Tailbone Pain – Symptoms, Causes, Treatment, when Sitting, during Pregnancy

Tailbone Pain – Symptoms, Causes, Treatment, when Sitting, during Pregnancy

What is Tailbone Pain?

Also referred to as cooccydynia this is pain around or in the area of the tailbone or coccyx. Tailbone pain that is chronic is a problem that distresses thousands of adults. There are several factors that may trigger tailbone pain, including fractures, bruises, certain bone disorders as well as developmental problems. Regrettably, tailbone pain that is chronic may remain for some weeks, months or in some cases years.

Tailbone Pain Symptoms

The symptoms and signs described vary and they consist of:

• Pain while sitting or afterwards – The pain level depends on the extent of time the individual sits. This is the major difficulty triggered by coccydynia. Exactly how painful this becomes is determined by the chair design as well as the padding inside the cushion. The pain increase and sensitivity created sitting too long can continue for several days.


• Acute pain when rising from sitting position to standing – The cause of this pain is believed to be the various muscles used in rising as these are involved with the coccyx. Then when the individual goes to stand up, these muscles pull the coccyx out of position if the joint has been damaged.


• Pain triggered by sitting on surface that is soft – This normally occurs because the joint in between the coccyx and sacrum is not stable, so it is easy for the coccyx to be pushed out of place when the individual puts pressure on it during lying or sitting.


• Deep aching surrounding the coccyx


• Sensitive sensation to pressure on the edges or tips of the coccyx


• Pains that shoot down along the leg


• Pain that feels similar to sitting on a marble that moves around


• Pain that feels similar to sitting on a knife


• Pain from bowel movements and often before.


• Increased pain during a woman’s monthly period

Tailbone Pain Causes

What parts of the anatomy that trigger coccyx pain is not understood clearly. In the majority of cases, the precise reason for pain is unknown – called idiopathic coccydynia – and within these cases the symptoms or signs can only be managed not cured.

Generally, the pain can be triggered in the coccyx when there has been injury or some sort of excessive pressure in the region causing these bones to move further than their normal but limited range, causing localized pain and inflammation. Any injury to the vestigial disc or the ligaments can also be a trigger for the pain. Very rarely, the coccyx bones may fracture and this triggers pain. Also, again in rare cases, when there is an infection or tumor in the coccyx this can be the major trigger of tailbone pain.

Tailbone Pain Treatment

Invest in a donut cushion or pillow
Individuals suffering from coccyx pain are usually not able to set for prolong time periods. Since they often need to set for most activities during the day, patients need to buy one of these special cushions. Coccyx cushions are specially intended for coccyx pain. These pillows have an opening which takes pressure off the coccyx.

Anti-inflammatory drugs
Frequently it is inflammation causing chronic coccyx pain. But “over the counter” anti-inflammatory medications are helpful. If these do not offer any relief, speak to your physician as well as inquire about a prescription for a strong anti-inflammatory drug.

Make an appointment
Make an appointment if the tailbone pain does not respond to these medications. The individual should see their primary care physician or spinal doctor. MRI or X-rays will probably be ordered to take images of the coccyx and will help the physician diagnose the underlying reason for the pain.

Steroid injection
Often, chronic coccyx pain does not have a major cause. Instead, it is caused by posture which is poor or prolonged periods of sitting. In these cases, the problem might need a much stronger drug. If needed, the physician may give an injection of steroid into the coccyx area. This will treat the inflammation as well as stopping the pain.
Apply cold packs or ice to the coccyx area
Cold therapies as well as heat therapy are effective management techniques for pain. Cold packs are perfect for coccyx pain that has been caused by injuries. Heat therapy is also advised for pain that is chronic.

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Stay on the feet and practice correct posture
Coccyx pain is mendable however it may at times take up to two years to heal an injured coccyx. During the period of healing, pay close attention to posture that is correct. Sit with the back straight as well as leaning forward. This is the position that can take pressure off the coccyx and speeds healing. Additionally, avoid long trips in the car as well as any actions that requires prolonged sitting.

Tailbone Pain When Sitting

Most individuals with coccyx chronic pain need to set for prolonged periods of time during their normal daily activities – such as school or work. So it is important to sit properly. Sitting on a donut cushion or pillow can help take pressure off some of the areas that are known to trigger this type of pain – so it is suggested to invest in one of these types of pillows or cushions.

It is also important to use correct posture when sitting. Sit with the back straight as well as leaning forward. This is the position that can take pressure off the coccyx. It is also advised to take frequent breaks if only just to stand up and stretch. It is also important to go from sitting to standing slowly as not to pull any ligaments or muscles in the already painful area.

Tailbone Pain During Pregnancy

During pregnancy, those women who suffer with tailbone pain are often concerned that these symptoms can worsen while being pregnant or during childbirth. There are several steps that can be taken.

Consider using a donut cushion or pillow especially designed to take the pressure off of areas that contribute to tailbone pain. There are also cushions that have a triangle wedge shaped cut out so that the coccyx does not make contact with the cushion.

Avoid sitting on surfaces that make the pain worse. Also avoid sitting for prolonged periods of time. Find a position for sitting that is most comfortable for you.

Also consider ways to decrease this pain without any drugs, such as taking soothing baths, local icing, or relaxation techniques. If these methods do not work, speak with your physician about some sort of medication that will not be harmful for the baby.

It is also important to discuss the problem of tailbone pain with your physician and if childbirth could make the pain worse. You might want to discuss with your physician the option of having a C-section instead of a normal birth.