What is coccydynia?

What is coccydynia?
What is coccydynia?

Coccydynia is a medical term used to describe pain and discomfort in the coccyx, which is the small, triangular bone at the very bottom of the spine, often referred to as the tailbone.

This condition typically involves pain and tenderness in the area around the coccyx and can range from mild to severe.

Common causes of coccydynia include:

  1. Trauma: The most common cause of coccydynia is a direct injury or trauma to the coccyx, such as a fall on the buttocks or a blow to the tailbone.
  2. Prolonged sitting: Sitting for extended periods, especially on hard surfaces or in an awkward position, can put pressure on the coccyx and lead to pain.
  3. Childbirth: In some cases, childbirth, particularly during a difficult delivery, can cause injury to the coccyx and result in coccydynia.

Symptoms of coccydynia may include localized pain and tenderness in the tailbone area, discomfort when sitting or during activities that put pressure on the coccyx, and in some cases, pain that radiates down the buttocks or legs.

Treatment for coccydynia may include:

  1. Rest: Avoiding activities that worsen the pain and allowing the coccyx to heal.
  2. Cushions: Using special cushions or pillows designed to relieve pressure on the coccyx when sitting.
  3. Pain medication: Over-the-counter pain relievers or prescription medications may be used to manage pain and inflammation.
  4. Physical therapy: Exercises and stretches may help improve flexibility and strengthen the muscles around the coccyx.
  5. Injections: In some cases, corticosteroid injections may be recommended to reduce inflammation and pain.
  6. Surgery: In rare instances where conservative treatments do not provide relief and there is a structural issue with the coccyx, surgical removal (coccygectomy) may be considered.


If you are experiencing coccyx pain or suspect you have coccydynia, it is essential to consult with a healthcare professional, such as a pelvic health physical therapist or orthopedic specialist for a proper diagnosis and treatment plan tailored to your specific condition.

Treatment options for coccydynia

Pelvic floor physical therapy is valuable for those who experience coccydynia. It can significantly improve quality of life and help individuals regain control and confidence in their health.

At PhysioFit of NC, we have the expert team in pelvic floor physical therapy to help you to the fullest.

We provide a comprehensive treatment approach through our Women’s Health Program.  This includes manual therapy and exercises to improve conditions related to the pelvic floor muscles.

Don’t hesitate to contact us today so we can help you!