Tailbone pain, also known as coccydynia, is a condition characterized by pain and discomfort in the area at the base of the spine, known as the coccyx or tailbone. This pain can range from mild to severe and may be exacerbated by sitting for prolonged periods, particularly on hard surfaces, or by activities that put pressure on the tailbone.

Coccydynia can be caused by a variety of factors, including trauma or injury to the tailbone, such as a fall or direct blow to the area, repetitive strain from activities such as cycling or rowing, childbirth-related trauma, or degenerative changes in the spine. In some cases, the exact cause of coccydynia may be unknown.

Symptoms of tailbone pain can include localized pain and tenderness at the base of the spine, pain that worsens with sitting or when pressure is applied to the tailbone, and discomfort during bowel movements or sexual intercourse. In severe cases, individuals may also experience referred pain that radiates to the lower back or down the legs.

Treatment for coccydynia typically focuses on relieving pain and discomfort and may include conservative measures such as avoiding sitting for prolonged periods, using cushioning or padding to reduce pressure on the tailbone when sitting, applying ice or heat packs to the affected area, and taking over-the-counter pain medications such as nonsteroidal anti-inflammatory drugs (NSAIDs).

In cases where conservative treatments fail to provide relief, or if the pain is severe and significantly affects daily activities, additional interventions may be considered. These may include physical therapy, which can help strengthen the muscles around the tailbone and improve flexibility, corticosteroid injections to reduce inflammation and pain, or in rare cases, surgical removal of the coccyx (coccygectomy) to alleviate persistent symptoms.

It’s important for individuals experiencing tailbone pain to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan tailored to their specific needs and circumstances. With proper management, many people with coccydynia can experience significant relief from their symptoms and a return to normal activities.