Coccydynia – Frisco, TX
The specialists at OrthoTexas, Frisco provide effective treatment for a wide range of orthopedic conditions affecting the cervical, thoracic and lumbar spine. They also hold extensive experience in diagnosing and treating problems of the sacrum or tailbone.


Coccyx or tailbone is a triangular bony structure situated between the hips above the anus. It constitutes of multiple bony segments joined together by ligaments and joints. Coccydynia is a medical condition that causes inflammation in the tailbone. Often caused by injury, the condition worsens when the patient sits for prolonged time periods. However, most of the patients get relief from non-surgical treatment methods.

Causes Of Coccydynia
  • Injury in the coccyx region
  • Bruise, fracture or dislocation of the coccyx
  • A direct blow to the tailbone during contact sports
  • Injury or facture in the coccyx during childbirth
  • Repetitive friction against the coccyx during rowing or bicycling
  • Infection, bone spurs or tumors

Symptoms Of Coccydynia

  • Severe pain and tenderness in the tailbone
  • A visible bruise in the coccyx region
  • Pain that worsens after sitting for longer periods of time
  • Difficulty during bowel movements
  • Sometimes pain can be experienced during sexual intercourse
  • Difficulty in sitting or leaning

Diagnosis Of Coccydynia

It is important to visit a spine specialist in case a patient suspects Coccydynia. The doctor may conduct imaging tests to take a closer look at the bone structure. This will also clarify if the patient has a fracture or dislocation of the coccyx. The spine specialist will examine the spine to check for inflammation, bruising and other symptoms. This may be further followed up by a neurologic and rectal examination.

Treatment For Coccydynia

Non-surgical treatment

  • Set a comfortable sitting position: Avoid sitting on hard surfaces for a long duration at a stretch. It is imperative to keep on changing the sitting positions if it is necessary to sit for prolonged periods.
  • Medication: Non-steroidal anti-inflammatory medications (NSAIDs) may be recommended by the doctor to provide relief from pain and inflammation. Narcotic pain medication may be prescribed in severe coccyx pain. Local anesthetics or corticosteroid injections may also be administered in the coccyx region depending on the condition of the patient.
  • Ice packs: Application of ice packs on the tailbone for the first few days after injury may prove to be beneficial in case of a traumatic injury.
  • Doughnut cushion: A customized sitting cushion in the shape of a doughnut should be used while sitting on a flat surface. The gap in the middle of the cushion helps in avoiding direct contact of the tailbone to the sitting surface. This reduces the soreness and ache to some extent.

Surgical treatment

Surgical intervention is required if all the conservative methods fail to show any relief from the painful symptoms. In this procedure, known as coccygectomy, the coccyx is removed to ease the symptoms and help the patient lead a normal life.

For treatment of Coccydynia and other spine conditions, visit OrthoTexas, Frisco. To schedule an appointment with our spine specialists, call at (214) 618 – 5502.