Sacral dimple symptoms. [Wu, 2020; Wilson, 2016; McGovern, 2013; Zywicke, 2011] Not all dimples are associated with underlying neural tube defect! Solitary, midline pits located entirely within the gluteal cleft rarely have clinical significance. Most sacral dimples don’t cause any health issues. In these instances, your child’s health care provider may recommend an imaging test. Sacral dimples are common in infants and are usually benign. Learn more about causes, symptoms and treatments. Learn about sacral dimples: types, causes, treatment, and when to seek medical attention. If any of these symptoms of sacral dimple are seen, the doctor will recommend an image testing and as per the reports of the tests, the doctor will recommend the further treatment procedure. g. Sacral dimples are singles, while back dimples come in pairs in the lower back area. Often noticeable at birth, this minor anomaly can sometimes lead to complications if not properly monitored. Back dimples are indentations on your lower back. Back dimples, including sacral and venus dimples, are indentations in the lower area of the back. In rare instances, a dimple on your baby’s sacrum can be a sign of a spine or spinal cord problem. Also, if it has swelling, drainage, or infection signs, get help fast. Most sacral dimples are harmless and don't need treatment. A sacral dimple (also termed pilonidal dimple or spinal dimple) [1] is a small depression in the skin, located just above the buttocks. A sacral dimple is a small indentation in your lower back near the crease of your buttocks. Most are blind ending, just above or within the crease of the buttocks, and do not require investigation or treatment (1). Learn what to watch for and when to see a doctor. Learn about the causes and what these dimples mean. Imaging of coccygeal dimples is not necessary. Aug 2, 2017 · In most cases, a sacral dimple causes no problems and isn’t associated with any health risks. Learn about sacral dimple, its types, causes, symptoms, diagnosis, prevention, treatments, and home remedies in this comprehensive guide. In most cases, these dimples are a benign anatomical variation present from birth that does not cause symptoms and does not require treatment. In the new-born, isolated midline sacral dimples and small pits can be safely ignored. Most of the time these dimples are not harmful and don’t require any treatment. Usually, doctors do an ultrasound to find out the reason for sacral dimples in newborns. It's usually just above the crease between the buttocks. Overview A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. While most sacral dimples are harmless and do not require treatment, they can occasionally be associated with spinal or neurological abnormalities, making it crucial to evaluate them properly. What are the potential complications associated with sacral dimples? Sacral dimples can occasionally be linked to underlying abnormalities of the spine, such as spinal dysraphism or tethered cord syndrome, which, if ignored, can result in neurological issues. [Arch Derm 2004] Episodic autonomic symptoms Thalassaemia What concerning features should we look for when we find a sacral dimple on an infant's exam? Do we need to check US or MRI? And how many times can you say "simple dimple" in 10 seconds? If a person with a sacral dimple experiences symptoms like muscle weakness, numbness in the legs, or loss of bladder or bowel control, it's important to see a neurologist for evaluation of a possible spinal condition. Sacral dimples are minor congenital anomalies. A sacral dimple can be a sign of a serious spinal problem in a newborn if the dimple is large or appears near a tuft of hair, skin tag, lump or discolored area. Diagnosis of Sacral Dimples in Newborns A layperson can also identify a sacral dimple after the baby’s birth. The dimple is typically shallow and found in or near the crease of your baby’s butt. A sacral dimple can be a sign of a serious spinal problem in a newborn if the dimple is large or appears near a tuft of hair, skin tag, lump or discolored area A hair patch by the sacral dimple. Read more information on homeopathic remedies, risks, and prevention. Sacral dimple in newborns commonly appears as a small depression in the lower back and is usually harmless. Explore what a sacral dimple is, how it develops, and when this common anatomical variation might warrant medical evaluation. • Bilious vomiting with abdominal distension? • Abnormal neurologic exam or sacral dimple? • Failure to thrive? • Severe refractory symptoms? Overview A sacral dimple is an indentation, present at birth, in the skin on the lower back. In these instances, your child's health care provider may recommend an imaging test. The risks of these spinal problems increase if the sacral dimple is accompanied by a nearby tuft of hair, skin tag or lump, and certain types of skin discoloration. Unveil