What should you know about severe coccydynia?

Coccydynia affects the coccyx and nearby tissues. It may follow a fall, prolonged pressure, childbirth, or repeated sitting, though the trigger is not always obvious. Pain is often sharper when rising from a chair and may be tender when the tailbone is pressed. The clinician will consider the timing, injury history, bowel and bladder symptoms, skin changes, and nearby lower-back or pelvic problems.

Limit long sitting periods and change position often. Sit with your weight slightly forward or use a coccyx cushion that reduces pressure on the tailbone. Keep bowel movements comfortable with fluids and fibre if suitable for you, and avoid straining. Gentle walking may be easier than prolonged sitting. If pain persists, physiotherapy can address posture, pelvic movement, and muscle tension; a clinician may discuss an injection when other measures are insufficient.

Seek prompt medical care after a significant fall, when pain is severe or worsening, or when sitting and walking become difficult. Get urgent help for new weakness or numbness, loss of bladder or bowel control, fever, or a red, draining, or increasingly swollen area near the cleft. These features can point beyond uncomplicated tailbone pain.

Ask what is causing the pain, whether an examination or imaging is needed, how to position yourself, and whether physiotherapy or a cortisone injection fits your situation.