Manage Back Pain

Coccyx Pain.

People do not believe just how severe and disabilitating coccyx pain (coccydynia) can be - unless, of course, you are experiencing it yourself! It is usually a pain localised to a specific point on your "bum bone". The coccyx is the bone at the very base of your spine - the one that you sit on every day!





Quite often, people with coccyx pain cannot sit in a normal posture as they have to place all their weight to one side of their bottom, to avoid the excruciating pain that results from sitting directly on the injured bone - even when sitting on a special coccyx cushion or pillow.


The causes of coccyx pain are many. However, the most common cause that I encounter in my physiotherapy practice is as a result of falling onto your bottom with force. Common examples include falling on ice or down a stairs. Coccydynia in these situations results from a deep bruise to the bone itself.


Bony bruising is incredibly painful and very slow to resolve. It can take months. However, the situation that I encounter most on a weekly basis involves someone who has had a fall onto their bottom - say six months previously - and they are still in pain! Quite often their doctors tell them to rest and not to have any manual treatments. However, they eventually appear at my door exhausted from their pain.


In most of these situations their pain has not resolved because the earlier fall caused their coccyx to move out of its correct alignment. In this situation the only cure for their pain is to correct the alignment of their coccyx. A good chartered physiotherapist/physical therapist will do this for you.

Seek a physiotherapist's advice if your coccyx pain lasts longer than ten days. More often than not the alignment of your coccyx will have been altered by a hard fall. Rest and time will not correct this problem. The earlier you seek physiotherapy/physical therapy advice the better.


Another common cause of this type of pain is due to tightness or over-activity in a muscle in your bottom. Muscles that attach to your coccyx can cause pain in this area. If they become overactive, or tight, they can directly pull your coccyx out of alignment - usually resulting in pain. Other situations can result in tight muscles or ligaments altering the movement of your coccyx, again causing a mechanical pain in your bottom!


Another common cause of coccydynia that I see results from the bones above the coccyx being too stiff or out of alignment. If the joints above the coccyx are not moving efficiently - they can cause the coccyx to move incorrectly, this will often lead to inflammation and pain in the area of the coccyx.

The solution for this type of pain is to resolve the movement problem in the joints responsible. Again, a physiotherapist/ physical therapist will do this for you. Time will not resolve this type of pain in your coccyx - actually time will worsen the condition greatly!


Never ignore your pain for too long. I often see back pain and neck-related pain that has occurred secondary to coccydynia. Also, your poor postures - resulting from sitting badly due to your pain - will eventually cause further back and neck problems over time. If you have pain in the coccyx area lasting longer than ten days always seek a physiotherapist's advice. We are trained to diagnose and treat alignment issues of the coccyx, which x-rays and doctors may not see.



coccyx Pain

Finally, if you have a sitting job and are sitting in a poor posture you may also develop pain in your "tailbone". Most patients that I see with sitting-related back pain sit too far back on their coccyx. We call this a slumped posture. Over time, this may result in excess pressure on your coccyx which will eventually scream at you to stop by giving you pain!!! Sit tall! Learn how to sit correctly and make it a habit!




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The information on this web site does not replace specific medical advice. It should only be used to complement advice from your doctor. Always seek in-person advice from a doctor or other qualified health provider for your particular condition.