Dr Pervushkin · Nizhny Novgorod

Coccyx injuries

Coccyx pain often worsens with sitting and rising, but after trauma, fracture, pelvic injury and other causes should be considered.

Understanding the concern

What to know before booking

Coccydynia may follow a fall, childbirth, prolonged sitting or occur without obvious trauma. Pain in this area may also be referred from the lower back, hips, bowel or pelvic organs.

A recent significant fall, marked swelling or inability to sit warrants medical assessment. Imaging is based on clinical indications rather than used automatically.

After acute injury is excluded, support may include sitting adaptations, graded load, assessment of sacral and pelvic movement and gentle work around surrounding tissues. Aggressive pressure on the painful area is not used.

Reasons to consult

Common concerns

This list helps orientation but does not establish a diagnosis or confirm an indication for osteopathic care.

pain when sitting, rising or leaning back
discomfort after falling onto the buttocks
protective lower-back and pelvic tension
limited daily activity after fracture is excluded
persistent pain after appropriate specialist assessment

Initial consultation

How assessment works

Assessment and next steps depend on history, existing investigations and the condition on the day.

01
Mechanism and relationship to sitting, bowel movements and movement.
02
Check neurological, colorectal and pelvic red flags.
03
Functional lumbopelvic assessment after acute injury is excluded.
04
Guidance on sitting, activity and review timing.

Team approach

Practitioners who may help

Roles are kept distinct: medical diagnosis and treatment are not replaced by wellbeing or consultation practices.

Clinic practitioner

Eduard Pervushkin

As a physician, assesses safety and functional pelvic and sacral restrictions, using gentle techniques when indicated.

Qualifications and credentials

Clinic practitioner

Evgeny Averin

After fresh injury is excluded, may work with gait, hips and myofascial chains.

Qualifications and credentials

Clinic practitioner

Elena Pavlova

Supports gentle breathing and movement to reduce guarding without pressure on the painful area.

Qualifications and credentials

Clinic practitioner

Elena Sharonova

After fracture and other causes are excluded, may support fear of sitting or movement and persistent guarding; she does not treat coccyx injury or pelvic-organ disease.

Qualifications and credentials

Urgent care

Do not wait for a routine visit

Seek urgent medical care or call emergency services for:

!saddle numbness, leg weakness or bladder/bowel disturbance
!severe pain after a major fall, especially with abdominal or pelvic pain
!fever, discharge, bleeding or rapidly increasing swelling

Patient questions

Key questions

Is an X-ray needed?+

A physician decides after examination. Imaging does not always change management, but significant trauma or suspected pelvic injury may require it.

Should I use a ring cushion?+

Support is individual; a wedge cushion may sometimes be more comfortable. Regular position changes are also important.

Are internal techniques used?+

Any such format must be explained in advance and requires separate voluntary consent. A patient may choose external approaches and decline intervention.

Have a question?

We will help you choose the right practitioner

Call the administrator or open Telegram or MAX. Please do not send medical records through public channels.

+7 (910) 395-29-70