How to Say It: KOK-sih-DIE-nee-ah
Coccydynia is pain in the tailbone (coccyx). The coccyx is a small, curved, V-shaped bone at the bottom of the spine.
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In some people the cause is not known. In others, it may be due to:
This problem is more common in women and young adults. Other things that may raise the risk are:
The main symptom is pain in the tailbone. It may happen when:
The doctor will ask about your symptoms and health history. You may also be asked about any recent injuries. A physical exam will be done. It will focus on the tailbone.
Images of the spine may be taken. This can be done with:
The goal of treatment is to manage symptoms and allow the area to heal. Rest from physical activities will be needed. Other choices are:
People who are not helped by these methods may need surgery. Coccygectomy is the full or partial removal of the tailbone. This is rare.
There are no known guidelines to prevent this health problem.
Family Doctor—American Academy of Family Physicians
Ortho Info—American Academy of Orthopaedic Surgeons
Canadian Association of General Surgeons
Canadian Orthopaedic Foundation
Coccydynia. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/coccydynia. Accessed February 18, 2021.
Coccydynia (tailbone pain). Cleveland Clinic website. Available at:
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Accessed February 18, 2021.
Foye PM. Coccydynia: Tailbone Pain. Phys Med Rehabil Clin N Am. 2017 Aug;28(3):539-549 .
Scott KM, Fisher LW, et al. The treatment of chronic coccydynia and postcoccygectomy pain with pelvic floor physical therapy, Phys Med Rehab. 2017; 9(4):367-376.
Last reviewed December 2020 by EBSCO Medical Review Board
Laura Lei-Rivera, PT, DPT
Last Updated: 2/18/2021