another aspect to consider when looking at the risks of sacral dimples. Most OSD is picked up antenatally on anomaly scan. Back dimples, or dimples of Venus, can be a genetic trait. OSD is a wide-range of skin-coloured spinal column abnormalities. These sacral cysts, also known as perineural or Tarlov cysts, are more common than most people realize as Living with Sacral Dimple For families managing a child with a sacral dimple: Education: Understanding what a sacral dimple is can alleviate concerns about its implications. Early detection is key for managing potential complications. Depth Of The Sacral Dimple Sacral dimples are small indentations at the lower back, often harmless. Sacral dimples can also occasionally develop an infection. Signs of a Sacral Dimple Sacral dimples present as depressions or indentations in the skin located in the lower back. Symptoms Of Sacral Dimple Sacral dimples are only visible as the indentation. They occur in 3-8% of children 1. Have you seen a small pit just above the buttocks of your newborn? It could be a sacral dimple. A sacral dimple or pit is an indentation in the lower back, present at birth in, but sometimes not noticed until the infant’s 8 week check. Jun 23, 2023 · In most cases, sacral dimples are simply signs of minor abnormalities as the baby grows inside the womb. Nov 18, 2025 · Signs such as unexplained weakness or numbness in the legs, an asymmetrical appearance or movement of the legs, or difficulties with bladder or bowel control are indicators that require prompt investigation. Jan 13, 2026 · These dimples can vary in size and depth and are typically present at birth. 5 cm from the anal verge, dimples larger than 5 mm in diameter, multiple dimples, or dimples associated with other cutaneous stigmata including hypertrichosis, hemangiomas, skin tags or duplicated gluteal clefts Sacral dimples in newborns are common and not pilonidal disease. Learn the difference, when to be concerned, and when imaging may be needed. It's usually located just above the crease between the buttocks. Depending on the symptoms accompanying the dimple, such as depth, discoloration, and hair, the doctors may do a further evaluation. Become a Gold Supporter and see no third-party ads. "Learn about sacral dimples, including their causes, symptoms, diagnosis methods, treatment options, and prevention strategies. OR one skin sign plus symptoms warrants an MRI (under 3 months is an ultrasound). OSD describes a broad spectrum of underlying spinal cord abnormalities. Symptoms A sacral dimple is an indentation or pit in the skin on the lower back. Sacral Dimples and Pits: When to Worry Sacral dimples and pits are more common than Closed Neural Tube Defects. What are the symptoms of a sacral dimple? A sacral dimple is a small indentation or pit in the skin on the lower back, just above the crease of the buttocks. Most sacral dimples are harmless and don't require any treatment. A sacral dimple is a small indentation or pit in the skin at the base of your spine, right above your tailbone. WebMD – Offers detailed articles on the diagnosis and treatment options for sacral dimples. Some babies have a small indentation, a dimple, in the lumbar region, also known as the sacral area -- the sacrum is a bone there. After imaging, the doctor can come up with a treatment plan so any conditions can be handled and symptoms can be alleviated. The dimple is shallow and usually found in or near the crease of your baby's buttocks. If the sacral dimple is large or appears with a nearby tuft of hair, skin tag or lump, or certain types of skin discoloration, your health care provider may suggest imaging tests to check for spinal cord problems. Monitoring: Keep an eye on any changes in symptoms or appearance; consult healthcare providers if any unusual signs arise. In certain cases, your child's physician may recommend that you see a specialist for further evaluation. A sacral dimple is a small indentation or pit in the skin at the base of the spine, typically located just above the buttocks. If the dimple is large, the doctors may request an ultrasound to see if anything medical needs to be addressed further. A dimple in your spine is typically a harmless sacral dimple, but atypical features can indicate underlying spinal conditions. Dec 4, 2024 · Signs and symptoms may include weakness or numbness in the legs and bladder or bowel incontinence. You or your child’s doctor may have noticed an indentation in the skin on your child’s lower back present at birth, called a sacral dimple. Doctors look closely at these dimples because they may be a sign that the spinal cord did not close completely during the baby’s development. Learn about its types, causes, symptoms, and treatment to better understand what a sacral dimple in baby may indicate. Rarely, do certain sacral dimples point to a spinal cord or spine problem. Coccygeal