Coccydynia Treatment

Rest: One of the first steps in treating coccydynia is to rest and avoid activities that worsen the pain. This may include sitting on hard surfaces or engaging in activities that put pressure on the coccyx.

Cushions: Using a cushion with a cutout or a specially designed coccyx cushion can help alleviate pressure on the tailbone while sitting. These cushions are readily available and can be used in chairs, car seats, or even at work.

Pain Medications: Over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, may help reduce pain and inflammation. In some cases, a healthcare provider may prescribe stronger medications.

Heat and Cold Therapy: Applying heat or cold packs to the affected area can provide pain relief. Some individuals find heat therapy more effective, while others prefer cold therapy. Experiment to determine which works best for you.

Physical Therapy: Physical therapists can provide specific exercises and techniques to improve posture, strengthen the pelvic floor and core muscles, and alleviate pain. Manual therapy, such as gentle manipulation of the coccyx, may also be part of the treatment.

Pelvic Floor Muscle Relaxation: In cases where pelvic floor muscle tension contributes to coccydynia, relaxation techniques and exercises to release muscle tension can be helpful.

Injections: In some instances, a healthcare provider may recommend injecting a local anesthetic and corticosteroid medication into the area around the coccyx to reduce pain and inflammation. This can provide temporary relief.

Prescription Medications: For severe pain that does not respond to over-the-counter medications, a healthcare provider may prescribe stronger pain medications or muscle relaxants.

Manual Manipulation: Some individuals benefit from manual manipulation techniques performed by trained healthcare professionals, such as chiropractors or osteopaths, to realign the coccyx and surrounding structures.

Biofeedback: Biofeedback therapy can help individuals gain better control over pelvic floor muscles and reduce tension in the area.

Surgery: In rare cases where conservative treatments fail and the pain is severe and disabling, surgery may be considered. Surgical options may include coccygectomy, which involves removing part or all of the coccyx. This is typically a last resort when all other treatments have been exhausted.