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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.
Medically Reviewed by a Doctor on 3/27/2014

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Read What Your Physician is Reading on Medscape

Coccyx Pain »

Coccyx pain (tailbone pain) can frustrate patients and significantly impair quality of life, but relief is possible.

Read More on Medscape Reference »


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