dimples have no associated spinal abnormalities and are not associated with any signs or symptoms of tethering. The only symptom of a sacral dimple is a generally shallow depression near the end of the tailbone and Aug 1, 2025 · Features include a tuft of hair, skin tag, fatty lump, or discolored skin (e. Causes And Symptoms Of Sacral Cysts Category: Spine | Author: Stefano Sinicropi | Date: June 11, 2025 Fluid-filled growths called cysts can develop in many different locations throughout our body, but when they develop on the nerves of your lower spine, they are called sacral cysts. Read more about sacral dimples at the Mayo Clinic. Rarely, dimples can be associated with Occult Spinal Dysraphism (OSD). A single sacral dimple can occur with some medical conditions affecting the spinal cord. . Discharge or fluid leaking from the dimple, or multiple dimples, also suggests the need for medical attention. Listen to experts discuss sacral dimples, their association with underlying spinal deformities and how to evaluate newborns with sacral dimples. Learn what they can be signs of, what causes them, and more. A sacral dimple is diagnosed with a physical exam, usually during a baby's first exam. Learn answers to some A Sacral Dimple is a small dent in the skin on the lower back which is usually located above the crease of the buttocks, This is a congenital condition. Pediatricians often check for these characteristics during routine newborn examinations. As an isolated abnormality, simple dimples or pits are not useful markers of occult spinal dysraphism (OSD). Only atypical Sacral dimples that are accompanied by a nearby tuft of hair, skin tag or certain types of skin discoloration are sometimes associated with a serious underlying abnormality of the spine or spinal cord. Sacral dimples are more likely to be associated with OSD if they are above the gluteal Sacral Dimple and Spina Bifida – Key Insights If a sacral dimple looks odd, like it’s deep or has skin changes, see a pediatrician. Most sacral dimples are harmless and asymptomatic, but some may be associated with underlying spinal or other abnormalities, depending on their characteristics. Sacral dimples that are accompanied by a nearby tuft of hair, skin tag or certain types of skin discoloration are sometimes associated with a serious underlying abnormality Most sacral dimples are harmless and don’t need treatment. USS if neonate, but MRI if US abnormal or equivocal, where neurological signs (bladder, bowel, lower limb) or lesion discharging. Understand this common anatomical feature today Screening for spinal dysraphisms in newborns with sacral dimples (2016) Concerning findings warranting further work-up: dimples located superior to natal cleft or more than 2. Here are the possible symptoms or features of a sacral dimple: Visible Dimple Symptoms of Sacral Dimple What are the common symptoms associated with sacral dimple? Some common symptoms associated with sacral dimple include a small indentation or pit located above the buttocks, which may be visible or sometimes covered by a patch of skin. Mayo Clinic – Provides a comprehensive overview of sacral dimples, including symptoms, causes, and when to seek medical advice. In rare cases, they can indicate a deeper spinal abnormality. They occur in 3-8% of children1. Understand how this condition affects daily life and how it can be managed with conservative treatment. A sacral dimple is an indentation in the lower back, present at birth, but sometimes not noticed until the infant’s 6 week check. Sacral dimple causes, newborn, adults, ultrasound, management - what to watch out for signs of more serious underlying conditions. His neurosurgeon said one skin sign (sacral dimple, patch of hair, crooked or Y shaped crack, etc) warrants an MRI. Information Sacral dimples are usually minor congenital anomalies. Royal College of Radiology has policy – ignore sacral dimples unless atypical, or in combination with other lesions. Most are blind ending, just above or within the crease of the buttocks, and do not require investigation or treatment. Learn more about Sacral Dimple causes, sign and symptoms, treatment and diagnosis at FindaTopdoc. [2][3][4][5] The name comes from the sacrum, the bone at the end of the spine, over which the dimples are found. Sacral Dimple Symptoms: A sacral dimple, also known as a pilonidal dimple, is a small indentation on the lower back near the base of the spine. , hemangiomas). Sacral dimples are common in newborns and are usually harmless. Learn about the causes, symptoms, Diagnosis, and rare complications of sacral dimples. They can indicate spinal issues or tethered cord syndrome. " Most sacral dimples are harmless and don't need treatment. Usually, the doctor is able to look out for these symptoms, when they examine the new-born infant for the first time. 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