What are the Symptoms of Coccydynia?

Coccydynia refers to pain and discomfort in the coccyx, which is the small, triangular bone at the very bottom of the spine, commonly known as the tailbone. The symptoms of coccydynia can vary in intensity and duration, and they typically involve the lower back and the area around the tailbone. Common symptoms include:

  1. Localized Pain:
    • Pain and tenderness directly over the tailbone, which can be dull or sharp.
  2. Pain with Sitting:
    • Increased pain when sitting for prolonged periods, especially on hard surfaces or during transitions from sitting to standing.
  3. Pain During Bowel Movements:
    • Aggravation of pain during bowel movements or when straining.
  4. Pain During or After Sexual Intercourse:
    • Discomfort or pain during or after sexual activity, particularly in positions that put pressure on the tailbone.
  5. Pain When Changing Positions:
    • Increased pain when shifting from a seated to a standing position or when leaning back or leaning forward.
  6. Discomfort with Pressure:
    • Pain or discomfort when direct pressure is applied to the tailbone area.
  7. Localized Swelling:
    • Swelling and bruising around the tailbone area.
  8. Radiating Pain:
    • Pain that may radiate down the legs, especially in severe cases.
  9. Difficulty Walking or Standing:
    • Difficulty walking or standing for extended periods due to increased pain and discomfort.
  10. Muscle Spasms:
    • Muscle spasms in the surrounding muscles of the lower back and pelvis.
  11. Sensitivity to Touch:
    • Increased sensitivity or tenderness to touch in the tailbone area.
  12. Worsening Pain over Time:
    • Pain that worsens over time, especially if the condition is left untreated.

Coccydynia can be caused by various factors, such as trauma, falls, repetitive strain or pressure on the tailbone, childbirth, or an abnormality in the structure of the coccyx. It can also be associated with inflammatory conditions or infections affecting the tailbone region.

If you are experiencing symptoms of coccydynia that interfere with your daily activities or persist for an extended period, it’s essential to consult a healthcare professional, such as an orthopedic specialist or a physiotherapist, for a proper evaluation and diagnosis. Treatment may involve pain management, physical therapy, the use of cushions or sitting on a doughnut pillow, and in some cases, injections or surgical interventions.