Treatment Methods for Coccydynia (Tailbone Pain)

According to Dr. Ali Nemati, the most common cause of coccyx pain is coccygeal subluxation and instability of the coccyx joint, leading to excessive movement during sitting or standing. Pain usually remains localized but may radiate to the lower back, buttocks, or groin. Prolonged sitting, long-distance travel, and obesity significantly increase the risk. A higher BMI increases the likelihood of coccyx pain by up to 10 times. ________________________________________ Symptoms of Coccyx Pain • Sharp pain when rising from sitting • Pain when sitting on soft surfaces • Pain during bowel movements • Increased pain when leaning back • Deep, persistent pain around the coccyx • Tenderness to finger pressure • Pain radiating to thighs • Worsening pain during menstruation • Feeling of instability while sitting Chronic cases may cause: • Low back pain due to improper sitting • Foot pain from prolonged standing • Sleep disturbance, anxiety, or depression ________________________________________ Treatment Options 1. Conservative Treatments • Coccyx cushion (donut pillow) • Avoid prolonged sitting • Weight reduction • Leaning slightly forward while sitting • Warm or cold compresses 2. Medications • NSAIDs • Muscle relaxants • Chronic pain medications if needed 3. Physiotherapy • Pelvic floor strengthening exercises • Manual therapy • Soft-tissue release • TENS and ultrasound therapy 4. Injections • Local anesthetic + corticosteroid injection • Ganglion impar block for persistent pain 5. Surgery (Coccygectomy) Reserved for severe cases not responding to other treatments.