Synapse Pain & Spine Clinic



Coccydynia (Tailbone Pain)

What is Coccydynia?

  • Coccydynia is pain and discomfort in the tailbone region. 
  • The coccyx is made up of 3 to 5 fused vertebrae, and it represents the vestigial tail.

What Causes Tailbone Pain?

  • Repetitive trauma can lead to dislocation of the coccyx bone, which results in pain.
  • Activities like riding a bicycle or two-wheelers can lead to coccyx pain. 
  • The pain is worse while sitting for a long duration and during bowel movement. 
  • Coccyx pain can often occur without fracture or dislocation. 
  • It is more common in ladies.

How Is Coccydynia Treated?

Conservative Treatments –

  • Conservative management may include mild pain killers or a short course of NSAIDs or mild opioids. 
  • Physical therapy and exercises like pelvic floor strengthening and groin stretches may relieve coccyx pain. 
  • Avoiding repeated trauma like two-wheelers/cycling may help. 
  • Coccyx cushions are doughnut-shaped cushions, and they ensure minimum pressure on the coccyx will help in healing. 
  • Methods/medication to relieve constipation, if present, will help. 
  • Manipulation of the coccyx may help in dislocation injuries.

Injections and Procedures-

If conservative management fails, Your pain physician will decide which treatment will suit you best.He may recommend –

  • Pericoccygeal steroid injection / coccygeal nerve RF ablation, under x-ray guidance. It’s a daycare procedure which reduces inflammation and pain arising from the coccyx.
  • Ganglion impar block may be helpful in patients with severe coccyx pain. It is an x-ray guided daycare procedure.

Surgery –

If all the Above Treatments do not give a satisfactory response then very rarely, surgical removal of the coccyx is performed.

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