Tailbone pain, also called coccydynia or coccygodynia, usually goes away on its own within a few weeks or months.

Roger W. Harms, M.D.

A coccyx injury results in pain and discomfort in the tailbone area (the condition is called coccydynia). These injuries may result in a bruise, dislocation, or fracture (break) of the coccyx. Although they may be slow to heal, the majority of coccyx injuries can be managed with cautious treatment.

The coccyx is the triangular bony structure located at the bottom of the vertebral column. It is composed of three to five bony segments held in place by joints and ligaments.

The majority of coccyx injuries occur in women, because the female pelvis is broader and the coccyx is more exposed.

Tailbone Injury Causes

Most tailbone injuries are caused by trauma to the coccyx area.

• A fall onto the tailbone in the seated position, usually against a hard surface, is the most common cause of coccyx injuries.
• A direct blow to the tailbone, such as those that occur during contact sports, can injure the coccyx.
• The coccyx can be injured or fractured during childbirth.
• Repetitive straining or friction against the coccyx (as happens in bicycling or rowing) can injure the coccyx.
• Sometimes, the cause of coccyx injuries is unknown.
• Less common causes of coccyx injuries include bone spurs, compression of nerve roots, injuries to other parts of the spine, local infections, and tumors.

Tailbone Injury Symptoms

•  Severe localized pain and tenderness may be felt in the tailbone area.
• If the injury is traumatic, a bruise may be visible in this area.
• The pain is generally worse when sitting for prolonged periods of time, or with direct pressure to the tailbone area.
• Bowel movements and straining are often painful.
• Some women may experience pain during sexual intercourse.

• Most coccyx injuries are accidental (such as a slip on ice) and therefore cannot be entirely avoided.
• Wear proper protective padding when participating incontact sports that can potentially lead to coccyx injuries

Coccyx injuries are often extremely painful, so home care is aimed at controlling pain and avoiding further irritation to the coccyx.

HOME REMEDIES:

• Avoid sitting down for long periods of time. When on hard surfaces, alternate sitting on each side of the buttocks. Also, lean forward and direct your weight away from the tailbone.
• For traumatic injuries, apply ice to the tailbone area for 15-20 minutes, four times a day, for the first few days after the injury.
• Use ibuprofen (Advil), or a similar pain medicine, as directed on the label for pain control.
• You can purchase a “doughnut” cushion or pillow to sit on. This cushion has a hole in the middle of it to prevent the tailbone from contacting the flat surface.
• Eat foods high in fiber to soften stools and avoid constipation.

TREATMENT:

In addition to home care, a physician may be able to provide further relief of pain with other medical and, rarely, surgical interventions.

• Stronger pain medications may be prescribed at the discretion of your physician.
• Stool softeners may be prescribed to prevent constipation.
• Injections of local anesthetics or corticosteroids into the coccyx area are sometimes required to treat continuing pain.
• Rarely, the coccyx may surgically removed.

Trying to manage diabetes is hard because if you don’t, there are consequences you’ll have to deal with later in life.

Bryan Adams (born 5 November 1959) is a Canadian rock singer-songwriter, musician, producer, actor and photographer. Best known for hit singles including “Summer of ’69“, “Run To You“, number one single “Everything I Do (I Do It For You)” and “18 Til I Die“.

Diabetes is becoming more common in the United States.  From 1980 through 2011, the number of Americans with diagnosed diabetes has more than tripled (from 5.6 million to 20.9 million).

 DIABETES: The Signs & Symptom and How to control the them:

The signs and symptoms of Diabetes 1 or 2 with hyperglycemia (HIGH GLUCOSE LEVELS):

THINK OF THE 3 P’s=

1.)Polyuria-a lot of urinating due to your body trying to void out of the body excess glucose in your urine. This causes the next symptom due to your voiding a lot of urine which causes your body to lose fluid and in return you become very thirsty with hungry. This gives you:

2.)Polydipsia= very thirsty

3.)Polyphagia=very hungry

This should be a red light for a diabetic with these one or all 3 symptoms to finger stick themselves.   See where your glucose level is at and if over 200 this is why you have one or all of the “P” symptoms (listed above).

