What should I do if my buttocks hurt a lot after taking a hard fall?

Sitting down hard can cause significant pain, which can be treated through methods such as ice application, massage, and manual reduction.

1. Ice Application

In the early stage, there may be varying degrees of local swelling, pain, and bruising. Applying a cold compress using a cool towel or ice pack can help reduce swelling and bruising by minimizing fluid leakage in the affected area. Ice packs can also be used, but care should be taken to avoid frostbite.

2. Massage

After 48 hours post-injury, therapeutic massage on the buttocks may be performed. Avoid applying excessive pressure to prevent worsening the injury. Under a doctor’s guidance, oral blood-activating and stasis-resolving medications (e.g., Sanqi tablets) and anti-inflammatory, pain-relieving drugs (e.g., Lopin tablets) may be taken concurrently.

3. Manual Reduction

If there is severe pain at the tailbone area, an X-ray should be taken to confirm whether there is a fracture or dislocation of the coccyx. In cases of fractured or dislocated coccyx, manual reduction may be attempted. If manual reduction fails, pain symptoms often gradually subside over time. However, for persistent, intractable pain, surgical removal of the coccyx may be required later.

In addition, under medical supervision, anti-inflammatory and analgesic medications such as flurbiprofen plasters or loxoprofen and codeine sustained-release tablets may be prescribed to improve symptoms. Avoid prolonged sitting in daily life to prevent worsening of pain.