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Tailbone Pain from Coccyx Injuries on Water Slides: A Case Series
Patrick M Foye1, Dena M Abdelshahed2, Evish Kamrava3
1Department of Physical Medicine and Rehabilitation, Newark, New Jersey; Coccyx Pain Center, Rutgers-New Jersey Medical School, Newark, New Jersey.
The Journal of Emergency Medicine
|May 23, 2018
Summary
Water slides may cause tailbone pain and coccyx injuries. This study found a link between water rides and coccydynia, recommending imaging for diagnosis.
Area of Science:
- Orthopedics
- Sports Medicine
- Emergency Medicine
Background:
- Water slides are popular amusement park attractions.
- Previous research documented vaginal injuries from water jets.
- No studies linked water slides to coccydynia or tailbone injuries.
Observation:
- A retrospective review of 217 patients at a coccyx pain clinic was conducted.
- Four patients reported symptom onset or exacerbation related to water slide use.
- Three of these patients showed dynamic instability on imaging.
Findings:
- Water slides/rides are a newly identified cause of coccygeal dynamic instability.
- This instability can lead to tailbone pain (coccydynia).
- Radiologic dynamic imaging (sitting vs. standing) is crucial for diagnosis.
Implications:
- Emergency physicians should consider water slides as a potential cause of tailbone pain.
- Dynamic imaging of the coccyx is recommended for patients with a history of water slide use.
- This finding expands the differential diagnosis for coccydynia.
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