Management of Coccyx Injury with Persistent Pain

Pharmacological Interventions

• The American Geriatrics Society recommends NSAIDs for pain control and anti-inflammatory effects to manage persistent coccyx pain 1
• The American Geriatrics Society advises against overreliance on medication without addressing mechanical factors, highlighting the importance of a multifaceted approach to managing coccyx pain 1

Diagnostic Imaging

• Consider MRI without contrast if symptoms persist beyond 6-8 weeks to evaluate for other potential causes of pain not visible on plain radiographs, as suggested by Praxis Medical Insights 2

Red Flag Symptoms

• The American College of Radiology recommends considering referral if there are signs of neurological involvement or other "red flag" symptoms 3