Yu de gɛt pen na yu bɔdi? Mek wi tok abaut Coccydynia!

Sɔntɛnde yu kin fil wan strenj pen na yu bɔdi, dat na, na yu bak we de dɔŋ? I tan lɛk se dis pen kin bɔku we yu sidɔm ɔ tinap? Dɔn dis kin bi sɔntin we impɔtant to yu. Wi kin kɔl dis kɔksidynia.

Wetin na Kɔksidinia? Usay di Kɔksiks de?

Kɔksidinia na di mɛrɛsin nem fɔ pen na di smɔl bon we de na di ɛnd pan di bɔdi we dɛn kɔl kɔksi. ‘Coccyx’ de rifer to dat coccix. ‘Dynia’ min pen. Fɔ tɔk am simpul wan, di kɔksi na di smɔl bon we de dɔŋ yu spayna. i mek wit tri to fayv sכm sכm vεrbra dεm we dεn fכs tכgeda. Sɔm pipul dɛn se na smɔl bon we lɛf frɔm usay i bin de, lɛk tel.

Dis smɔl bon gɛt impɔtant wok bak. Jɔs tink bɔt, we yu sidɔm, i kin ɛp fɔ sɔpɔt yu bɔdi wet ɛn mek yu nɔ chenj. Dɔn bak, bɔku tɛndon, ligamɛnt, ɛn mɔsul dɛn na wi bɔdi gɛt kɔnekshɔn to dis smɔl bon. So, if pen de na dis kɔk, i rili at fɔ bia. I kin mek yu nɔ ebul fɔ du tin dɛn we yu kin du ɛvride ɛn ivin ɛnjɔy layf.

Aw dis sik kin kɔmɔn?

Coccix pen na rili kɔmɔn tin . Bɔku pipul dɛn kin ɛkspiriɛns am. Na mɔtalman uman dɛn kin gɛt dis sik fayv tɛm pas man dɛn. Dɔn bak, dis pen kin kam pan yɔŋ pipul dɛn ɛn big pipul dɛn pas smɔl pikin dɛn.

Wetin na di sayn dɛm fɔ Coccydynia?

Pɔrsin wae gɛt kɔksidynia kin gɛt sɔm kayn sik lɛk:

• Yu kin fil shap pen we yu de chuk yu na yu bɔdi, dat na, yu bɔdi bon, ɔ yu kin fil pen we nɔ gɛt wan bɔt ɛn we de swɛt .
• Dis pen kin wɔs we yu tinap frɔm we yu sidɔm. Dis na wan big sayn wae bɔrku pipul kin ripɔt.
• Sɔntɛm pen kin de we yu de pul yu dɔti.
• Yu kin fil pen we yu de du mami ɛn dadi biznɛs.

Ɛni ɔda sayn de wae kin kam wit dis pen?

Yes, pipul dɛm wae gɛt kɔksi pen kin gɛt ɔda sayn dɛm lɛk:

• Bak pen.
• Sciatica pen na pen wae de fil lɛk kɔrɛnt de travul dɔŋ di leg.
• Di prɔblɛm dɛn we pɔsin kin gɛt we i de slip.
• Pwɛl at.
• Wɔri.

Wetin mek dis pen na di bɔdi kin apin? Wetin na di tin dɛn we kin mek i apin?

Bɔrku rizin kin de wae mek dis pen na di kɔks kin apin. Lɛ wi luk sɔm pan di men tin dɛn we kin mek wi gɛt dis sik:

• Fɔl dɛn:Imajin se yu fɔdɔm pan yu bɔt wantɛm wantɛm. If yu fɔdɔm tranga wan, dat kin mek yu bɔdi brok, brok, ɔ pul yu fut.
• Ripititiv Strayn Injuri (RSI): Sɔm spɔt dɛn lɛk fɔ rayd baysikul ɛn fɔ row, kin gɛt fɔ du wit fɔ bɛnd fɔ go bifo ɛn bak. we yu kip de du di sem muvmεnt, di tisu dεm we de rawnd di vεrbra dεm kin strεs εn pen.
• bεlε כ bכn pikin: Insay di tכd trimεst we uman bεlε, in bכdi de pul כmon dεm. dis כmon dεm de mek di εria bitwin di sakrum εn di sakrum we de oba am sכft. dis de mek di sakrum fכ fleksibul mכr we dεn de bכn pikin. Dis na tin we pɔsin kin du. Bɔt sɔm tɛm dɛn de, dis kin mek di mɔsul ɛn ligamɛnt dɛn we de rawnd di sakrum strɛch pas aw dɛn fɔ strɛch. Dis kin mek pɔsin fil pen mɔ. di prεshכn pan dεn sכft tisu dεm kin mek di sakrum nכ ebul fכ ol insεf na di kכrekt angle.
• fכ kכri εkstra wet: As di bכdi wet de go כp, dεn de put εkstra prεshכn pan di mεtatarsal bon. dis kin mek di mεtatarsal bon tilt bak, we kin mek i fil pen.
• Nɔ fɔ kɛr inof wet: We yu lɔs fat na di bɔdi, di kusɛn we de na da eria de go dɔŋ. we dis kushכn lכs, di mεtatarsal bon kin rכb dεn mכsul dεm, di ligament dεm, εn di tεndon dεm. Dis kin mek yu gɛt inflamɛns ɛn pen.
• Fɔ sidɔm fɔ lɔng tɛm: If yu sidɔm fɔ lɔng tɛm, mɔ na say we at, dat kin mek yu prɛs di sciatic nerve pasmak.

Di kɔksi kin at we i nɔ wund? Yu tink se i denja?

Infakt, na smɔl tɛm nɔmɔ , dis pen na di kɔk kin bi sayn fɔ kansa. Dat min se i kin bi kansa we gɛt fɔ du wit di kɔk ɔ i kin bi pen we kansa we dɔn skata to di bon dɛn (mɛtastatik kansa). Bɔt dis na tin we nɔ kɔmɔn , so nɔ wɔri.

Na sɔm kayn kansa wae kin mek yu gɛt pen na di tɛstikul:

• Chordoma we gɛt di sik
• Prɔstat kansa
• Kolorektal (kɔlɔn) kansa

If dis pen na bikɔs ɔf kansa, sɔm ɔda sayn dɛn kin apin:

• Na di an, leg, ɔ di groin eria nɔ de swɛla ɔ i de swɛt.
• I nɔ izi fɔ pis ɔ fɔ pul dɔti.
• wan bכku כ swel we de sho na di εria we de rawnd di mεtatarsal bon.

Aw dɔktɔ dɛn kin no di tin we kin mek pɔsin fil dis pen?

We yu go si dɔktɔ, di fɔs tin we i kin du na...Dɛn go tek wan kɔmplit mɛdikal istri. Dɛn go aks yu if yu dɔn gɛt ɛni aksidɛnt, fɔdɔm, ɔ kɔmplikeshɔn na di bɔdi eria bifo. Dɔn, di dɔktɔ go chɛk di say fɔ chɛk fɔ si if i brok, i gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.

Us tɛst dɛn kin no kɔrɛkt wan bɔt dis sik we dɛn kɔl coccydynia?

Fɔ chɛk fɔ si if pɔsin brok, yu dɔktɔ kin tɛl yu fɔ du tɛst dɛn lɛk dɛn wan ya:

• X-ray ɛgzamin.
• CT skan (CT - kɔmpyuta tomografi skan).

If pɔsin we dɛn tink se gɛt inflamɛns, absɛs, ɔ tumor, di dɔktɔ kin ɔda fɔ du tɛst dɛn lɛk:

• MRI skan (magnɛtik rɛsɔnans imej).
• Wan bon skan we dɛn kin du.

Aw yu kin trit kɔksi pen?

