What is the cause of the pain in the buttocks?

Humans evolved from apes in ancient times. Ancient apes all had tails, and as the rule of natural selection and survival of the fittest prevailed, humans began to evolve slowly, and eventually the coccyx disappeared, becoming the humans we are today. Some people will experience pain in the buttocks bones after sitting for a long time. Let’s take a look at what causes pain in the buttocks bone.

There are many causes of coccyx pain, such as traumatic pain, sacral tumors, gynecological diseases, rectal diseases, etc. The most common is primary coccygeal pain, which is more common in female patients due to anatomical characteristics. The causes are trauma or chronic strain of the sacrococcygeal region (such as long-term sitting or bumpy cycling, etc.) and congenital malformations of the sacrococcygeal vertebrae (such as hooked coccyx), which lead to inflammation of the sacrococcygeal ligament, sacrococcygeal joint and surrounding soft tissues.

It is recommended to see an orthopedic doctor and have an experienced orthopedic specialist examine you. Digital rectal examination is the most important examination for diagnosing coccygeal pain. At the same time, X-rays of the sacrum and coccyx are required (X-rays of primary coccygeal pain are mostly normal). Through the above examinations, the cause of coccygeal pain can be identified and coccygeal pain caused by presacral tumors and rectal lesions can be ruled out. After confirming coccyx pain, the first thing you should do is change your sitting posture, use your thighs as the force point, avoid riding a bicycle in the near future, and place a cushion on your sacrum and coccyx when sitting.

Intra-anal massage is one of the effective methods for treating coccygeal pain. Combined with local hot compress therapy, it can usually achieve satisfactory results. If necessary, the area around the coccyx can be blocked, but because this area is close to the anus, it is easy to cause infection after injection, so strict aseptic operation is required during the blockade.

If the above treatments are ineffective, coccygeal resection may be considered for a small number of patients with intractable coccygeal pain. However, since some patients still feel pain after coccyx removal, surgical treatment is only considered for patients who have not responded to systematic conservative treatment for more than half a year.