Other s/s of Diabetes consist of:

– Tingling / Numbness in the hands and feet (diabetic neuropathy)

-Very tired and fatigued

-Weight Loss (more common to see in Diabetes 1)

-Blurred Vision.

-Sores that do not heal; and if not healed, this can cause in time a severe condition.

Complications that can come about due to DIABETES:

Dental Disease – Diabetes can lead to problems with teeth and gums, called gingivitis and periodontitis.

Heart Disease – People with diabetes have a higher risk for heart attack and stroke.

Eye Complications – People with diabetes have a higher risk of blindness and other vision problems.

Kidney Disease – Diabetes can damage the kidneys and may lead to kidney failure.

Nerve Damage (neuropathy) – Diabetes can cause damage to the nerves that run through the body.

Foot Problems – Nerve damage, infections of the feet, and problems with blood flow to the feet can be caused by diabetes.

Skin Complications – Diabetes can cause skin problems, such as infections, sores, and itching. Skin problems are sometimes a first sign that someone has diabetes. Sores that cannot heal due to constant high glucose in the body can lead into a severe condition=AMPUTATION of the foot or leg.

**. (At least 15 % of all people with diabetes eventually have a foot ulcer, and 6 out of every 1000 people with Diabetes have an AMPUTATION. Possibly first surgery with bypassing the blood can resolve the problem 100% or like many only temporary. It is based on your other medical history with how brittle the diabetes and how compliant you are in taking care of yourself with diabetes.***

All these complications are effected by hyperglycemia and in playing a part in the blood circulation of our body. Ending line the person is getting bad oxygenated blood supply sent to the lower extremities when the glucose is poorly controlled over a long time. Based on the principle of gravity; what happens here is the heart pumps our blood throughout our body and when it gets difficult for the organ to do its job due to thick high glucose blood than it has to compensate at some point. Simply a narrowing to a blockage is occurring in that lower extremity and the reason for this is it’s the furthest area from the heart=FEET/LEGS. This is why you never see or rarely see a diabetic having an arm amputated due to hyperglycemia.

This can be caused by just thick high glucose blood flowing throughout the body making it difficult for the heart to pump as effectively as opposed to someone that doesn’t have hyperglycemia which over time leads to further complications (listed above).

Diabetes with constant high glucose blood levels can leaded into poor circulation causes the feet and lower leg to first become cool to cold to changing colors of pale to cyanotic (purple) which takes over weeks to months to years, depending on the patient. Then the tissue gets necrotic (black=dead tissue) and an amputation has to be done to save the person or else this will get infected locally, at first, going into a systemic infection causing the person to go into septicemia and expire.

How we can decrease the risk of complications and decrease the chance of diabetes worsening or KEEP IT UNDER CONTROL = PRACTICING VERY GOOD MANAGEMENT IN CARING FOR YOUR DIABETES.

This is how you can reach this goal:

-Controlling your blood glucose, blood pressure, and cholesterol can make a huge difference in staying healthy. Talk with your doctor about what your goals should be and how to reach them but make sure you are given information on paper or write down what it is you have discussed in the doctor’s office based on your care for diabetes and what to do. Usually diabetic information on paper is available and given to you.

To reach this know the following:

-Your healthy eating plan that you and your doctor with a dietician have discussed.

-Overweight? Than diet down to your therapeutic weight range for your height after discussed with by you with your doctor.

-Be physically active for 30 to 60 minutes most days but if this is new get your doctor to clear this activity for you with what kind of activity you are allowed and not allowed.

-Take your medicines as directed and keep taking them even after you’ve reached your goals; or you will be at high risk of ending up the way you were earlier=Diabetes badly controlled with running into the problems you had earlier.

-If you smoke=QUIT.

-Check your skin daily in particular the FEET and LOWER LEGS to check for redness, swelling to blisters, sores and sore toenails

-Ask your doctor if you should be taking aspirin to prevent a heart attack or stroke by making the blood less thick to thinner making it easier for the heart to pump and less stress to the organ.

