Coccyx injections are carried out as a day case procedure in an operating theatre. To minimize discomfort the injection is performed under sedation, which is administered by an anaesthetist. Prior to receiving sedation we will examine your coccyx to determine where you are most tender. After the injection we will attempt to manipulate your coccyx as this can also be helpful in breaking the inflammatory cycle if your coccyx has become stiff.
The injection needle is inserted into the correct position using x-ray guidance.
What Are the Risks?
There is a risk of infection at the injection site, but this is rare due to the use of sterile techniques.
Injection Site Discomfort
Following the injection you may have some localized soreness at the injection site, for which you can take some simple painkillers and it should settle over a few days.
Side Effects From The Injected Steroid
There are very few side effects when steroids are administered this way. Occasionally patients may notice some facial flushing, nausea, or mild abdominal cramps for a few days following the injection. There can also be a temporary disturbance to the menstrual cycle. Diabetics may find that the steroid alters their blood sugar control for a few days, so should monitor it closely.
An allergic reaction to injected steroid and local anaesthetic is incredibly rare. However, you must inform us of any know allergies beforehand.
What Can I Expect Following the Injection?
You will normally be able to leave hospital once you are mobile. This is normally 2-3 hours following your injection. Normally we use a spray on dressing that requires no removal. Sometimes we use a small dressing that can be removed after 12 hours.
As you will have had sedation you will be unable to drive for 24 hours following the injection and will need to arrange for someone to collect you from hospital. We would advise that you have a restful day the day after your injection, but it is important that you keep moving around. It is important that you continue with your cushion for at least 6-weeks following your injection.