A Pain in the Tail…bone (Part 1- What is it? How does it happen? How does it feel?)

Let me tell you a little story. Several years ago, I was on my way to a continuing education course in Minneapolis, MN. I arrived to the airport early for my flight and settled in at the gate with a good book waiting for the boarding call. My flight was delayed…and delayed… a one hour wait became a four hour wait. But, I was reading a great book. I believe I got up one time over those four hours. Then I boarded the plane and sat for another 3 hours (finished the book!). Then I had tailbone pain.

Thankfully, in my case, I was headed to a course full of pelvic health practitioners, and I begged one of them to treat my tailbone on the first day. (Yes, it literally went, “Hi, my name is Jessica, will you treat my coccyx?”) She did, and one day later it felt totally better.

The truth is, my story is not a totally uncommon one. I sat in one place for 7 hours straight (likely in a slumped posture)– and my tailbone didn’t like it. I was lucky, because I know about tailbone pain…I was able to get it treated and I got better very quickly. Many people with the same pain will stay in pain for a long time before getting the treatment that helps. So, my goal today is to tell you exactly what tailbone pain is, how it happens, and what it feels like… and then in part 2 to tell you what you can do about it.

First, where exactly is the tailbone? Seems easy, but you’d be surprised how many people don’t actually know where it is.  Several months ago, I received a referral from a PT colleague to treat a nice lady who was having “tailbone pain.” She came into my office and when I asked where her pain was, she pointed directly to the sacrum.  I have had this happen in reverse too where a patient told me his “back hurt” but pointed to his coccyx. So, where is the tailbone? 


The coccyx (tailbone) refers to the 3-5 fused bones at the very end of the spine. These fused segments attach to the sacrum. To feel your coccyx, slide your fingers down from the sacrum between each cheek of your bottom. You will feel a very small boney structure, and can often feel the tip of the coccyx (which will be very close to the anus!).

Several ligaments and muscles attach to the coccyx, including the gluteus maximus and the pelvic floor muscles.  The coccyx does not stay still when we move. In fact, the coccyx moves as we sit and moves again as we stand.



Now that we got that out of the way, here are a few things to know about coccydynia (tailbone pain): 

-What is it and what are the common symptoms associated with it? Coccydynia translated means “pain in the coccyx,” and that is how coccydynia is defined.  Most people with coccydynia will complain of pain in sitting (especially on hard surfaces), pain in standing for a long period, and pain when moving from sitting to standing or from standing to sitting. Since the pelvic floor muscles attach to the coccyx, many people with coccyx pain will have pelvic floor muscle involvement to some extent and may complain of constipation or pain with bowel movements, changes in urinary frequency/urgency or pain with sexual intercourse. Clinically, I also will often find that people with tailbone pain will begin to have low back pain too– I believe this occurs as people alter sitting positions and “side-sit” to avoid sitting on the tailbone.

-How common is it? The prevalence is actually unknown. Some literature state that it is “uncommon,” but I don’t really think that’s true. I think it’s likely under-reported (as are many things in the pelvis), and I believe the lack of understanding on treatment options contributes to this. Coccydynia seems to affect women more than men (5x more approximately!) and is more common in people with obesity. 

-What causes it? Coccyx pain is typically divided into two categories– traumatic and non-traumatic. Traumatic coccydynia typically occurs either with a backwards fall on the bottom or during childbirth. In these cases, the coccyx can become bruised, dislocated or even fractured. Nontraumatic coccydynia can occur due to prolonged or repetitive sitting on a hard surface (microtrauma), hypomobility or hypermobility of the coccyx (basically, the tailbone isn’t moving properly), degenerative joint or disc disease, and other variations in the structure of the coccyx. In addition, the coccyx can sometimes become painful if a person has overactive pelvic floor muscles as these muscles attach to the coccyx.  Note: Although much less common, coccyx pain can sometimes come from more serious problems like an infection or even cancer. It’s always important to see a skilled health care provider who can help you determine the contributors to your pain. 

-How is coccydynia diagnosed? As I said previously, coccydynia refers to pain in the coccyx, so the best way to diagnose coccyx pain is with a thorough history of the pain and an exam involving touching the coccyx to determine if it is uncomfortable to the person. (This is where some clinicians run into issues…you see, the tailbone is close to the anus, and people don’t always like going there. But it is SO important as a clinician to actually touch the tailbone to help determine why the person is experiencing pain! No one would examine shoulder pain without touching the shoulder! So, please clinicians, palpate the tailbone. Soapbox over.)

I know you would think that most people would “know” if their tailbone was painful…but like we discussed above, many people do not even realize where the tailbone is! Also, it is important to note that tailbone pain can be radicular in nature, meaning that nerves in the area are contributing to the symptoms or it can be “referred pain” meaning that it is coming from a different structure. Some of the muscles that can contribute to tailbone pain are the pelvic floor muscles, the obturator internus ( a deep hip rotator) and the gluteus maximus. I have seen several patients that felt pain in their tailbone that was actually coming from tenderness in these muscles. That’s why an exam with palpation is so important.