Di tritmɛnt fɔ hip pen de dipen pan wetin mek de pen ɛn aw yu nɔr fil fayn. Sɔntɛnde, simpul tin dɛn we yu kin du na os kin ɛp. Bɔt if di tritmɛnt dɛn we dɛn kin gi na os nɔ ɛp, yu dɔktɔ kin tɛl yu fɔ du ɔda tritmɛnt dɛn we nɔto ɔpreshɔn ɔ, we nɔ kin apin so ɔltɛm, yu kin tɛl yu fɔ du ɔpreshɔn.

Us tritmɛnt dɛn kin du na os?

Na lɛk 90% pan di kes dɛm, dis kayn pen kin kɔmɔt wit simpul mɛrɛsin dɛm na os. Yu kin tray dɛn tin ya bak:

• Tek wan NSAID (nonsteroidal anti-inflammatory drug) fɔ ridyus pen ɛn swel . Fɔ ɛgzampul, ibuprofen.
• Yuz spɛshal pilo (donut pilo ɔ wedge-shaped gel cushion) fɔ ridyus prɛshɔn pan di pubic bon we yu sidɔm. Dɛn tin ya kin bi jel pilo dɛn we shep lɛk donut ɔ wedj we gɛt ol na di midul.
• Tek ɔt wata fɔ mek yu mɔsul dɛn rilaks ɛn fɔ mek yu nɔ fil pen .
• Put ɔt ɔ kol pak na yu lɔwa bak fɔ 20-30 minit, bɔku tɛm insay di de.
• If yu gɛt pen we yu de pul yu dɔti, tek tin dɛn we de mek yu stɔl sof.

Us ɔda tritmɛnt dɛn de we nɔto ɔpreshɔn?

If tritmɛnt na os nɔr ɛp, ɔr if de pen nɔr de, yu dɔktɔ kin tɛl yu fɔ gi yu tritmɛnt wae nɔr de du ɔpreshɔn lɛk:

• Coccygeal nerve block: Dis na fɔ injekt injɛkshɔn we gɛt wan mɛrɛsin we de mek pɔsin nɔ fil fayn ɛn stɛroyd na di say fɔ ridyus di pen ɛn inflamɛns.
• Masaj tɛrapi: Dis kin mek pɔsin fil fayn fɔ sɔm tɛm.
• Fizik tritmɛnt: Dis kin min fɔ strɛch ɛksesaiz ɛn ɛp fɔ kɔrɛkt di we aw yu de tinap.
• Akupankcha we dɛn kin du.
• TENS (transcutaneous electrical nerve stimulation) therapy: Dis na fɔ sɛn lɔw lɛvɛl ilɛktrik kɔrɛnt tru di skin fɔ kɔntrol di pen.

Ɛni tritmɛnt de we dɛn kin du ɔpreshɔn pan?

Very rarely , dɔktɔ kin se dɛn fɔ du ɔpreshɔn lɛk dis:

• Partial coccygectomy: Dɛn kin pul wan pat pan di kɔksi .
• Total coccygectomy: Dɛn kin pul di wan ol kɔksi .

I kin tek sɔm mɔnt fɔ mek i wɛl afta dɛn dɔn kɔt kɔksijɛkt am. Dɔn bak, ivin if dɛn pul di bon, no garanti nɔ de fɔ se di pen go dɔn kpatakpata. Fɔ dis rizin, di dɔktɔ dɛn kin jɔs se dɛn fɔ du dis ɔpreshɔn we ɔl di ɔda tritmɛnt dɛn nɔ wok.

Yu want fɔ no bɔt ɔda tritmɛnt dɛn?

Sɔmtɛm, mɔ wae kɔksidynia nɔr de mɛn, yu kin gɛt ɔda sayn dɛm apat frɔm yu telbon pen. Fɔ ɛgzampul, pwɛl hat ɔ wɔri. If yu gɛt dɛn prɔblɛm ya, i impɔtant fɔ mek dɛn trit dɛn. If yu nɔ pe atɛnshɔn to dɛn sik ya, dɛn kin afɛkt yu kwaliti fɔ liv bad bad wan.

