"Which department should a woman visit for tailbone pain?"

Female Coccyx Pain Should Seek Orthopedic Consultation

Coccyx pain is not merely a simple localized pain but a syndrome involving pain in the lower sacrum, coccyx, and surrounding areas. It can arise from various conditions, such as coccygeal contusion and coccygodynia. Details are as follows:

1. Coccygeal Contusion

Coccygeal contusion causes pain in the coccyx area, and conservative treatment is typically the primary approach. After a coccygeal contusion, ice packs should be applied to the injured area approximately three times a day, each time for around 15 minutes. Additionally, oral pain relievers like aspirin or ibuprofen can be taken to alleviate pain. If the patient has a history of peptic ulcer, acetaminophen can be used instead for pain management. It's also crucial to prioritize daily care, avoiding prolonged sitting and using soft, hollow cushions.

2. Coccygodynia

Coccygodynia refers to a chronic pain condition caused by damage to the lower sacrum, coccyx, and surrounding soft tissues under certain factors. The pain is often associated with sitting posture. As a chronic strain-related disorder, coccygodynia is commonly treated with medication and conservative measures. When experiencing pain, non-steroidal anti-inflammatory drugs (NSAIDs) like celecoxib or diclofenac can be taken for analgesia and anti-inflammation. Alternatively, local injections of glucocorticoids and vitamin B complex can be administered for closed therapy to alleviate pain, nourish nerves, or nerve blocks with lidocaine or ropivacaine can be performed to suppress pain. Conservative treatments include physical therapies like acupuncture and electrotherapy, as well as manual therapies.