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This article was co-written by David Schechter, MD. David Schechter is a physician living in Culver City, California. With over 25 years of experience as a family physician and sports medicine physician, Schechter specializes in mind-body medicine, preventive medicine, and chronic pain treatment. Schechter received his medical doctorate from New York University and is the principal physician at Cedars-Sinai Medical Center. He was named a top doctor by Los Angeles Magazine and Men’s Health Magazine. He has written several books, including The MindBody Workbook.
There are 10 references cited in this article that you can view at the bottom of the page.
This article has been viewed 22,514 times.
Tailbone pain can be caused by a structural abnormality or a fall, but about one-third of cases of tailbone pain are unexplained. Tailbone pain often occurs when you sit for long periods of time. In some cases, people may experience chronic pain when moving from a sitting to standing position. In addition, tailbone pain may occur during sex or during defecation.
Steps
Medical treatment
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Go to the doctor. Your doctor will know what to look for to assess tailbone pain. Your doctor may perform an X-ray, CT scan, or MRI scan. The two most effective tests for diagnosing tailbone pain are injecting a local anesthetic into the tailbone to see if it can provide temporary pain relief, and comparing standing and sitting X-rays to see if the tailbone is clear. deflection when you sit idle.
- Your doctor may also look for coccyx hair follicles – cysts that appear only in the coccyx area and are caused by an infection of ingrown hair follicles. [1] X Research Sources Successful treatment of hair follicles can reduce or completely eliminate pain.
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Learn about the symptoms of a tailbone injury. You may need to see your doctor for a diagnosis, but being aware of your symptoms will also help you determine if your tailbone is the cause of your pain. Identifying symptoms also provides useful information for doctors in the diagnostic process. Symptoms of tailbone injury include: [2] X Trusted Source PubMed Central Go to source of symptoms:
- Pain in the tailbone without pain in the lower back.
- Pain when standing up after sitting
- Frequent need to go to the toilet or pain when going to the toilet.
- Relieve pain when sitting on shins or sitting on one side of the buttocks.
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Consider potential causes of tailbone pain. If your tailbone is injured for any reason, you need to talk to your doctor to help determine the right treatment for your specific case.
- By some estimates, tailbone pain is five times more common in women than in men. It may be due to trauma to the tailbone during childbirth. [3] X Trusted Source National Health Service (UK) Go to Source[4] X Trusted Source PubMed Central Go to Source
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Ask your doctor about prescription drugs. Some prescription medications can help relieve tailbone pain. For example, anti-epileptic drugs and antidepressants can be effective in reducing tailbone pain. [5] X Trusted Source Mayo Clinic Go to Source Ask your doctor about the possibility of taking one of these medications.
- Remember that doctors usually don’t prescribe Narcotic unless the tailbone is broken. In the case of a coccyx fracture, your doctor may prescribe pain medication to help relieve the pain. In addition, you will probably need an X-ray to determine the status of the coccyx fracture (if any). [6] X Trusted Source Mayo Clinic Go to Source
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Consider surgery if other methods don’t work. Most patients who undergo surgery for tailbone pain have tried non-surgical methods but have not worked. Therefore, you should try all non-surgical methods before deciding to have painful and sometimes debilitating surgery.
- If the pain is severe, daily pain for more than 6 months, and/or affects your quality of life, you should seek a referral to an orthopedic surgeon who specializes in coccyx removal surgery. [7] X Trusted Source PubMed Central Go to Source
Use ingredients at home
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Apply ice to the tailbone. Applying ice can help relieve pain and inflammation of the tailbone. [8] X Trusted Source Mayo Clinic Go to Source For the first 48 hours after your injury, you can apply ice once every hour. Wrap an ice pack in a towel and apply it to your tailbone about every 20 minutes. After 48 hours, you can apply ice 3 times a day, 20 minutes each time to feel more comfortable.
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Use over-the-counter pain relievers. Take a non-steroidal anti-inflammatory drug (NSAID) to reduce swelling and pain. Over-the-counter OTC medications such as Ibuprofen or Acetaminophen are available at most pharmacies. [9] X Trusted Source Mayo Clinic Go to Source
- Take 600 mg of Ibuprofen every 8 hours or 500 mg of Acetaminophen every 4 hours. Do not exceed a dose of 3500 mg of Acetaminophen in 24 hours.
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Adjust your posture. Improper posture can contribute to tailbone pain. You should sit up straight, abs tight, neck straight and back slightly arched. If the pain is severe when standing up, you can lean forward and arch your back before standing. [10] X Trusted Source Mayo Clinic Go to Source
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Sit on the pillow. A special pillow with a cutout under the tailbone is designed specifically for patients with tailbone pain. This type of pillow helps relieve some of the pain when you sit down. [11] X Trusted Source Mayo Clinic Go to the source You can make your own pillow using a rubber sponge. Just cut a hole in the center of the foam to create a toilet seat-like design.
- Most patients find donut-shaped pillows unhelpful because they are designed to relieve pressure on the genitals, not the tailbone. You should talk to your doctor about using a wedge-shaped pillow.
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Hot compress. Research shows that hot compresses can help relieve tailbone pain. [12] X Research Source You can apply heat 4 times a day for 20 minutes each time.
- Try a warm compress or a hot tub if you don’t have a heating pad.
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Plan for rest and recovery. If you have broken your coccyx, the only thing you can do is rest and avoid strenuous activity for 8-12 weeks. [13] X Research Source If your job requires physical strength, you need to schedule a time off to allow your body to recover.
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Do not strain while defecating. Some people will experience pain during defecation due to tailbone pain. You should try to avoid constipation by adding fiber and plenty of water to your diet. If needed, you can take a mild stool softener while your tailbone heals. [14] X Trusted Source Mayo Clinic Go to Source
Advice
- Tailbone pain can be a sign of a problem with the sacroiliac joint. There is a possibility that the hips and tailbone are misaligned. The sign is pain in the tailbone or on either side of the tailbone.
Warning
- Tailbone pain can be persistent and uncomfortable for the patient for a long time. Doctors report that many patients experience varying degrees of pain for months after a tailbone injury.
- See a doctor or contact a medical professional as soon as possible if the pain is unbearable in the tailbone, or if the pain has no known cause or is not due to trauma.
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This article was co-written by David Schechter, MD. David Schechter is a physician living in Culver City, California. With over 25 years of experience as a family physician and sports medicine physician, Schechter specializes in mind-body medicine, preventive medicine, and chronic pain treatment. Schechter received his medical doctorate from New York University and is the principal physician at Cedars-Sinai Medical Center. He was named a top doctor by Los Angeles Magazine and Men’s Health Magazine. He has written several books, including The MindBody Workbook.
There are 10 references cited in this article that you can view at the bottom of the page.
This article has been viewed 22,514 times.
Tailbone pain can be caused by a structural abnormality or a fall, but about one-third of cases of tailbone pain are unexplained. Tailbone pain often occurs when you sit for long periods of time. In some cases, people may experience chronic pain when moving from a sitting to standing position. In addition, tailbone pain may occur during sex or during defecation.
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