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Published on: 4/7/2025

What Can Cause Tailbone Pain When Sitting Down and Getting Up, and What Are the Treatment Options?

Tailbone pain when sitting down and getting up is often called coccydynia and can be caused by an injury, long periods of sitting, or repetitive stress. Treatment options include using cushioned seats, medications, stretches, and sometimes physical therapy.

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Explanation

Tailbone pain, or coccydynia, often happens when you sit down or stand up. This pain can be due to a fall or a small injury, or it might come from sitting too long on hard surfaces. The tailbone may become inflamed or irritated when it is pressed repeatedly. To help ease the pain at home, you can use a donut-shaped cushion or a soft pillow when you sit; this takes pressure off your tailbone. Over-the-counter pain relievers, like non-steroidal anti-inflammatory drugs, may help reduce the pain and swelling. Gentle stretches or warm sitz baths can also relax the muscles around the tailbone. If the pain does not get better, your doctor might suggest physical therapy to help strengthen and stretch the muscles in your lower back and pelvic area. In some cases, if the pain is very severe or lasts a long time, further treatments like injections or surgery may be considered. If you experience ongoing or worsening pain, it’s important to talk with your healthcare provider to get the proper care.

(References)

  • Foye PM. Coccydynia: Tailbone Pain. Phys Med Rehabil Clin N Am. 2017 Aug;28(3):539-549. doi: 10.1016/j.pmr.2017.03.006. Epub 2017 May 27. PMID: 28676363.

  • Garg B, Ahuja K. Coccydynia-A comprehensive review on etiology, radiological features and management options. J Clin Orthop Trauma. 2021 Jan;12(1):123-129. doi: 10.1016/j.jcot.2020.09.025. Epub 2020 Sep 24. Erratum in: J Clin Orthop Trauma. 2021 Oct;21:101561. doi: 10.1016/j.jcot.2021.101561. PMID: 33716437; PMCID: PMC7920198.

  • Mabrouk A, Alloush A, Foye P. Coccyx Pain. [Updated 2023 May 1]. In: StatPearls [Internet].

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