-Need assistance like others have needed? Here it is; knowing how to surviveee with Diabetes 1 or 2 and that is to reach the best goal you can in treating it:

The key is to controlling your DIABETES is to be living a healthy life! This consists of diet, exercise or activity and healthy habits learned and practiced routinely in your life that will help prevent or assist in treating diabetic disease. The better we treat ourselves regarding health the higher the odds we will live a longer and healthier life. There is not just one food to eat or one type of exercise to do or one healthy habit to practice in order to keep you healthy, there’s choices. Come onto my website which is no fee, no charge, no hacking, just letting you check us out to look further in understanding how to take a shape for your life with Dr. Anderson and even myself as your health coach in helping you learn what healthier habits or changes you want for a healthier way of living, learn how to eat out of the 4 food groups still following your diabetic diet as ordered by your MD. It allows you to make all the decisions in what you want to do regarding what to eat (diet), exercise/activity, and what healthy habits you want to add in your life. We just provide the information and healthy foods in your diet, if you decide you want it. You make all the choices.

Wouldn’t you want less disease/illness for yourself, for your family, others significant to you and even throughout the nation including our future generations. Wouldn’t it be great to see Diabetes decrease in America for future years and giving us an ending result of higher probability that we would overall a healthier country with less disease. If that included Diabetes what an impact it would play in decreasing other diseases alone caused just by Diabetes.

I’m not a diabetic but eating overall healthy and in my diet range (barely) but there and increasing my activity. Do yourself and maybe others a favor by going to my website. Click onto heathyusa.tsfl.com and join me like so many others in tring to reach this goal. I hope to hear from you soon. Take a peek;) it doesn’t cost you a dime. You may just like what you see.

REFERENCES for Part 1 and Part 2 :

1.)Center for Disease (CDC) – “National Diabetes Fact Sheet”

2.)NYS Dept. of Health –Diabetes

3.)Diabetic Neuropathy.org “All about diabetic neuropathy and nerve *          damage caused by Diabetes.”

*         Copyright 2002 – 2013.

4.)NIDDK “National Institute of Diabetes and Digestive and Kidney *          Diseases”

5.)National Diabetes Information Clearinghouse (NIDC) – U.S.  *  Department of Health and Human Services. “Preventing  DM *            Problems: What you need to know”

“The book Diabetes Free demonstrates how to naturally regulate blood sugar levels; in actionable steps. Pearson discusses how to implement a simple preliminary detoxification and how this will help to cleanse out your system and rid you of the disease: the natural way.”

Dr. Pearson   (is an author and independent scientific researcher who has dedicated years to gaining a better understanding of the hormonal balance and nutritional contribution to being diabetes free.)

Diabetes is becoming more common in the United States. From 1980 through 2011, the number of Americans with diagnosed diabetes has more than tripled (from 5.6 million to 20.9 million). Do you know how much it is costing in our country?

What is diabetes?

Diabetes is a group of diseases marked by high levels of blood glucose resulting from defects in insulin production, insulin action, or both. Diabetes can lead to serious complications and premature death, but people with diabetes, working together with their support network and their health care providers, can take steps to control the disease and lower the risk of complications.

There are 2 types:

Type 1 diabetes was previously called insulin-dependent mellitus (IDDM) or juvenile-onset diabetes. This type of diabetes happens when the immune system ends up destroying beta cells in the body that come from our pancreas and they are the only cells in the human body that make the hormone INSULIN the regulates your glucose. Insulin allows glucose to transfer into the cells and tissues of our body to give them their energy to do their job in the body and nutrition to work properly=sugar-glucose. To live with this diabetes the person must have their insulin delivered by injection or a pump. This form of diabetes usually occurs in children or young adults but can occur at any age.

Type 2 diabetes was called non-insulin dependent diabetes mellitus (NIDDM) or adult-onset diabetes. In adults, type 2 diabetes accounts for about 90-95% of all diagnosed cases of diabetes. It usually begins as insulin resistance, a disease in which the cells do not use insulin properly due to the pancreas not making enough or the pancreas not secreting the correct form o of insulin to do its function. Ending line the insulin isn’t working properly. As the need for insulin rises, the pancreas gradually loses its ability to produce it.

