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Coccydynia (Coccyalgia; Coccygeal Pain; Coccygodynia; Pain, Tailbone; Pain, Coccygeal; Tailbone Pain) Pronounced: KOK-sih-DIE-nee-ah by Mary Cresse En Español (Spanish Version) Definition Coccydynia is pain in the area of the coccyx, or tailbone. The coccyx is a small, curved, V-shaped bone at the bottom of the spine. The Coccyx © 2011 Nucleus Medical Media, Inc. Causes This condition is caused by an injury or stress that affects the tailbone, as well as the muscles and nerves surrounding it. Examples include: Fall or trauma Pressure and strain, as during childbirth Prolonged sitting on hard surfaces Spinal cyst or tumor Dislocation from injury or obesity, which can cause bones to shift Repeated stress (eg, horseback riding, bicycling, motorcycle riding) Risk Factors These factors increase your chance of developing coccydynia: Page 1 of 3 Copyright © 2011 EBSCO Publishing. All rights reserved. Gender: female Brittle bones (eg, osteoporosis, arthritis) Low back pain Participation in contact sports or certain activities (eg, horseback riding) Infections (eg, tuberculosis, osteomyelitis) Obesity Tell your doctor if you have any of these risk factors. Symptoms If you have any of these symptoms, do not assume it is due to coccydynia. These symptoms may be caused by other conditions. Tell your doctor if you have any of these: Pain when: Sitting down Changing position from sitting to standing Moving bowels Having sex Tenderness directly over tailbone All-over backache Pain or spasm of pelvic muscles Diagnosis Your doctor will ask about your symptoms and medical history. He will do a physical exam, looking to see if the tailbone area is swollen, red, or warm. Tests may include: CT scan —a type of x-ray that uses a computer to make pictures of structures inside the body X-ray —a test that uses radiation to take a picture of structures inside the body, especially bones These tests can show if there is a fracture or dislocation. Treatment Talk with your doctor about the best treatment plan for you. Treatment options include the following: Bed rest Use of special pillows to sit on Sitz baths (which involves soaking hips and buttocks) Medication, including steroid injections, pain medications, stool softeners Manual realignment of spine Relief of pain by massage of surrounding nerves Physical therapy, involving: Strengthening of muscles in pelvic area Relief and stimulation with heat therapy and ultrasound therapy Prevention To help reduce your chance of getting coccydynia, take the following steps: Page 2 of 3 Copyright © 2011 EBSCO Publishing. All rights reserved. Learn proper sitting posture. If you have to sit for long periods at work, ask for an ergonomics consultation. RESOURCES: American Academy of Orthopedic Surgeons http://www.aaos.org/ Orthopedic Trauma Association http://www.ota.org/ CANADIAN RESOURCES: Canadian Orthopaedic Association http://coa-aco.org/ Health Canada http://www.hc-sc.gc.ca/index_e.html/ REFERENCES: Acetaminophen. EBSCO Publishing Patient Education Reference Center website. Available at: http://www.ebscohost.com/thisTopic.php?marketID=16topicID=1034 . Updated February 2008. Accessed November 7, 2008. Coccydynia (tailbone pain). Cleveland Clinic website. Available at: http://my.clevelan... . Accessed November 7, 2008. Coccydynia. EBSCO Publishing DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated April 2008. Accessed November 20, 2008. Dressendorfer R. Coccydynia. EBSCO Publishing Rehabilitation Reference Center website. Available at: http://www.ebscohost.com/thisTopic.php?marketID=16topicID=860 . Updated August 2008. Accessed November 20, 2008. Ibuprofen. EBSCO Publishing Patient Education Reference Center website. Available at: http://www.ebscohost.com/thisTopic.php?marketID=16topicID=1034 . Updated February 2008. Accessed November 2, 2008. Naproxen. EBSCO Publishing Patient Education Reference Center website. Available at: http://www.ebscohost.com/thisTopic.php?marketID=16topicID=1034 . Updated February 2008. Accessed November 7, 2008. Stedman’s Medical Dictionary . 28th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2005;403. Last reviewed September 2011 by Rosalyn Carson-DeWitt, MD Last Updated: 9/26/2011 Page 3 of 3 Copyright © 2011 EBSCO Publishing. All rights reserved.
