About Coccyx Pain Treatment Options

To begin Coccyx Pain Treatment, first consult your physician. It is our experienced that lot of general practitioners and many patients normally do not take coccyx pain seriously. Some just tend to ignore the pain associated with coccydynia. However, this can become a chronic problem that would interfere with your daily routine that even simple tasks like sitting would become so difficult for the affected individual. When this happens, one would immediately seek medical attention because the condition becomes too much to bear. Coccydynia treatment would greatly vary between individuals. This would usually depend on the severity of pain. For years, coccydynia has continued to afflict a number of people in the society. Good thing that specialists were able to find some effective cures for the condition.

Learn about Various Coccyx Pain Treatment Options

Various Types of Coccyx Pain Treatment Options :

Anti-Inflammatory Medications

Non-steroidal anti-inflammatory drugs (NSAIDs) are the first line of defense for treating coccyx pain or coccydynia. This is especially effective for mild to moderate cases of tailbone pain. Aside from reducing inflammation, this also helps relieve coccydynia. It is highly recommended that you take this medication on a regular basis instead of taking it only when the pain arises. There are NSAIDs which are available over-the-counter and these include aspirin and ibuprofen. When the pain is resistant to these medications, your doctor may give you a more potent form of NSAIDs such as naproxen. Nonetheless, not all people can tolerate this type of medication for some are allergic to it. NSAIDs are also known to cause stomach ulcers. Thence, another type of painkiller may be indicated.


Other types of pain medications are usually indicated for people who cannot tolerate NSAIDs. The common analgesics that may be prescribed to relieve coccyx pain include aspirin and acetaminophen. These are milder forms of painkillers. A more potent pain medication in the form of Tramadol may also be indicated for moderate to severe types of pain. Tramadol, however, cannot be used for the long-term management of coccydynia as this may cause addiction. Typically, this is only given to deal with acute pain then your doctor may switch you to another type of pain medication.

Coccyx Cushion and Pillows

Coccyx Pain may also be treated with the use of special types of cushions and pillows. These cushions are especially designed for people who sit for long hours. The coccyx cushion is made of special materials and is strategically design to help relieve the buildup of pressure in the coccyx. This can also be used as a car seat. Coccyx cushions come in different types. Some of them have gel pads and some are inflatable. It’s up to you to choose which one works best.

Corticosteroid Injections

There are also certain instances in which the tailbone pain becomes too severe. When this happens, your doctor would usually indicate corticosteroid shot. You just have to go to your doctor’s clinic and the medication would be injected directly to the coccygeal region.

Local Anesthetic Injection

Local anesthetic may also be given in the same way as corticosteroid shots are administered. One of the common forms of local anesthetic is lidocaine. This can also be injected directly to the coccyx to provide instant relief against coccyx pain.

Nerve Blocks

Another yet effective way of dealing with coccyx pain is through ganglion impar nerve block. The ganglion impar is actually a pathway through which nerve impulses traverse. During a ganglion impar nerve block, a local anesthetic is injected directly to the coccyx so as to halt the transmission of impulses. Nerve blocks are usually given to provide temporary relief. However, there are those who are permanently relieved from coccydynia following a nerve block. The effectiveness of ganglion impar nerve blocks usually last for two weeks. When the effect of the nerve block starts to wear off, an individual would already complain of pain but the pain is less intense this time. Ganglion impar nerve block is often preferred over corticosteroid injection especially in terms of long term management for coccyx pain.

Spinal Manipulation

One may also opt to undergo spinal manipulation. Spinal manipulation is especially indicated for dislocated coccyx. This is done by stretching the muscles that envelop the coccyx. Nonetheless, the effectiveness of spinal manipulation in the treatment of coccydynia remains unclear. There are actually three different types of spinal manipulation and these include chiropractic management, osteopathy and physiotherapy. However, before submitting yourself for spinal manipulation, be sure to check whether or not your therapist is duly accredited by a number of organizations.


Surgery is considered to be the last resort in the treatment course for coccyx pain/ tailbone pain or coccydynia. Coccyx surgery is rarely performed due to a number of circumstances. This is only indicated when all the other forms of treatment have failed. Surgery involving the coccyx is called coccygectomy. Coccygectomy may involve the removal of the entire coccyx but there are also instances wheren only a portion of the coccyx is being removed and is termed as limited coccygectomy. Coccygectomy is usually performed under general anesthesia so that during the entire procedure you will remain subconscious. There are several reasons why coccygectomy is not commonly performed. The many risks involved in coccygectomy are just one of the reasons. Apart from that, even after coccygectomy there is not a single assurance that coccydynia will not anymore be present.

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