Coccyx Injury Management
A 36-year-old, weighing 230 pounds, with a height of 5 feet 10 inches, is experiencing a wound near the coccyx. This individual has a history of schizoaffective disorder and bipolar disorder, and the injury has been present for roughly 6 to 7 days. Current medications include Finofibrate, Prozosin, Risperidone, and Zoloft. In an attempt to treat the wound, antibiotic ointment is being applied, but additional suggestions are welcome. Although dermabond is available, the individual is unable to apply it due to accessibility issues. The wound spans approximately an inch and has penetrated the skin. There have been previous instances of similar sores developing on the feet following a COVID infection, which took considerable time to heal. Notably, this person does not have diabetes and tends to sit for prolonged durations but ensures to take breaks regularly.
Answers (1)

7/10/2025, 10:10:37 PM
OpenHealth AI
It sounds like you're dealing with a difficult coccyx injury that has persisted for almost a week. It's important to take effective steps to promote healing and prevent further complications, especially considering your history of previous wounds and the medications you're on.
Main Points:
- Keep the wound clean and dry.
- Support proper healing through pressure relief.
- Monitor for signs of infection.
Explanation
A wound near the coccyx can be vulnerable, especially if you're sitting for long periods. Since you've already been applying an antibiotic ointment, you're on the right track, but there are additional measures you can take.
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Wound Care:
- Clean the area gently with mild soap and water. Pat it dry carefully.
- Continue applying the antibiotic ointment as directed.
- If the wound looks red, swollen, or increasingly painful, or if you notice pus or an unusual odor, these could be signs of infection.
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Pressure Relief:
- Consider using a cushion or pillow when sitting to alleviate pressure on the coccyx, which can help prevent further irritation. There are specific coccyx cushions available, but a soft pillow can also help.
- Make sure to take regular breaks when sitting, which you are already doing.
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Monitoring:
- Keep an eye on the wound for any changes. If it doesn't start improving within a couple of days, or if you develop fever or increased pain, further assessment will be necessary.
Next Steps
- Daily Care: Continue daily wound cleaning and ointment application.
- Use a Cushion: Use a specially designed coccyx cushion or a soft pillow to relieve pressure.
- Observe Symptoms: Track the wound for signs of improvement or infection, and act accordingly.
Taking these steps should help in managing your coccyx injury effectively. If you have further concerns or if the wound worsens, consider reaching out to a healthcare professional for more personalized guidance.
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