Contraindications may apply. A professional consultation is required.
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.
FROM A CONSULTATION TO EVERYDAY SKILLS
Knowledge that stays with you after a session
You spend almost all your time outside the consulting room — at work, on the move and caring for loved ones. Alongside consultations, we focus on education: understanding your body and using the skills you learn in everyday life.
Learn skills for yourself and your loved ones
At Doctor Pervushkin’s seminars, you explore self-care techniques with a teacher and learn skills for looking after yourself and your loved ones. Choose a topic and ask a qualified practitioner which practices are appropriate for your condition.
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.
