fear in the pregnant woman. Contractions are generally contractions of the uterine muscles. The contractions increase the pressure in the abdomen.
This can also affect the coccyx. A small maternal pelvis, a large fetus, twin pregnancies, changes in the uterus (fibroids) and many other factors can lead to even higher pressure and thus to increased strain on the pelvis and coccyx. In addition to the pressure situation, infections, malignant neoplasms, nerve damage and miscarriages can be the cause.
However, these are very rare compared to the pain caused by pressure. The mother’s body is exposed to extreme stress during the vaginal birth. The muscles of the uterus produce strong contractions.
The cervix, the vagina, the pelvic ring and the pelvic floor muscles including the skin are strongly stretched. Due to these strains and possibly further complications, birth injuries can occur. These include tears in the pelvic floor muscles, which are connected to the coccyx.
Such injuries can lead to prolonged pain and functional disorders in the pelvic area. In addition to the musculature, bony injuries of the coccyx can also exist. The injuries and the healing process should be observed and the regression or healing promoted. In addition, infections, nerve damage, tumors and other aspects can be considered as causes. In case of permanent, strong and unexplainable pain, a doctor should be consulted.