Type 2 diabetes is associated with older age, OBESITY, family history of diabetes, history of gestational diabetes, impaired glucose metabolism, physical inactivity and race/ethnicity.

Gestational diabetes is a form of glucose intolerance diagnosed during pregnancy. Gestational diabetes occurs more frequently among African Americans, Hispanic/Latino Americans, and American Indians. It is also more common among obese women and women with a family history of diabetes. During pregnancy, gestational diabetes requires treatment to optimize maternal blood glucose levels to lessen the risk of complications in the infant.

Other types of diabetes result from specific genetic conditions (such as maturity-onset diabetes of youth), surgery, medications, infections, pancreatic disease, and other illnesses. Such types of diabetes account for 1% to 5% of all diagnosed cases.

Treating diabetes

Diet, insulin, and oral medication to lower blood glucose levels are the foundation of diabetes treatment and management. Patient education and self-care practices are also important aspects of disease management that help people with diabetes lead normal lives.

• To survive, people with type 1 diabetes must have insulin delivered by injection or a pump.
• Many people with type 2 diabetes can control their blood glucose by following a healthy meal plan and exercise program, losing excess weight, and taking oral medication. Medications for each individual with diabetes will often change during the course of the disease. Some people with type 2 diabetes may also need insulin to control their blood glucose.

Self-management education or training is a key step in improving health outcomes and quality of life. It focuses on self-care behaviors, such as healthy eating, being active, and monitoring blood sugar.

Criteria for the diagnosis of diabetes:

• A fasting blood sugar level ≥126 milligrams per deciliter (mg/dL) after an overnight fast, which is just taking the finger stick right when you wake up before breakfast OR
• A 2-hour blood sugar level ≥200 mg/dL after a 2-hour oral glucose tolerance test (OGTT), OR
• An A1c level ≥6.5%.       (The A1C test is a simple lab test that measures average blood glucose levels over the past 3 months. A small blood sample to check your A1C can be taken at any time of the day=simply a blood test)
• Pretty simple isn’t it.

Diabetes is not only common and serious; it is also VERY COSTLY! Let us take a look:

The cost of treating diabetes is staggering. According to the American Diabetes Association, the annual cost of diabetes in medical expenses and lost productivity rose for $98 billion in 1997 to $132 billion in $2002 to $174 billion in 2007.

One out of every 5 U.S. federal health care dollars is spent treating people with diabetes. The average yearly health care costs for a person without diabetes is 2,560 dollars; for a person with diabetes that figure soars to $11,744. Much of the human and financial costs can be avoided with proven diabetes prevention and management steps.

At least four complex processes, alone or combined, can lead to diabetic heart disease (DHD). They include coronary atherosclerosis; metabolic syndrome; insulin resistance in people who have type 2 diabetes; and the interaction of coronary heart disease (CHD), high blood pressure, and diabetes .

Researchers continue to study these processes because all of the details aren’t yet known.

Coronary Atherosclerosis

Atherosclerosis is a disease in which plaque builds up inside the arteries. The exact cause of atherosclerosis isn’t known. However, studies show that it is a slow, complex disease that may start in childhood. The disease develops faster as you age.

Coronary atherosclerosis may start when certain factors damage the inner layers of the coronary (heart) arteries. These factors include:

• Smoking
• High amounts of certain fats and cholesterol in the blood
• High blood pressure
• High amounts of sugar in the blood due to insulin resistance or diabetes

Plaque may begin to build up where the arteries are damaged. Over time, plaque hardens and narrows the arteries. This reduces the flow of oxygen-rich blood to your heart muscle.

Eventually, an area of plaque can rupture (break open). When this happens, blood cell fragments called platelets (PLATE-lets) stick to the site of the injury. They may clump together to form blood clots.

Blood clots narrow the coronary arteries even more. This limits the flow of oxygen-rich blood to your heart and may worsen angina (chest pain) or cause a heart attack.

