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What Happens When You Fall Hard on Your Bottom?

Published in Bone Health 2 mins read

Falling hard on your bottom, particularly on your tailbone (coccyx), typically results in bruising and pain. While serious injuries are rare, they can occur.

Here's a breakdown of what can happen:

  • Bruising and Pain: This is the most common outcome. The impact can cause significant bruising around the tailbone area, leading to tenderness and pain, especially when sitting or standing for extended periods.

  • Tailbone Injury: A direct impact can injure the tailbone itself. This can range from a mild bruise to, in rare cases, a fracture or dislocation.

  • Pain Aggravation: You'll likely experience increased pain when:

    • Sitting
    • Standing up after sitting
    • During bowel movements
    • During sexual intercourse
  • Possible Complications (Rare): While uncommon, severe falls can result in:

    • Coccyx Fracture: A break in the tailbone.
    • Coccyx Dislocation: The tailbone becomes misaligned.
    • Sciatica: Nerve pain radiating down the leg due to inflammation around the tailbone.
    • Chronic Pain: Persistent pain in the tailbone area that lasts for months or even years.
  • When to Seek Medical Attention: Consult a doctor if you experience:

    • Severe pain that doesn't improve with rest and over-the-counter pain relievers.
    • Numbness or tingling in your legs or feet.
    • Difficulty controlling your bowels or bladder.
    • Visible bruising or swelling around the tailbone.

In summary, while a hard fall on your bottom is usually painful due to bruising, it can, in rare cases, lead to more serious tailbone injuries requiring medical attention.

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