Tailbone (Coccyx) Injury (cont.)
Exams and Tests
The cause of a coccyx injury is largely determined based on a medical history and a physical examination. Occasionally, X-rays or other imaging studies may be performed.
- The entire vertebral column (spine) may be examined. A neurologic examination may be performed. A rectal examination may also be performed. For this exam, the physician inserts a finger into your rectum to feel the area of the coccyx and determines if there is a dislocation or a fracture that can be felt and if direct pressure against the coccyx reproduces your pain.
- X-rays may be taken to determine whether there is a fracture or dislocation. However, X-rays occasionally may not reveal these injuries. Some physicians recommend X-rays in both the standing and seated positions to better determine the presence of a fracture or dislocation. Rarely, at the discretion of your physician, a MRI (magnetic resonance imaging) may be ordered at a later time if X-rays do not reveal the cause of continuing coccyx discomfort.
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