What’s Tailbone Pain?

Tailbone pain, also known as coccydynia, is a condition characterized by pain and discomfort in the coccyx, which is the small, triangular bone at the base of the spine. The tailbone is made up of three to five fused vertebrae and is located just above the buttocks.

What Causes Tailbone Pain?

Tailbone pain can be caused by various factors, including:

  1. Trauma or Injury: Falling directly onto the tailbone, such as in a slip and fall accident or during sports activities, can lead to bruising or fracturing of the coccyx.
  2. Prolonged Sitting: Sitting for extended periods, especially on hard surfaces, can put pressure on the tailbone and lead to irritation.
  3. Childbirth: Women may experience tailbone pain after giving birth, as the coccyx can be affected during labor and delivery.
  4. Repetitive Strain: Activities that involve repetitive pressure on the tailbone, such as cycling or horse riding, can cause coccyx irritation.
  5. Infection or Tumor: In rare cases, tailbone pain may be caused by an infection or tumor in the area.


  • Pain: Pain and tenderness at the base of the spine, often worsened by sitting or activities that put pressure on the tailbone.
  • Discomfort: Aching or discomfort when shifting positions, standing up from a sitting position, or sitting down.
  • Localized Pain: The pain is typically localized to the tailbone area.


Diagnosing tailbone pain involves:

  • Medical History: Information about the onset of pain, any injuries, and activities that worsen or alleviate the pain.
  • Physical Examination: Assessment of tenderness and pain in the tailbone area.
  • Imaging: X-rays or other imaging studies may be done to rule out fractures or other structural issues.

Treatment for Tailbone Pain

Treatment: In many cases, tailbone pain can be managed with conservative treatments, and the condition typically improves over time. Some common treatment options include:

  1. Rest: Avoiding activities that exacerbate the pain and giving the tailbone time to heal.
  2. Pain Medications: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help reduce pain and inflammation.
  3. Cushions: Using a specially designed cushion with a cut-out or donut-shaped opening can relieve pressure on the tailbone when sitting.
  4. Heat or Ice Therapy: Applying a heating pad or ice pack to the affected area can help reduce pain and inflammation.
  5. Physical Therapy: Specific exercises and stretches may be prescribed to strengthen the surrounding muscles and improve flexibility.
  6. Injections: In some cases, corticosteroid injections may be used to reduce inflammation and provide pain relief.


  • Proper Sitting: Use proper posture and consider using cushions or pillows to support your lower back and tailbone when sitting.
  • Avoid Prolonged Sitting: Take breaks from sitting, especially on hard surfaces, to prevent strain.
  • Modify Activities: Avoid activities that exacerbate the pain, at least until the discomfort improves.

If you’re experiencing persistent tailbone pain or discomfort, it’s important to consult with a healthcare provider. They can assess your condition, recommend appropriate treatment options, and help you manage your symptoms effectively. In most cases, tailbone pain can be managed with conservative measures, but if the pain is severe or not improving, further evaluation may be needed.



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