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Doctor insights on: Sacral Dimple Treatment

Sacrum pain: The best thing to do is plenty of walking with good posture, avoid lifting, and do flexibility exercises. Sometimes massage and heat can help too. Take an occasional anti-inflammatory and that can help too. In general, using your core muscles while doing pretty much anything can avoid stresses to go to the lumbar spine and sacral junction and that avoids further injury.... Good luck! ...Read more

Tarlov cysts: Tarlov cysts are benign outpouchings of the dura mater at the base of the spine in the sacrum or tail bone area. They are not the source of pain and do not require treatment. ...Read more

HealthTap Basic: You made this submission on HealthTap Basic- the general health & medical education site. We can not view your X-rays or other studies. HealthTap Prime and Concierge allow for uploads and consultations (which appears to be what you are asking for). Take care. ...Read more

NO: Coccyx is part of (remanent) vestigial tail, human embryo initially has tail and disappears completely, resulting only mammal that do not have tail. Your long coccyx has nothing to do with your bowel movement or ' rounds into bowel '. ...Read more

Bladder dysfunction: There are many new and developing treatments for bladder dysfunction. Get a second opinion from a urogynecologist and see if other meds or therapies might help you. ...Read more

Seek evaluation.: Neurologic problems of the bladder and bowel can be quite complex, and show up as a very wide range of symptoms and problems. I'd seek the evaluation of a urologist that sub-specializes in "neurourology". A full history, physical exam, and other testing will help determine what treatments (of which there are many), can improve your situation. Take care and good luck. ...Read more

Conservative Rx 1st: Unless there is evidence of bowel or bladder incontinence, and groin numbness, you should start with non-surgical treatments, such as medications, physical therapy (swimming is fine), steroid injections. Surgery is considered only after failure to respond to the above treatments, and you have severe pain, weakness or numbness.

Check with a surgeon to see if you need more aggressive treatment. ...Read more

Sacral nerve: This is correct if the nerve/s are damaged then there is no treatment - if you have pain then there are options to control the pain that do not involve medication. ...Read more

Seek surgical eval: The best treatment may be for coccyx removal, if that was fractures. Radio frequency procedures would be a 2nd choice if surgery will not correct this ...Read more

Time: Treatment for coccygeal fractures is conservative and time will heal the bone. Symptomatic treatment is necessary. You'll need to get a "donut" balloon to sit on to take weight off of the fracture. If it goes on to not heal, sometimes we do an operative excision of the fragment. ...Read more

Tarlov cysts: Tarlov cysts are incidental and asymptomatic outpouchings of dura mater surrounding nerve roots in the spine. They are not the cause of the pain. See a neurosurgeon to evaluate your back pain. ...Read more

They don't: A sacral dimple is present at birth. Other openings are usually secondary to pilonidal sinuses, which are aquired. ...Read more

Varies: A common form of sacral dimple is the tip of the tailbone is in contact with the skin. That type tends to be benign, but can fill with debris and hair and get infected. ...Read more

Probably not: In general, postsacral dimples are found in babies and are related to a coccyx that is retroverted. I believe you probably have a pilonidal sinus. This can drain, get infected and lead to further issues that need to be addressed. I would recommend that it be evaluated. ...Read more

See your doctor: To make sure you do not have pilonidal cyst. ...Read more

Rarely associated: Most sacral dimples are not symptomatic and do not require evaluation or treatment. Only rarely are sacral dimples associated with a tethered cord. If you have symptoms such as feeling weak or numb in legs, if there are issues with bladder or bowel control, you should have it evaluated - usu including MRI or CT. Size of dimple, hair association, and skin discoloration also offer some hints. ...Read more

Sacral dimple: Sacral dimple will be a small depression just and the end of the tail none. If you can see the base of the dimple and if there is no excess hair growth around the region nothing to be worried about. ...Read more

Tailbone pain can: Be due to small fracture. Did you hit it recently? Rarely it can be due to inflammation or tumor. Any fevers recently? ...Read more

See Below: It is a dimple found in the sacrum or buttocks area. The concern is if the dimple is above the gluteal fold. If so, an ultrasound of the spine is normally completed to look for a tethered spinal cord. ...Read more

Adult/child: Babies born with a sacral dimple (at the tip of the coccyx) rarely have any issue other than dermatitis if deep and not cleaned. Any 'dimple' above the hips in a ababy needs evaluation. Adults probably have a pilonidal sinus which can become an abscess and need surgery. ...Read more

685.1: 685.1 is what is used but that is also used for a pilnidal sinus which is different. ...Read more

Surgery: It depends on your age. If infant observation. If adolescent or adult and are symptomatic, ie pilobidal symptoms then surgery to excise can permanently take care of problem. Surgery is usually on outpatient basis. ...Read more

Sacral dimple infant: It is an indentation, present at birth, over the lower back. Most are benign. However, if there is a deep hole, a tuft of hair, discoloration, or skin tag have your pediatrician evaluate your child to rule out a serious underlying abnormality of the spine. ...Read more

Pilonidal disease: A lot depends on the depth of the dimple and how hairy the person is when they grow up. A deep sacral dimple may predispose to pilonidal disease which is a painful cyst or mass under the skin covering the tailbone. They tend to get infected and may require surgical removal. ...Read more

Stays, but no need: To worry, most of these dimples are simple and don't require treatment. Check this site for more information

https://www. Drugs. Com/mcd/sacral-dimple ...Read more

Likely Fine: Most sacral dimples are harmless and don't require any treatment. Rarely sacral dimples are associated with a serious underlying abnormality of the spine or spinal cord. Examples include spina bifida or tethered cord syndrome. The risks of above spinal problems increase if sacral dimple is accompanied by a nearby tuft of hair, skin tag or certain types of skin discolorations. ...Read more

Yes: What you described is normal. You may visit this site for information on this topic: https://www. Mayoclinic. Org/diseases-conditions/sacral-dimple/symptoms-causes/syc-20377353
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Yes: Yes. Confirm with x-ray.

Wouldn't worry: If you are 43 years old and have not had trouble with it at this point, I would not worry about it. All that being said, an MRI is the test of choice to evaluate the spinal cord and neural canal. ...Read more

Pilonidal sinus: At 19 years of age this is likely a pilonidal sinus from a hair follicle affected by pubertal hormones, follicle becomes distended with keratin, a folliculitis develops, the infected follicle extends and ruptures into the subcutaneous tissue, forming a pilonidal abscess. This results in a sinus tract that leads deep into the skin. See his doctor for treatment. ...Read more