Pain in the bone above the woman's anus

The bone above a woman's anus is the coccyx. Coccyx pain is also a common symptom. Trauma, deformity and some other reasons may cause coccygeal pain. The main treatment for coccygeal pain is drug therapy. During the treatment process, the patient can be given medication according to the patient's physical condition and specific condition. Below, we will introduce in detail the pathogenesis, symptoms and signs, and treatment methods of coccygeal pain!

1. Pathogenesis

The detailed mechanism of coccygeal pain is still unclear. Based on analysis of clinical data. Related to the following factors:

1. Trauma is the most common cause, including coccyx fracture, dislocation or general trauma. In addition to being an early symptom of trauma, late-stage cases may also cause residual local pain that may last for several months.

2. Deformity Congenital coccygeal deformity is mostly hook-shaped, which will inevitably cause high tension in the surrounding muscles and ligaments, causing these tissues to degenerate prematurely and cause pain. The disease caused by this factor is less common than before.

3. Others There are many factors that can cause this disease, including central lumbar disc herniation, sacral tumors or cysts, pedicle collapse with slippage and many other factors.

2. Symptoms and Signs

The symptoms vary greatly depending on the cause. For those caused by coccyx fracture and dislocation, the distal end of the fracture is pulled forward or laterally by the coccygeal muscle and levator ani muscle, causing pain. The pain is milder when standing still or lying down, but worsens when sitting or straining during bowel movements; there is often local tenderness. Digital rectal examination may reveal coccyx tenderness and abnormal movement, and sometimes the fracture ends and displacement can be felt. For those caused by other reasons, the symptoms are mostly mild, especially in congenital cases and those with a long course of disease.

3. Medication

Choose the appropriate treatment depending on the specific cause.

1. Cases caused by trauma: Cases with fracture and dislocation should be treated according to the treatment for coccyx fracture and dislocation.

2. For those caused by chronic strain, you can rest in prone or side-lying position for 2 to 3 weeks. Those with coccyx pain can also lie on their backs and use an air ring when sitting. Taking a hot water sitz bath 2 to 3 times a day can relieve anal muscle spasms. Most patients recover within 1 to 3 months; however, some may take longer and require 3 to 6 months of treatment without bearing weight on the coccyx. You can sit with weight only when pressure is painless. If you put weight on your coccyx too early, symptoms are likely to recur and the course of the disease will have to start all over again.

3. For patients with severe pain and clear pain points, 1% to 2% procaine 3 to 5 ml can be used for local blockade, once a week, and 3 to 4 times as a course of treatment.

4. For patients with intractable coccyx pain, coccygeal resection can be performed, and a routine closure test before the operation has a good analgesic effect.