What is the treatment for coccygodynia?

Coccydynia (or coccygodynia) is pain in the coccyx (or tailbone). It usually develops after an injury, such as falling backwards onto a hard surface though it can also develop due to prolonged sitting on a hard surface, childbirth, or bone spurs. Rarely, coccydynia is caused by infection or cancer.

Initial treatment typically includes avoiding pressure on the coccyx with “donut” or wedge pillows, pain relievers, and the application of heat or cold to the painful area. Injection of an anesthetic (with or without steroids) may be recommended for persistent symptoms. Surgery to remove part or all of the coccyx is occasionally offered as a last resort.

For coccydynia caused by infection or cancer, more specific and aggressive treatment of the underlying condition is appropriate.