Metabolic Syndrome

Metabolic syndrome is the name for a group of risk factors that raises your risk of both CHD and type 2 diabetes.

If you have three or more of the five metabolic risk factors, you have metabolic syndrome. The risk factors are:

• A large waistline (a waist measurement of 35 inches or more for women and 40 inches or more for men).
• A high triglyceride (tri-GLIH-seh-ride) level (or you’re on medicine to treat high triglycerides). Triglycerides are a type of fat found in the blood.
• A low HDL cholesterol level (or you’re on medicine to treat low HDL cholesterol). HDL sometimes is called “good” cholesterol. This is because it helps remove cholesterol from your arteries.
• High blood pressure (or you’re on medicine to treat high blood pressure).
• A high fasting blood sugar level (or you’re on medicine to treat high blood sugar).

It’s unclear whether these risk factors have a common cause or are mainly related by their combined effects on the heart.

Obesity seems to set the stage for metabolic syndrome. Obesity can cause harmful changes in body fats and how the body uses insulin.

Chronic (ongoing) inflammation also may occur in people who have metabolic syndrome. Inflammation is the body’s response to illness or injury. It may raise your risk of CHD and heart attack. Inflammation also may contribute to or worsen metabolic syndrome.

Research is ongoing to learn more about metabolic syndrome and how metabolic risk factors interact.

Insulin Resistance in People Who Have Type 2 Diabetes

Type 2 diabetes usually begins with insulin resistance. Insulin resistance means that the body can’t properly use the insulin it makes.

People who have type 2 diabetes and insulin resistance have higher levels of substances in the blood that cause blood clots. Blood clots can block the coronary arteries and cause a heart attack or even death.

The Interaction of Coronary Heart Disease, High Blood Pressure, and Diabetes

Each of these risk factors alone can damage the heart. CHD reduces the flow of oxygen-rich blood to your heart muscle. High blood pressure and diabetes may cause harmful changes in the structure and function of the heart.

Having CHD, high blood pressure, and diabetes is even more harmful to the heart. Together, these conditions can severely damage the heart muscle. As a result, the heart has to work harder than normal. Over time, the heart weakens and isn’t able to pump enough blood to meet the body’s needs. This condition is called heart failure.

As the heart weakens, the body may release proteins and other substances into the blood. These proteins and substances also can harm the heart and worsen heart failure.

Whether it was the Black Death in 14th century Europe or Ebola in present day Africa, the loss of human life and cost to society has been astronomical.  We should take actions in PREVENTIONS of disease if we can.

CDC

4: Stroke (cerebrovascular diseases)

• Deaths: 128,932
• Males: 52,335
• Females: 76,597
• Rate: 41.4
• Age-adjusted rate: 37.9
• Percentage of total deaths: 5.12%.

Cerebrovascular diseases are conditions that develop as a result of problems with the blood vessels that supply the brain. Four of the most common types of cerebrovascular disease are:

• Stroke
• Transient ischemic attack (TIA)

• Subarachnoid hemorrhage that highly leads into a stroke, depending on how quick the hemorrhage is detected with how bad of a hemorrhage it is When a pt comes in the ER and shows symptoms of a TIA or stroke the first thing the MD does within 10 minutes by law is order a CT of the head to see if its a clot or a hemorrhage in the brain that is causing the stroke or TIA to decide his or her pathway of treatment.       It would tell the MD decide whether to decide as surgery for a hemorrhage or if a clot start rTPA a con-             tinuous IV infusion to treat the clot if the stroke symptoms started in the past 6 (using a vein) or to 8 hours (using an artery) or another treatment would be decided if it was a clot with s/s that past.

• Vascular dementia.

Every year more than 795,000 people in the US have a stroke; risk of having a stroke varies with race, ethnicity, age and geography. Risk of stroke increases with age, yet in 2009 34% of people hospitalized for stroke were younger than 65 years.

The highest death rates from stroke in the US occur in the southeast.

