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Coccydynia (also called Coccygodynia) is inflammation of the tailbone or coccyx. Coccydynia is associated with pain and tenderness at the tip of the tailbone between the buttocks. The pain is often worsened by sitting. Tailbone pain can be caused by trauma to the coccyx during a fall, prolonged sitting on a hard or narrow surface, degenerative joint changes, or vaginal childbirth.
Coccydynia is typically caused by the following underlying anatomical issues:
The classic symptom for tailbone pain is a pain with sitting and transitional movements such as sit to stand.
Risk factors include history prior surgery in the area of the tailbone, history of pregnancy and vaginal birth, history of a fall on your coccyx, history activities that traditionally can cause mechanical microtrauma with time to the coccyx such as horseback riding, biking, snowboarding, etc.
Preventative steps include protecting your coccyx during “high risk” activities such as protective tailbone padding for snowboarding, proper fitting bike seats, and saddles, proper cushion for sitting to relieve pressure around coccyx. If you have a propensity for tailbone pain, a proper physical therapy program can optimize posture, sitting technique as well as evaluate and treat any underlying pelvic floor muscle dysfunction what could predispose patients to coccyx pain.
Coccydynia, usually goes away on its own within a few weeks or months. However, for some the pain can become chronic. If traditional conservative methods of treatment are not helping, such as leaning forward while sitting down, using a doughnut-shaped pillow or wedge (V-shaped) cushion to sit on, or apply heat or ice to the affected area, do not minimize your pain, contact our office for a thorough evaluation for your chronic coccydynia.