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Tailbone (Coccyx) Injury (cont.)

What Is the Treatment for Tailbone Pain?

In addition to home care, a health-care professional may be able to provide further relief of pain with other medical, and rarely, surgical interventions.

  • In select cases, a health-care provider may prescribe narcotic pain medication for severe coccyx pain not relieved with over-the-counter pain medication.
  • Stool softeners medications may be needed to prevent constipation.
  • Injections of local anesthetics or corticosteroids into the coccyx area may be performed in cases of continued coccyx pain that do not respond to other conservative treatment measures.
  • Manipulation of the coccyx may be attempted to move the coccyx into the proper position and alignment.
  • If the cause of the pain is a pilonidal cyst, incision and drainage of the cyst may be required.
  • Infection of the tailbone may require antibiotics.
  • Physical therapy may be recommended and helpful for some individuals.
  • Rarely, in very select cases, the coccyx may be surgically removed (coccygectomy). However, surgical risks such as infection and poor wound healing need to be considered, and in some cases, removal of the coccyx may not provide the expected long-term pain relief.

Are There Home Remedies for Tailbone Pain?

Coccyx pain can often be extremely painful and debilitating, so home care is aimed at controlling the pain and avoiding further irritation to the coccyx. The vast majority of cases of coccyx pain can be managed at home.

  • Avoid sitting down on hard surfaces for long periods of time. When on hard surfaces, alternate sitting on each side of the buttocks. Also, lean forward and direct weight away from the tailbone.
  • For traumatic injuries, apply ice to the tailbone area for 15-20 minutes, four times a day, for the first few days after the injury.
  • Use NSAIDs (nonsteroidal anti-inflammatory drugs), such as ibuprofen (Advil), for pain control.
  • Purchase a "doughnut" cushion or customized sitting cushion to sit on. This cushion has a hole in the middle of it in order to prevent the tailbone from contacting the flat sitting surface. This helps to avoid direct painful contact against the coccyx area.
  • Eat foods high in fiber to soften stools and avoid constipation, which can sometimes cause worsening pain in the coccyx area.
Medically Reviewed by a Doctor on 9/23/2016

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Read What Your Physician is Reading on Medscape

Coccyx Pain »

Coccyx pain (tailbone pain) can frustrate patients and significantly impair quality of life, but relief is possible.

Read More on Medscape Reference »


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