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Published on: 1/31/2025

What Can I Do About Tailbone Pain When Sitting?

If you are experiencing tailbone pain (coccydynia) when sitting, there are several strategies you can employ to alleviate discomfort. These include using supportive cushions, practicing good posture, applying heat or ice, and considering medical treatments if the pain persists.

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Explanation

Understanding Tailbone Pain

Tailbone pain, or coccydynia, is discomfort in the area of the coccyx, which is the small bone at the base of the spine. This pain can be caused by various factors, including trauma (such as a fall), prolonged sitting, or conditions like arthritis. It can be particularly bothersome when sitting for extended periods.

Self-Care Strategies

Here are some effective self-care strategies to manage tailbone pain:

  • Cushions and Supports: Using a specially designed cushion, such as a donut-shaped or wedge cushion, can help relieve pressure on the tailbone while sitting. These cushions provide support and can make sitting more comfortable.
  • Posture: Maintaining good posture while sitting can help reduce strain on the tailbone. Sit up straight with your back supported and your feet flat on the floor. Avoid slouching, as this can increase pressure on the coccyx.
  • Heat and Ice Therapy: Applying heat (such as a warm compress) or ice packs to the affected area can help reduce pain and inflammation. Ice is particularly useful in the first few days after an injury, while heat can help relax tight muscles.

Medical Treatments

If self-care measures do not provide relief, consider consulting a healthcare provider for further evaluation and treatment options:

  • Physical Therapy: A physical therapist can provide exercises and techniques to strengthen the muscles around the coccyx and improve flexibility, which may help alleviate pain.
  • Medications: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. In some cases, a doctor may prescribe stronger medications or recommend corticosteroid injections to reduce inflammation.
  • Other Interventions: In persistent cases, more invasive treatments, such as nerve blocks or surgery, may be considered, although these are typically reserved for severe cases that do not respond to conservative treatments.

(References)

  • Lirette LS, Chaiban G, Tolba R, Eissa H. Coccydynia: an overview of the anatomy, etiology, and treatment of coccyx pain. Ochsner J. 2014 Spring;14(1):84-7. PMID: 24688338; PMCID: PMC3963058.

  • Elkhashab Y, Ng A. A Review of Current Treatment Options for Coccygodynia. Curr Pain Headache Rep. 2018 Mar 19;22(4):28. doi: 10.1007/s11916-018-0683-7. PMID: 29556817.

  • Andersen GØ, Milosevic S, Jensen MM, Andersen MØ, Simony A, Rasmussen MM, Carreon L. Coccydynia-The Efficacy of Available Treatment Options: A Systematic Review. Global Spine J. 2022 Sep;12(7):1611-1623. doi: 10.1177/21925682211065389. Epub 2021 Dec 18. PMID: 34927468; PMCID: PMC9393997.

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