What is Coccydynia?

Coccydynia is pain in or around the area of the coccyx, additionally labeled the tailbone.


Many times, the trigger of coccydynia is unidentified (“idiopathic”). Some other causes offer trauma (for example, from falls and childbirth); abnormal, excessive mobility of the tailbone; and – very seldom – infection, tumor, or fracture.

Signs Or Symptoms:

The classic symptom is pain whenever pressure is used on the tailbone, such as after seated on a firm chair. Symptoms usually improve with relief of pressure level whenever walking or hiking.

Different symptoms:

  • Immediate and serious hurt after moving from seated to standing
  • Problems during intestinal movements
  • Hurt during sex
  • Deep ache in the area of the tailbone


A detailed medical history and physical exam are essential. It is important to note any specific injury, whether latest or in the remote past. A history of prolonged labor or childbirth injury should be noted. A detailed inspection/palpation of this area is required to detect any abnormal lumps or abscesses (problems).

A lateral X-ray of the coccyx is given to assist detect any significant coccygeal pathology, like a fracture. Your wellness care provider might order more tests: CT scan, magnetic resonance imaging (MRI), or a bone scan of this area if this is clinically required.


Procedures most often is conventional and comprises of non-steroidal anti-inflammatory medication (NSAIDs) like ibuprofen and naproxen to decrease inflammation, and the use of a therapeutic seated cushion to take the pressure level off of the tailbone when sitting. It might require numerous days or months of traditional procedures before significant problems relief is actually felt.

Your wellness care provider might give consideration to physical therapy to treat coccydynia. This might offer workout to elongate the ligaments — the tissue that connects bone to bone in a joint — and strengthen the supporting muscles. Modalities these as temperature, massage, and ultrasound might additionally be utilized.

Coccygeal manipulation is utilized to move the coccyx into the proper position and relieve discomfort. Coccygectomy or an operation to remove the coccyx is considered in uncommon cases, and just in very serious circumstances, whenever extensive conventional control does not control the pain of coccydynia. The main risks with surgery tend to be infection and wound healing problems. There is a danger that the procedures will not result in the problems relief.