DETERMINING THE PREVALENCE AND ASSOCIATION OF COCCYDYNIA WITH DAILY SITTING HOURS AND TYPE OF SITTING SURFACE AMONG BANKERS OF KARACHI, PAKISTAN.

Authors

  • Shanza Habib Indus University, Karachi, Pakistan. Author
  • Maira Muneer Indus University, Karachi, Pakistan. Author
  • Okasha Anjum Indus University, Karachi, Pakistan. Author

DOI:

https://doi.org/10.71000/74ghf424

Keywords:

Coccyx, , Ergonomics, Occupational Health, Posture, Quality of Life, , Sitting Position, Visual Analog Scale.

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.

Author Biographies

  • Shanza Habib, Indus University, Karachi, Pakistan.

    Department of Allied Health Sciences, Indus University, Karachi, Pakistan.

  • Maira Muneer, Indus University, Karachi, Pakistan.

     Lecturer/Academic Coordinator, Department of Allied Health Sciences, Indus University, Karachi, Pakistan.

  • Okasha Anjum, Indus University, Karachi, Pakistan.

    Head of Department/Assistant Professor, Department of Allied Health Sciences, Indus University, Karachi, Pakistan.

References

Kasaw Kibret A, Fisseha Gebremeskel B, Embaye Gezae K, Solomon Tsegay G. Work‐Related Musculoskeletal Disorders and Associated Factors Among Bankers in Ethiopia, 2018. Pain Research and Management. 2020;2020(1):8735169.

Chatta MA, Ain QU, Amjad MH, Usman M. Prevalence of coccydynia in postpartum women: a cross-sectional study in Lahore. BASIC & CLINICAL MEDICAL SCIENCES. 2022; 2:44-50.

Sanobar G, Mustafa S, Wazir A, Iqbal J, Israr A. Prevalence of Coccydynia Among Wheelchair Users Due to Prolonged Sitting: Coccydynia in Wheelchair Users. Journal of Health and Rehabilitation Research. 2024 Feb 1;4(1):345-50.

Shah S, Muzammil S, Khalid G, Javed R, Ahmed D, Altaf F, Khalid A. The Prevalence of Coccydynia among Postpartum Females in Allama Iqbal Memorial Teaching Hospital, Sialkot: Prevalence of Coccydynia among Postpartum Females. The Therapist (Journal of Therapies & Rehabilitation Sciences). 2023 Mar 31:66-9.

Jamil K, Baqir SR, Lucky M, Ilyas Y, Arzoo O, Zia K, Aftab A. Occurrence of Coccydynia in Healthcare Professionals of Karachi; Pain and Straight Leg Raise Test Perspective: Occurrence of Coccydynia in Healthcare Professionals. THE THERAPIST (Journal of Therapies & Rehabilitation Sciences). 2024 Mar 31:68-72.

Workneh BS, Mekonen EG. Prevalence and associated factors of low back pain among bank workers in Gondar City, Northwest Ethiopia. Orthopedic research and reviews. 2021 Feb 9:25-33.

Soares C, Shimano SG, Marcacine PR, Fernandes LF, de Castro LL, de Walsh IA. Ergonomic interventions for work in a sitting position: an integrative review. Revista Brasileira de Medicina do Trabalho. 2023 Apr 18;21(1):e2023770.

Teoli D, Bhardwaj A. Definition/Introduction. Patient Self-Determination Act. 2020.

Koca M, Deniz S, İnceoğlu F, Kılıç A. The effects of workload excess on quality of Work Life in Third-Level Healthcare workers: a structural equation modeling perspective. In Healthcare 2024 Mar 14 (Vol. 12, No. 6, p. 651). MDPI.

Mostafa E, Varacallo M. Anatomy, Back, Coccygeal Vertebrae. InStatPearls [Internet] 2023 Jun 5. StatPearls Publishing.

Dhengre P, Bansal S, Rathi M. Prevalence of musculoskeletal disorders among bank employees in Maharashtra, India. Int J Health Sci Res. 2021;11(6):178–185.

Arora SN, Khatri S. Prevalence of work-related musculoskeletal disorder in sitting professionals. Int. J. Community Med. Public Health. 2022 Feb; 9:892.

Dagne D, Abebe SM, Getachew A, Gebremichael B. Work-related musculoskeletal disorders and associated factors among bank workers in Addis Ababa, Ethiopia: a cross-sectional study. Environ Health Prev Med. 2020;25(1):34.

Kasaw Kibret A, Fisseha Gebremeskel B, Embaye Gezae K, Solomon Tsegay G. Work‐Related Musculoskeletal Disorders and Associated Factors Among Bankers in Ethiopia, 2018. Pain Research and Management. 2020;2020(1):8735169.

Arora SN, Khatri S. Prevalence of work-related musculoskeletal disorder in sitting professionals. Int. J. Community Med. Public Health. 2022 Feb; 9:892.

Tabiti O, Ibeabuchi MN, Oke KI. Prevalence and distribution of work-related musculoskeletal disorders among security personnel in Nigerian commercial banks. Int J Occup Saf Ergon. 2025;

Obeng-Gyasi B, Brown EDL, Chinthala AS, Mao G. Advances in Coccygectomy: A Comprehensive Review Evaluating Surgical Techniques for Coccygodynia. Brain Sci. 2025;15(2).

Hochgatterer R, Gahleitner M, Allerstorfer J, Maier J, Luger M, Großbötzl G, et al. Coccygectomy for coccygodynia: a cohort study with a long-term follow-up of up to 29 years. Eur Spine J. 2021;30(4):1072-6.

Mendes-Andrade I, Pagan-Rosado R, Ferreira-Silva N, Hurdle MF. A novel approach to refractory coccydynia: ultrasound- fluoroscopy-guided cryoablation of sacrococcygeal nerve. Pain Manag. 2024;14(10-11):541-7.

Blanco-Diaz M, Palacios LR, Martinez-Cerón MDR, Perez-Dominguez B, Diaz-Mohedo E. Physiotherapy approaches for coccydynia: evaluating effectiveness and clinical outcomes. BMC Musculoskelet Disord. 2025;26(1):514.

Osuagwu UC, Roldan CJ, Huh BK. Radiation-Induced Coccydynia and Pelvic Pain From Insufficiency Fracture Treated With Ganglion Impar Block. Pain Med Case Rep. 2024;8(1):9-12.

Castillo S, Joodi R, Williams LE, Pezeshk P, Chhabra A. Sacrum magnetic resonance imaging for low back and tail bone pain: A quality initiative to evaluate and improve imaging utility. World J Methodol. 2021;11(4):110-5.

Foye PM, Araujo MR, Sidhu GJS. Steroids further improve ganglion impar blocks for coccyx pain (tailbone pain). Korean J Pain. 2020;33(4):400-1.

Nourani B, Norton D, Kuchera W, Rabago D. Transrectal osteopathic manipulation treatment for chronic coccydynia: feasibility, acceptability and patient-oriented outcomes in a quality improvement project. J Osteopath Med. 2024;124(2):77-83.

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Published

2025-07-19