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June 8th, 2011
01:28 PM ET
Can my tailbone pain be cured?Every weekday, a CNNHealth expert doctor answers a viewer question. On Wednesdays, it's Dr. Otis Brawley, chief medical officer at the American Cancer Society. Asked by Will of Denver, Colorado I am an average person - good health and slightly overweight. Last year on a dare/challenge from a friend I rode my bicycle 50 miles without any previous training. I successfully completed the 50 miles, although I had extreme pain in my tailbone following the ride. I assumed this was temporary and continued to live my life. However, a year or so later it still has pain when I sit down. I'm not sure where to start besides seeing my normal doctor. Is this something that can be cured or could I have done lifelong damage to my tailbone? Dear Will, I think you already know that strenuous exercise without proper preparation through training is not a good idea. That being said, the medical term for pain in the tailbone is coccydynia. It is usually caused by trauma and it usually gets better with conservative therapy over a period of several weeks, but it can sometimes take several months for it to improve. The coccyx is a projection at the base of the spine. It is made of bone, cartilage and fibers. The coccyx bears weight when a person is sitting. Some of the muscles that control defecation attach to the coccyx, and there may be pain in the injured tailbone upon defecation and when tightening the anal sphincter. There are no national incidence numbers for this condition, but pain in the tailbone is a rather common problem. A busy primary care doctor usually sees a few cases per year. It is far more prevalent in women than men. It is rare in children. The most common cause is traumatic injury from a fall backwards into a sitting position. Other causes include repetitive minor trauma from sitting a long time. People not only get it from long bike rides, but from sitting in a car or plane for a prolonged period. Sitting on hard surfaces is more likely to cause it. Women can get coccydynia through trauma during vaginal birthing. Obesity is a major risk factor in men and women. The diagnosis of coccydynia is made through the patient's history of the pain and trauma and from physical examination. On examination, the physician can usually reproduce the symptoms through direct pressure on the tailbone. Initial treatment is conservative, using nonsteroidal pain medications such as ibuprofen or naproxen; protection of the area with a donut or wedge pillow; and alternating applications of heat and cold packs. Patients with pain after more than three months of good conservative therapy merit further evaluation which might include X-rays of the pelvis and tailbone. A very few patients will need to be treated with injections of local anesthetic, or local anesthetic and steroids, directly into the tailbone area. In a very rare case of protracted pain without improvement, the tailbone can be surgically removed. This operation is called a coccygyectomy. soundoff (1,780 Responses)« Previous 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 Next »Leave a Reply to Shera Kinsky
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Get a behind-the-scenes look at the latest stories from CNN Chief Medical Correspondent, Dr. Sanjay Gupta, Senior Medical Correspondent Elizabeth Cohen and the CNN Medical Unit producers. They'll share news and views on health and medical trends - info that will help you take better care of yourself and the people you love.
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6 Noble Virtues of an optimal Wife
How as a good Housewife?Who a great wife? How becoming a good wife? so what's Qualities of an ideal life partner? a number of the virtues she should have?
Wifely virtues are claimed in Tulasi Ramayana (Sri Ramacharitamanasa) Aranya Kanda verse 4 as advice given to Sita by Sage Atri's wife Ansuya. as per the verse, 'Devotion of metabolism, speech and mind to her lord's (husband's) Feet is the only duty, sacred vow and penance of a woman'. The 6 Noble Virtues a housewife require are summed up in the verses (because of Neetisaram or Neeti Saara or Niti Shastra) because below.
Being a Good House WifeNeeti Saara is an increasingly fashionable collection of morals written by Telugu Poet Baddena aka Bhadra Bhupala who lived during the 13th century. Since this was written by an Indian bearing in mind the Hindu culture, It outlines the qualities an Indian bride needs.
concept of 'Karyeshu Dasi, Karaneshu Manthri; Bhojeshu Mata, Shayaneshu Rambha, Roopeshu lakshmi, Kshamayeshu Dharitri, Shat dharmayukta, Kuladharma Pathni'.
1) Karyeshu Dasi: Works getting a servant
2) Karaneshu Mantri : tells like a minister
3) Bhojeshu Mata: Feeds like a parent
4) Shayaneshu Ramba : Pleases in bed exactly like the heavenly beauty Rambha
5) Roopeshu Lakshmi : eye-catching like Goddess Lakshmi
6) Kshmayeshu Dharitri : Having to be patient like Earth
7) Shat dharma yuktah: Woman having this six virtues
8) Kula dharma Patni : high quality housewife (A married woman who is not employed away from home)
basically, A good housewife if
Be like a servant in doing the chores of your home
Give wise advice like a minister to her husband
Serve food to the husband as adoringly as a mother feeds her son
Like a courtesan in the bed room
incredible like Maha Lakshmi and
Have the forbearance of nature
As per the final line of the shloka, A woman will likely have all the above said qualities to be an ideal house wife. It also means that the absence of meet chinese girls even one quality makes a woman a failure as a good wife. Anyone enjoying these verses on Patni dharma (benefits of wife) Would know to be from a man. This age old notion of how the wife should be has entered the mind set of even modern men and woman because of such a shloka. Correct me should i be wrong. Is there a similar verse to explain the qualities of an ideal husband? I suspect! on the contrary, The Hindu Dharma also has references about wife and husband relationship as 'saha dharma chariNam' which means sharing of dharma equally. It is also said that the results or fruits of the chores would be shared equally. down to Manu, 'where women are privileged, The Gods are cheerful; Where they're not honored, All work may fruitless'.
this particular 21st Century, The role of a wife has completely changed from what were there in the 1950s. The Modern Woman comes across as a strong, Independent and powerful individual who manages both office and home. Still her contribution and role in one's life and family is often overlooked. Her efforts are neither noticeable nor appreciated. on account of the typical Indian male mindset. although qualities outlined in Neetisaaram are for that of a housewife (A wife who work from home), It is seen that most Indian Males expect their wives to match the role even if she is a working woman. I know a couple who works in a Bank. Both the wife and husband go to the Bank together and come back together. But the wife does all the work before going to bank and does all the work after coming back from work also with no help from husband at all because according to him running the household is her obligations. regardless of how free, modern, Educated and excellent a woman is, Most Indian men see the household chores as an obligation of a woman.
In this modern age, How far this six desirable benefits or traits of an ideal wife are possible? it is not surprising, Woman like me find these verses Male chauvinistic and patronizing. I find the expectancy of perfection (Goddess Lakshmi in Beauty and Rambha during intercourse) From person degrading. Do these traits apply for women in this 21st century? A marriage is supposed to be an equal partnership between the husband and wife. Having said this I also agree that woman should thrive in achieving this 6 fold role to have a happy and successful marriage. I am a firm believer of 'Treat your Husband much the same way you want yourself to be treated'. What you give is what you'll receive in return. Give seriously like, Respect and care to your significant other and you are sure to get it back from him. Even Niti Saara has an identical verse, 'Do not do unto others what one examine like others to do unto oneself'.
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