Major warning signs and symptoms of stroke

During a stroke, every second counts. Fast treatment can reduce the brain damage that stroke can cause.

Signs and symptoms of stroke include sudden:¹³

• Numbness or weakness in the face, arm or leg, especially on one side of the body
• Confusion, trouble speaking or difficulty understanding speech
• Trouble seeing in one or both eyes
• Trouble walking, dizziness, loss of balance or lack of coordination
• Severe headache with no known cause.

Call 9-1-1 immediately if any of the above symptoms are experienced.

If you think someone may be having a stroke, act F.A.S.T. and do the following simple test:

• F – Face: ask the person to smile. Does one side of the face droop?
• A – Arms: ask the person to raise both arms. Does one arm drift downward?
• S – Speech: ask the person to repeat a simple phrase. Is their speech slurred or strange?
• T – Time: if you observe any of these signs, call 9-1-1 immediately.

Note the time when any symptoms first appear. Some treatments for stroke only work if given within the first 3 hours after symptoms appear.

Do not drive to the hospital or let someone else drive you. Call an ambulance so that medical personnel can begin life-saving treatment on the way to the emergency room.

How can stroke be prevented?

High blood pressure, high cholesterol, and smoking are major risk factors for stroke. About half of Americans (49%) have at least one of these three risk factors. Several other medical conditions and unhealthy lifestyle choices can increase your risk for stroke.

Although you cannot control all of your risk factors for stroke, you can take steps to prevent stroke and its complications.¹²

Stroke prevention measures may include:^14,15

• Eating a healthy diet
• Maintaining a healthy weight
• Getting enough exercise
• Not smoking
• Limiting alcohol use
• Checking cholesterol
• Controlling blood pressure
• Managing diabetes
• Managing heart disease
• Taking medicine correctly
• Talking with a health care team.

Potassium-rich foods could lower stroke risk in older women

Researchers have found that older women whose diets involve potassium-rich foods may be at a reduced risk of stroke and have a greater life expectancy than women consuming less potassium-rich foods.

Stroke risk lowered with a high-protein diet

A diet higher in protein may reduce stroke risk by 20%, while every additional 20 grams of protein consumed each day could reduce stroke risk by 26%, according to new research.

5: Accidents (unintentional injuries)

• Deaths: 126,438
• Males: 79,257
• Females: 47,181
• Rate: 40.6
• Age-adjusted rate: 39.1
• Percentage of total deaths: 5.02%.

Accidents, also referred to as unintentional injuries, are at present the 5th leading cause of death in the US and the leading cause of death for those between the ages 1 to 44. The National Highway Traffic Safety Administration say that highway crashes alone have an annual price tag of around $871 billion in economic loss and social harm, with speeding accounting for $210 billion of that figure.

Data for accidents include the following:

• Motor vehicle accidents
• Other land transport accidents
• Water, air and space accidents
• Accidental discharge of firearms
• Accidental drowning and submersion
• Falls
• Accidental exposure to smoke, fire and flames
• Accidental poisoning and exposure to noxious substances.

Possible prevention measures

Accidents cause loss and suffering to the victims and their loved ones. Methods of safety and prevention can help toward avoiding some forms of unintentional death.

Seat belts have saved an estimated 255,000 lives between 1975 and 2008.

In 2010, 10,228 people were killed in alcohol-impaired driving crashes, accounting for nearly one-third (31%) of all traffic-related deaths in the US.¹ In 2010, over 1.4 million drivers were arrested for driving under the influence of alcohol or narcotics.³ That is 1% of the 112 million self-reported episodes of alcohol-impaired driving among US adults each year.⁴

Information on saving lives and protecting people from violence and injuries can be found on the Centers for Disease Control and Prevention (CDC) website.

Some facts or statistics show:

Violence or injury ‘responsible for almost 80% of deaths in Americans under 30’

More Americans between the ages 1-30 die due to preventable causes such as car crashes, falls and firearm-related injuries, according to a new report.

How a smartphone could prevent falls

Purdue University researchers have created a smartphone tool – called SmartGait – that can measure a person’s walking gait, which they say could prevent falls.