Also known as: Coccydynia
Tailbone pain is discomfort at the base of the spine, often worsened by sitting. It most commonly results from falls, prolonged sitting, or childbirth.
Coccydynia affects approximately 1% of all back pain cases but causes disproportionate discomfort because sitting is unavoidable in daily life. The coccyx consists of 3-5 fused vertebrae at the base of the spine.
Women are five times more likely to develop coccydynia than men, partly due to the wider pelvis creating more exposure and the risk during childbirth. Falls directly onto the buttocks are the most common traumatic cause.
Most cases resolve with conservative measures within weeks to months, though some become chronic and require more advanced treatment.
There are several possible reasons you may be experiencing Tailbone Pain. Here are the most common ones.
Direct falls onto the buttocks can bruise, fracture, or dislocate the coccyx.
Extended sitting on hard surfaces puts constant pressure on the coccyx, causing inflammation.
The coccyx flexes during delivery and can become bruised or fractured, especially in difficult births.
Activities like cycling or rowing that repeatedly stress the coccyx area can cause chronic irritation.
These approaches may help manage tailbone pain at home. Always consult a healthcare provider if symptoms persist or worsen.
A donut-shaped or wedge cushion relieves pressure on the tailbone while sitting.
Alternate between heat and ice application to reduce pain and inflammation.
Pelvic floor and piriformis stretches can relieve tension around the coccyx.
Physical examination including rectal exam to assess coccyx mobility, X-ray to check for fracture, and MRI if other causes suspected.
See a doctor if pain is severe and persistent, follows significant trauma, is accompanied by numbness in the legs or loss of bowel/bladder control, or if there is a visible lump.
Steps you can take to reduce the likelihood of experiencing tailbone pain.
Use cushioned seating for prolonged sitting
Maintain good sitting posture
Strengthen core muscles
Take regular breaks from sitting
Most cases improve within weeks to a few months with conservative care. Chronic cases may persist longer.
Yes, most coccydynia resolves with self-care measures like cushions, stretching, and anti-inflammatory medications.
Rarely. Most cases are benign. Persistent pain with neurological symptoms like numbness warrants evaluation.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.