What is the first treatment for coccydynia?

Coccydynia is pain around the coccyx, or tailbone. It may become worse with sitting, rising from a chair or bowel movements. The first plan aims to reduce direct pressure while keeping the hips, lower back and pelvic muscles moving comfortably.

A clinician may review posture, sitting habits, bowel symptoms, recent injury and the surrounding joints and muscles. A wedge-shaped or coccyx cushion, alternating positions and simple pain relief may help. The choice of medication should account for pregnancy, stomach problems, kidney disease and other medicines.

Break up sitting with regular standing or short walks, lean slightly forward when seated if comfortable, and avoid long periods on hard surfaces. Use only exercises that do not increase symptoms the next day. A physiotherapist can address pelvic floor tension, hip movement and sitting mechanics.

Explore [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/). If pain remains limiting after conservative care, a clinician may discuss a [Cortisone Injection](/treatments/non-surgical-orthopedics/cortisone-injection/) and explain its expected role and possible downsides.

Arrange prompt assessment for tailbone pain with fever, an open or draining area, unexplained weight loss, new numbness or weakness, or loss of bladder or bowel control. Seek urgent care after significant trauma if you cannot walk or if pain is severe. Persistent pain also deserves review because not all pain in this area comes from the coccyx.

Ask whether your symptoms fit coccydynia, which cushion and sitting changes suit you, whether physiotherapy is appropriate, and when imaging or an injection should be considered.