Another familiar etiology is
childbirth. The coccyx is considered by some to be in the way through
childbirth. At the end of the third trimester, particular hormonal changes
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more mobile. This increased mobility of three to five coccygeal segments allows
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tension of the surrounding ligaments and muscles. Unlike fractures, which can
remodel, injuries to the sacrococcygeal junction often become inflamed as the
joint is repeatedly forced out of its normal position. Physical examination
should include direct palpation of the coccyx for tenderness. In true
coccydynia, the coccygeal region frequently is markedly tender. In most cases,
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