DefinePK

Abstract

Background: Coccydynia, a painful condition affecting the coccyx or tailbone, is commonly associated with prolonged sitting, poor posture, and inadequate ergonomic support. It is particularly prevalent in sedentary occupations such as banking, where extended sitting on rigid or non-ergonomic surfaces increases the risk of coccygeal pain. Understanding the occupational factors contributing to coccydynia is crucial for improving workplace health, preventing musculoskeletal disorders, and enhancing employee comfort and productivity in desk-bound professions.
Objective: To determine the prevalence of coccydynia and evaluate its association with daily sitting hours and the type of sitting surface among bankers in Karachi, Pakistan.
Methods: This observational, cross-sectional study was conducted over six months among 104 bankers from Bank AL Habib, Sindh Bank, and Meezan Bank in Karachi. Participants were selected using a non-probability convenience sampling technique. Data were collected using a structured questionnaire incorporating the Dallas Pain Questionnaire (DPQ) and Visual Analog Scale (VAS) to assess pain intensity and its impact. Statistical analysis was performed using SPSS version 29. Chi-square test, t-test, ANOVA, Pearson correlation, and logistic regression were applied, with significance set at p < 0.05.
Results: Among the 104 participants, 17 (16.3%) experienced severe pain (VAS ≥7), with a higher prevalence in the 30–45 age group. Significant sitting limitations were reported by 30% of participants. Logistic regression identified sitting limitation as a significant predictor of severe pain (OR = 1.05, p = 0.012). Additionally, 31.7% reported depressive symptoms, and 73.1% experienced some degree of occupational impairment due to coccygeal discomfort.
Conclusion: Coccydynia is a notable occupational health issue among bankers in Karachi, with sitting duration and type of sitting surface being key contributing factors. Preventive ergonomic interventions and awareness programs are urgently needed to mitigate its impact.