Does cortisone injection treat coccydynia?

Coccydynia is pain around the coccyx, often aggravated by sitting, leaning backward, or rising from a chair. Causes can include an injury, prolonged pressure, joint irritation, or referred pain from nearby tissues. Cortisone may calm inflammation around a painful joint or soft tissue. Before treatment, an assessment helps identify whether the coccyx is the source and whether another problem needs attention.

Use a coccyx cushion or adjust sitting position if this reduces pressure, and break up long periods of sitting. A clinician may recommend pelvic, hip, or core exercises alongside other pain measures. If an injection is discussed, ask where it will be placed, what benefit to expect, and how soon to resume sitting, driving, exercise, or work.

Seek prompt assessment for tailbone pain with new leg weakness, numbness around the groin, loss of bladder or bowel control, or significant trauma. Fever, unexplained weight loss, night pain that is worsening, or redness and drainage near the injection site also needs timely medical review.

What is the likely source of my tailbone pain? Could a cushion or physiotherapy address the trigger? What symptoms should make me return sooner after an injection?