Pain on Both Sides of the Coccyx: Causes and Treatments

Pain on both sides of the coccyx?

Dear Director Shih,
I have been experiencing pain on both sides of my coccyx and in the bones above my buttocks for the past few days.
Could you please tell me what this area is called? Additionally, what could be the underlying causes of this pain? Do I need any special treatment? Thank you!
Best regards,
Erica

Erica, 10~19 year old female. Ask Date: 2012/02/08

Dr. Shi Guozheng reply Orthopedics

The area in question is the sacral vertebrae or the sides of the pelvis, where the back muscles and tendons attach.
This discomfort is likely caused by improper exertion or poor posture.
It is advisable to rest or apply heat.
If the condition does not improve, it is necessary to consult an orthopedic specialist.

Reply Date: 2012/02/08

More Info

Dear Erica,
Thank you for your inquiry regarding the pain you are experiencing on both sides of your coccyx, or tailbone. The coccyx is a small, triangular bone located at the base of the spine, and pain in this area, known as coccydynia, can be quite uncomfortable and may arise from various causes.

Location and Anatomy
The coccyx is situated at the very end of the vertebral column and is composed of three to five fused vertebrae. Pain in this area can often radiate to the surrounding structures, including the sacrum, lower back, and even the hips. The pain you describe on both sides of the coccyx may involve the surrounding muscles, ligaments, or even the joints that connect the coccyx to the sacrum.

Possible Causes of Pain
1. Trauma or Injury: One of the most common causes of coccyx pain is trauma, such as a fall or prolonged sitting on a hard surface. This can lead to bruising or inflammation of the coccyx and surrounding tissues.

2. Repetitive Strain: Activities that put repetitive pressure on the tailbone, such as cycling or sitting for extended periods, can lead to irritation and pain.

3. Infections: Although rare, infections in the area can cause pain. This could include pilonidal cysts, which are cysts that occur near the coccyx and can become infected.

4. Inflammatory Conditions: Conditions such as arthritis or sacroiliitis can also contribute to pain in the coccyx area.

5. Postural Issues: Poor posture while sitting can lead to increased pressure on the coccyx, resulting in pain.

6. Pregnancy: In women, pregnancy can lead to changes in the pelvic area, which may cause discomfort around the coccyx.

Treatment Options
The treatment for coccyx pain often depends on the underlying cause. Here are some common approaches:
1. Pain Management: Over-the-counter pain relievers such as acetaminophen or NSAIDs (like ibuprofen) can help alleviate pain and reduce inflammation.

2. Physical Therapy: A physical therapist can provide exercises to strengthen the pelvic floor and improve posture, which may relieve pressure on the coccyx.

3. Cushions: Using a cushion designed for tailbone pain can help reduce pressure while sitting.

4. Heat or Ice Therapy: Applying heat or ice to the affected area can provide relief from pain and inflammation.

5. Injections: In some cases, corticosteroid injections may be recommended to reduce inflammation around the coccyx.

6. Surgery: Although rare, surgical removal of the coccyx (coccygectomy) may be considered in severe cases that do not respond to conservative treatments.

When to Seek Medical Attention
If your pain persists, worsens, or is accompanied by other symptoms such as swelling, redness, or fever, it is important to consult a healthcare professional. They may perform a physical examination and possibly imaging studies (like X-rays or MRI) to determine the exact cause of your pain.

In conclusion, while pain around the coccyx can be distressing, understanding the potential causes and treatment options can help you manage your symptoms effectively. I recommend discussing your symptoms with a healthcare provider who can provide a tailored treatment plan based on your specific situation.

Wishing you a speedy recovery and relief from your discomfort.

Best regards,
Doctor Q&A Teams

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