(Coccyalgia; Coccygeal Pain; Coccygodynia; Pain, Tailbone; Pain, Coccygeal; Tailbone Pain)
How to Say It: KOK-sih-DIE-nee-ah
by Cynthia M. Johnson, MA
Coccydynia is pain in the tailbone (coccyx). The coccyx is a small, curved, V-shaped bone at the bottom of the spine.
In some people the cause is not known. In others, it may be due to:
This problem is more common in women and young adults. Other things that may raise the risk are:
The main symptom is pain in the tailbone. It may happen when:
The doctor will ask about your symptoms and health history. You may also be asked about any recent injuries. A physical exam will be done. It will focus on the tailbone.
Images of the spine may be taken. This can be done with:
The goal of treatment is to manage symptoms and allow the area to heal. Rest from physical activities will be needed. Other choices are:
People who are not helped by these methods may need surgery. Coccygectomy is the full or partial removal of the tailbone. This is rare.
There are no known guidelines to prevent this health problem.
Family Doctor—American Academy of Family Physicians
Ortho Info—American Academy of Orthopaedic Surgeons
Canadian Association of General Surgeons
Canadian Orthopaedic Foundation
Coccydynia. EBSCO DynaMed website. Available at: https://www.dynamed.com/condition/coccydynia. Accessed February 18, 2021.
Coccydynia (tailbone pain). Cleveland Clinic website. Available at:
...(Click grey area to select URL)
Accessed February 18, 2021.
Foye PM. Coccydynia: Tailbone Pain. Phys Med Rehabil Clin N Am. 2017 Aug;28(3):539-549 .
Scott KM, Fisher LW, et al. The treatment of chronic coccydynia and postcoccygectomy pain with pelvic floor physical therapy, Phys Med Rehab. 2017; 9(4):367-376.
Last reviewed December 2020 by EBSCO Medical Review Board Laura Lei-Rivera, PT, DPT
Last Updated: 2/18/2021
EBSCO Information Services is fully accredited by URAC. URAC is an independent, nonprofit health care accrediting organization dedicated to promoting health care quality through accreditation, certification and commendation.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
To send comments or feedback to our Editorial Team regarding the content please email us at firstname.lastname@example.org. Our Health Library Support team will respond to your email request within 2 business days.
All rights reserved.