Orthopedic Health

Tailbone Pain (Coccydynia)

Written by
Dr. Mohan Krishna
and medically reviewed by iCliniq medical review team.

Published on Aug 27, 2013 and last reviewed on May 15, 2019   -  1 min read



This article is a simple patient education material on tailbone pain, its causes, symptoms, ways to avoid it, and cure.

Tailbone Pain (Coccydynia)

Pain in the tailbone can frustrate, irritate, and embarrass many patients while getting the treatment. This condition can be cured and is preventable if proper care is taken. Any irritation (inflammation) of the bony area (tailbone) situated between the folds of the buttocks is referred to as coccydynia.

The usual complaint is a pain at the bottom region of the back on sitting. It is usually caused by injury, pregnancy, or chronic pressure on the tailbone due to sitting long hours, for example, in the case of cab drivers. Sometimes, tailbone pain occurs in patients with chronic constipation as well. In one-third of the cases, the cause is not known.

Coccydynia is usually diagnosed based on the typical complaints and sometimes by an X-ray. A clinician can diagnose the condition by examination and eliciting tenderness in the local region. It is necessary to directly visualize the tailbone region to rule out other causes and any infection. Sometimes, infection of the hair follicles in the tailbone region can mimic coccydynia.

This condition usually frustrates patients and impairs the quality of life. Sometimes, patients feel embarrassed to get the treatment done. Treatment is usually by activity modification, anti-inflammatory medications, and local injections. Surgery is rarely indicated in non-responsive cases.


  • Since long hours of sitting may aggravate the condition, a modified padded cushion with a cut-out at the back could relieve the pressure on the coccyx (doughnut cushion).
  • Pelvic floor exercises could help to get relief from pain.
  • Use of stool softeners and laxatives in cases of constipated patients could help relieve pain.
  • Sitz bath by sitting in a tub of hot water may provide pain relief.

Oral anti-inflammatory medications and local application of pain gels may relieve the symptoms. Local trigger injections with low-dose steroid preparations will aid in complete relief in a majority of cases. These local injections can be given by the doctor in the outpatient department. In rare cases, surgical treatment by removal of coccyx may be required in those cases not responding to conservative methods.

Last reviewed at:
15 May 2019  -  1 min read


Ask a QueryAsk a Query Consult by PhoneConsult by Phone Video ChatVideo Chat


Related Questions & Answers

I have a pain near the tailbone after a blood patch was performed. Please help.

Query: Hello doctor, I had a spinal tap done two weeks ago, and a blood patch three days later. The blood patch worked but, I still get headaches and do not feel well at all. I have a swollen bump on my tailbone that hurts. I saw my doctor who did not seem too sure about it but, said there did not seem to ...  Read Full »

Dr. Vansh Priya

Answer: Hello,Welcome to icliniq.com.You most probably experienced a post dural puncture headache (PDPH), for which you were administered an epidural blood patch.Your signs and symptoms are more suggestive of a meningeal irritation due to some infection. I would suggest you consult a neurophysician for the...  Read Full »

I get a sharp pain in my tailbone if I sit even for 30 minutes. What is the reason?

Query: Hello doctor,I am a 25 year old female, and I weigh 175 lbs and 5.7 feet tall. I have noticed for the past few months, that sitting is becoming increasingly uncomfortable. I get a sharp pain in my tailbone if I sit for even 30 minutes to an hour. The pain when I straighten up again can cause me to ...  Read Full »

Dr. Atul Prakash
Orthopaedician And Traumatologist

Answer: Hello, Welcome to icliniq.com. You describe a condition called coccydynia. I suggest you try doing the following. Avoid soft cushiony seats where one would sink into. Sitting on firm seats is more comfortable than soft ones. Sit forwards rather than back, and by this I mean that avoid slouching into...  Read Full »

Popular Articles Most Popular Articles

Do you have a question on Tail Bone Pain or Tail Bone?

Ask a Doctor Online

* guaranteed answer within 4 hours.
Enter Your Health Query
You can upload files and images in the next step.



Disclaimer: All health articles published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.