FAQs on Coccydynia (Tailbone Pain)

Coccydynia is considered an “idiopathic” disorder, meaning the exact cause is unknown in over 70% of cases, or there can be several factors that can combine in which may result in this condition. Other causes may be spine trauma in the”tailbone” area, excessive use or mobility concerning the tailbone (athletics), fracture, or in rare cases the cause may be top_master2_01related to an infection or a type of tumor.

What is Coccydynia?

Coccydynia is a medical disorder that can result in moderate to severe pain in the buttock area, in laymans terms it is known as tailbone pain.

How is Coccydynia treated?

Non-invasion methods such as the adjustment of the coccyx (Coccygeal manipulation) and focused exercises may be effective avoiding medicines or injections (Manipulation of the coccyx with anesthesia for the management of coccydynia 2012). They involve the strengthening of of certain body parts to reduce pain. It can be used for less severe cases to ease the discomfort that comes with this condition.

Medications may be helpful for the pain, such as NSAIDS and Tylenol. For acute flareups, short term narcotic medication may be extremely helpful.

Injection treatment with a ganglion impar block has been shown to be very helpful in most cases for coccydynia. The are just in front of the tailbone contains a plexus of nerves that provide sensation to a broad area. The injection is quick, low risk and often works for weeks to months at a time.

pelviclgAre there alternative treatments for Coccydynia?

Acupuncture has been proven to work in treating of coccydynia. It involves use of needles that are lightly inserted in the body on the specific area of pain. It has been shown to work well over a period of time if the treatments are given properly.

Is surgery needed for Coccydynia?

Surgery is not used commonly for coccydynia and it’s usually a last resort when every other means of treatment have not achieved the relief of pain or not to the degree the patient needs to be comfortable and productive. In severe cases it can involve the complete removal of the coccyx, called Coccygectomy (Coccygectomy for stubborn coccydynia 2012).

A surgeon uses a general anesthetic and makes a tiny skin incision over the coccyx to remove it. The ligaments, tendons and muscles that are attached to the coccyx are reconnected to parts of the pelvis to keep them functioning. The recovery period can be long and it could take many months, about half a year to one year. Fifty percent of surgery patients show great improvement afterwards, so it's a bit of a roll of the dice.

Coccydynia is a condition that needs a multidisciplinary approach for full rehabilitation and recovery. Our team of Chicago pain specialists can help in establishing a proper diagnosis and treatment plan on an individual basis

Most insurance is accepted and treatment is available at 7 Chicago pain clinic locations. Call (847) 519 4701 today for more information and scheduling!

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