Coccygodynia AKA Tailbone Pain

Coccygodynia AKA Tailbone Pain

Delphine Clements shares her knowledge of this painful problem.

What Is It?

Coccygodynia, is pain around the region of the coccyx (the very end of the spine)coccydynia-380

About the Coccyx

The coccyx is a triangular bone that consist of 3 to 5 vertebrae. The coccyx is attached to the bottom of the spine (sacrum) by ligaments and muscles. The coccyx is a site of connection for the pelvic floor and also contribute voluntary bowel control.

What Causes Coccygodynia?

Coccygodynia is more common in female, particularly women during pregnancy as the fetus increases pressure within the pelvis.

Coccygodynia can occur for the following reasons:

  • accidental injury
  • growth spurs
  • after childbirth
  • a fall directly on the coccyx
  • persistent pressure from activities (cycling, horse riding, riding)
  • sitting that put direct stress on the coccyx
  • repetitive straining to pass stools
  • pilonidal cyst



What are the Symptoms?

The pain can be an intense pain that ranges from a deep ache or pressure sensitivity to the sensation of sitting on a knife. Pain can be radiate towards the lower genitals, as well as to the legs.

Coccygodynia is aggravated by:

  • prolonged sitting/standing
  • difficulty passing stools
  • sexual intercourse
  • rising from a seated position
  • lifting
  • bending

Depression, exhaustion and even plantar fasciitis are other associated symptoms that may arise with coccygodynia and consequently further decrease quality of life.


How Can Coccygodynia be Treated?

Coccydynia can be treat by conservative therapies (icepacks, cushions), acupuncture, physiotherapist, oral medication, steroids injections to the coccyx, myofascial release, internal and external manipulation, pelvic floor exercises or simply avoiding activities which exacerbate the symptoms.