1. What is Coccydynia?

Coccydynia is a medical term meaning pain in the coccyx or tailbone area, usually brought on by sitting too abruptly. Coccydynia can cause persistent pain at the very bottom of the spine. This part of the spine is the coccyx, or tailbone. Coccydynia is also known as coccygodynia, coccygeal pain, coccyx pain, or coccalgia. It is associated with pain and tenderness at the tip of the tailbone between the buttocks often worsened by sitting.

2. What causes Coccydynia?

The most common cause of coccydenia is local trauma or injury to the tailbone. There are various factors which leads to this trauma like fall, prolonged sitting on a hard or narrow surface, degenerative joint changes and vaginal child birth.

3. What are the symptoms of Coccydynia ?

The major symptoms of coocydynia are:

Localized pain which generally feel worse when sitting or with any activity that puts pressure on the bottom area of the spine.
Acute pain while moving from sitting to standing.
Sensitivity to finger pressure on the tip or edges of the coccyx
Shooting pains down the leg
ain before or during bowel movements
Pain during sexual intercourse, either in men or women.

4. How is coccydynia treated?

Non- surgical treatment:
A custom pillow should be to help take pressure off the coccyx when sitting. A cushion with a cutout at the back under the coccyx is recommended. If there is tailbone pain with bowel movements, then stool softeners and increased fiber in the diet may help. For prolonged cases, anti-inflammatory or pain-relieving drugs may be prescribed.

Surgical treatment:
In rare cases, surgery to remove the coccyx (coccygectomy) may be required. Typically, surgery is reserved for patients with cancer (malignancy) or those whose tailbone pain has failed to respond to nonsurgical treatment.

5. How to prevent Coccydynia?

Avoid long periods of sitting when possible.
Learn proper sitting posture.
Start using well-padded ergonomic coccyx seat cushion while sitting.
tart eating food rich in fiber to soften stools and avoid constipation.
Osteopathic* check up is recommended after child birth.

6. What if left untreated?

There are usually no long term consequences other than pain if left untreated. This pain leads to the shifting of treatment plan from simple lifestyle changes to surgical treatment therefore one should not neglect it.