Yu tink se dɛn kin ebul fɔ avɔyd di pen we dɛn kɔl coccidynia?

Infakt, dɛn nɔ kin ebul fɔ stɔp dis kayn hip pen ɔltɛm, bikɔs bɔku tɛm i kin apin afta aksidɛnt ɔ as sayn fɔ wan ɔndalayn mɛdikal kɔndishɔn.

Bɔt yu kin du sɔm tin dɛn fɔ ridyus dis prɔblɛm:

• Nɔ sidɔm fɔ lɔng tɛm, mɔ na say dɛn we at.
• Tek tɛm we yu de rayd baysikul ɔ du ɔda tin dɛn we kin mek yu fil pen na yu groin eria.

Yu kin du dɛn tin ya bak fɔ protɛkt yusɛf frɔm fɔdɔm:

• Kip yu os in flo ɛn di say dɛn we yu de waka klia ɛn nɔ gɛt ɛnitin fɔ ambɔg yu.
• If i pɔsibul, put hanrɛl dɛn na stɛp dɛn.
• Tray fɔ mek di stej dɛn gɛt layt fayn fayn wan.
• Nɔ luk yu fon we yu de waka.

Wetin a fɔ ɛkspɛkt bɔt dis pen? Ustɛm a fɔ go to dɔktɔ?

Bɔrku tɛm, dis kayn pen go dɔn fɔ insɛf insay sɔm dez, wit simpul tritmɛnt na os ɛn peshɛnt smɔl. Bɔt if di injuri bad pasmak, i kin tek smɔl tɛm fɔ mek i wɛl.

Bɔt if yu kɔksi pen nɔ stɔp ɛni we ɛn i de kɔntinyu (chronic coccydynia) , den i bɛtɛ fɔ go to dɔktɔ fɔ mek dɛn chɛk yu ɛn no wetin na di kɔz.

Pan ɔl we dis pen kin mek pɔsin vɛks, bɔku tɛm i nɔ kin sho se pɔsin gɛt siriɔs wɛlbɔdi prɔblɛm. Bɔt yu fɔ rili go to dɔktɔ if:

• If di pen na di kɔk nɔ stɔp insay sɔm dez, ɔ if i kɔntinyu fɔ de.
• If ɔda pen de ɔdasay na di bɔdi (e.g., hip, lɔwa bak).
• If yu gɛt fiva we na 39.4 digri sɛlshiɔs (103 digri F) ɔ pas dat.

Dɔktɔ kin gi yu kɔrɛkt diagnosis ɛn ɛp yu fɔ fɛn di rayt tritmɛnt.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu go to dɔktɔ, i go fayn fɔ aks yusɛf sɔm kwɛstyɔn dɛn lɛk dɛn wan ya:

• "Wetin mek a bin gɛt dis pen na mi bɛlɛ we de dɔŋ?"
• "Dɔkta, aw lɔŋ yu tink se i go tek fɔ mek dis pen bɛtɛ?"
• "Us ɔva-di-kɔnta (OTC) pen kil a go bay na di famasi?"
• "I get wan spesifik taip/brand of donut kushon we yu rekomend?"
• "Yu tink se a go nid ɔpreshɔn?"
• "Wetin ɔda tin a go du fɔ mek dis pen izi?"

Faynal Mɛsej fɔ Tek-Hom

Kɔksik pen, we dɛn kin kɔl bak kɔksidynia, kin dɔn fɔ insɛf insay sɔm dez. Bɔt, sɔntɛnde, i kin mek wi wɔri. If yu telbon pen dɔn de go fɔ pas sɔm wiks, ɔ if i de ambɔg yu ɛvride wok, i impɔtant fɔ go to dɔktɔ. I bɛtɛ fɔ tɔk to dɔktɔ fɔ no mɔ bɔt aw fɔ pul dis pen. Nɔr wɔri, wit de rayt tritmɛnt, yu kin kɔntrol dis sik.

` Coccydynia, bכtכk pen, sacroiliac jכint, bak pen, spayna, pen, tritmεnt