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Tailbone Pain

The tailbone (coccyx) is made up of 3-5 small bones that can be injured by trauma during a fall or prolonged sitting on a hard surface. Tailbone pain typically goes away on its own without medical intervention within a few weeks or months. Less commonly, patients may have degenerative joint

Tailbone Pain at a Glance

Tailbone pain is discomfort in or around the tailbone (coccyx) that can result from injury, prolonged pressure or irritation of the surrounding tissues, making sitting and other everyday activities uncomfortable.

  • Common symptoms include: Pain when sitting, tenderness over the tailbone, pain when standing from a seated position and discomfort during bowel movements.
  • Common causes include: Falls or direct tailbone injury, repeated and prolonged sitting, childbirth and repetitive pressure or injury.
  • Reduce the risk of tailbone pain by: Maintaining good posture, avoiding prolonged sitting, using a supportive or cushioned seat and taking breaks to stand and stretch.
  • You should see an orthopedic specialist: Tailbone pain is severe, persists despite rest, worsens over time or limits everyday activities.

Hoag Orthopedic Institute provides comprehensive diagnosis and treatment options for patients with tailbone pain.

What is Tailbone Pain?

The tailbone (coccyx) is made up of 3-5 small bones that can be injured by trauma during a fall or prolonged sitting on a hard surface. Less commonly, patients may have degenerative joint changes or experience postpartum tailbone pain.

To reduce tailbone pain, our orthopedic surgeons recommend that you:

  • Sit on a doughnut-shaped pillow
  • Apply alternating ice/heat to the affected area
  • Use NSAID pain relievers, such as acetaminophen (Tylenol) or ibuprofen.

When Should I See a Doctor for Tailbone Pain?

If your tailbone pain doesn’t subside, you should consult with a hip surgeon. Your orthopedist may do an exam to rule out other conditions, including checking for a fracture, degenerative conditions, or even a tumor in the tailbone area.

Possible treatments for tailbone pain may include:

  • Physical therapy to relax your pelvic floor and gently stretching the ligaments attached to the coccyx can be helpful
  • Gentle manipulation by massaging the muscles attached to the tailbone
  • Injections of local anesthetic, or numbing agent such as lidocaine, and a steroid injection can reduce inflammation and provide pain relief for weeks at a time.
  • Surgery is the last result, and typically only reserved for severe cases.

Interested in learning more about how to treat tailbone pain in Orange County? Contact Hoag Orthopedic Institute at (949) 890-0464 today for an appointment with our hip surgeons.

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