Tailbone pain, also known medically as coccydynia, is a discomfort or soreness around the lower spine, specifically the area at the base of your back. Although it may sound minor, the condition significantly affects your ability to sit, move or even sleep comfortably.Â
If you’ve been experiencing persistent pain at the base of your spine, understanding the causes and available treatments can help you manage symptoms effectively and seek the right medical care.Â
Causes of Tailbone PainÂ
There are several reasons why a person might experience tailbone pain, and identifying the underlying cause is key to effective treatment.
1. Injury or TraumaÂ
A direct fall or impact to the tailbone is one of the most common causes of coccydynia. Even minor injuries can cause inflammation or bruising that leads to ongoing pain. In severe cases, the tailbone may be dislocated or fractured.Â
2. Prolonged SittingÂ
People who sit for long periods, especially on hard or uneven surfaces, can develop pressure and strain around the coccyx. Over time, this constant stress can lead to inflammation and chronic discomfort.Â
3. ChildbirthÂ
For women, tailbone pain may occur after childbirth due to the pressure exerted on the coccyx during delivery. This can cause bruising or, in some cases, minor dislocation.Â
4. Degenerative ChangesÂ
As we age, the cartilage and ligaments supporting the coccyx can weaken or degenerate. This makes the area more prone to irritation and pain, particularly when sitting or bending.Â
5. Underlying ConditionsÂ
In rare cases, the pain may be related to other medical conditions such as infections, cysts or tumours in the lower spine or pelvic region.Â
When to Seek Medical HelpÂ
While mild tailbone pain can sometimes resolve on its own, persistent or worsening pain should not be ignored. If your symptoms last longer than a few weeks, disrupt your daily activities or are accompanied by numbness, fever or unexplained weight loss, it’s best to consult a doctor.Â
Specialists at Aelius Surgical Centre can conduct a thorough evaluation, which may include a physical examination and imaging tests such as an X-ray or MRI. These help identify whether the pain stems from an injury, joint issue or an underlying structural problem.Â
Treatment Options for Tailbone PainÂ
The treatment for tailbone pain depends on its cause and severity. In most cases, nonsurgical options can effectively relieve discomfort.Â
1. Lifestyle ModificationsÂ
Using a cushioned or doughnut-shaped seat can reduce pressure on the coccyx while sitting. Avoiding prolonged sitting and improving posture are also essential steps toward recoveryÂ
2. Medication and Physical TherapyÂ
Anti-inflammatory medications or muscle relaxants may be prescribed to relieve pain and inflammation. Physical therapy can also be beneficial, using targeted exercises that strengthen pelvic muscles and improve flexibility.Â
3. InjectionsÂ
For chronic pain that does not respond to conservative treatment, corticosteroid or local anaesthetic injections can reduce inflammation and provide longer-lasting relief.Â
4. Surgical InterventionÂ
In rare cases where all non-invasive treatments fail, surgical removal of the coccyx may be considered. This procedure is reserved for patients with severe, persistent tailbone pain that significantly affects quality of life.