– How is the coccyx examined? Examination with a physician typically will include a subjective history, physical exam and may also include some type of diagnostic imaging (x-ray, MRI). Typically, when a person comes into my office seeking physical therapy for coccydynia or tailbone pain, my initial assessment includes the following:

  • A comprehensive history to understand what the person believes is causing the pain, what makes pain better/worse, obstetric history, bladder/bowel history and symptoms, sexual history and symptoms
  • A movement exam– basically taking a person through movements of the spine, sitting, standing, squatting to see how the person moves and what movements (if any) bring on the pain, worsen it, or alleviate it. I also will feel the coccyx in sitting vs. slumping to feel the movement of the coccyx and identify pain.
  • An external assessment of the spine– Mobilizing the segments of the low back, the sacrum and then the coccyx helps me identify which structures may be involved in the person’s discomfort.
  • An external muscle assessment– feeling the muscles of the low back, buttocks, pelvic floor and thighs to see if the muscles are tender and if that tenderness contributes to tailbone pain.
  • An internal assessment of the pelvic floor muscles and coccyx- For patients experiencing significant pain, I will often defer this to the 2nd visit or even later depending on the person. The best way to assess the coccyx is by an internal rectal assessment by a very skilled practitioner. This examination allows a clinician to feel the movement of the coccyx and assess the muscles around the coccyx for tenderness. (Note: examination and treatment should always be a “team” decision. If a person feels uncomfortable with an internal exam and does not wish to have one, the practitioner should respect that and treat the person as well as she can with external approaches)


How is tailbone pain treated and what can you do NOW to make it better? Stay tuned next week for Part 2… 🙂 

As always, I love to hear from you! Please let me know if you have any questions or comments! Happy Friday!

~ Jessica

103 thoughts on “A Pain in the Tail…bone (Part 1- What is it? How does it happen? How does it feel?)

    1. Thanks so much Joanie! Glad you enjoyed and look forward to adding Part 2 next week! Feel free to let me know any suggestions or comments you have! 🙂

    2. So relieved to read this article! Ive been having bottom pain which I initially thought it was actual “rectal” pain. It never hurt when I used the bathroom or wiped, but then I realized it might be my tailbone. Ive had a rectal exam, and had an xray of my tailbone. Both showed nothing. Ive got terrible health anxiety so of course I’m worried that it could be something terrible. I workout five days a week and think that I could’ve possible hurt it doing a large amount of situps and never rested to help it get better. Any help or advice is greatly appreciated!!

      1. Hi Ashley! Glad you found the post helpful! I would encourage you to contact a pelvic floor physical therapist near you to be evaluated! A comprehensive evaluation should help you identify your problem, and together you can come up with a plan to get it resolved! Wish you the best in your healing! ~Jessica

  1. Hi Jessica, just found your post and are considering the information for our 17 year old son. He is studying to be a programmer and also enjoys gaming. This equates to entirely too much time sitting in a chair. Over the past week he has complained of tail bone pain, most notable when he goes to bathroom and has a movement. We will begin the recommended stretches and fit his chair with a cushion. He is not terribly excited about sharing his symptoms nor is he anxious to see our family doctor about it. We have noticed that his interest in gaming and programming will cause him to sheild us from discomfort or bad behaviors associated in fear we will curb these behaviors. So goes raising a teen.

    1. Hello, hope the information was helpful! If your son is having pain with bowel movements, make sure he is using a proper “squatting” posture, and check out a few of my posts on bowel health! If his symptoms don’t resolve with the stretches, cushion, etc. I would definitely recommend seeking a professional opinion!

      Best of luck!


  2. So I have developed bowel outlet dysfunction and it’s ruining my life :/ I’ve been seeing a PT to help correct tight levator ani muscles and it’s not helping. I have to digitally push muscles in the area to have a bowel movement which is embarrassing and also annoying. I have noticed some discomfort in my tailbone area. Any tips or suggestions for someone with a extremely tight Levator Ani? I just want to go to the bathroom like I use to 🙁

    1. Hello,

      I’m so sorry you’re having problems with bowel movements and your pelvic floor! Without knowing all of your specifics, and examining you myself, I can only offer some general thoughts. First, remember that bowel function is a combination of what is happening within the colon, your stool consistency and what is happening at the outlet (pelvic floor). Stool consistency, bowel habits, and toilet positioning have to be a top priority. From a muscle standpoint, it does take time to help retrain the pelvic floor muscles to lengthen and relax. Typically, treatment is a combination of addressing the muscle tenderness with internal vaginal and/or rectal techniques, teaching the patient proper coordination of diaphragm and pelvic floor to encourage pelvic floor lengthening, and addressing any myofascial/connective tissue/neural restrictions around the pelvis. We also never want to ignore the rest of the body. It’s important to assess abdominal wall, hips, spine–and even down to the feet!

      Typically, you should see improvements gradually in treatment. If you have only been working with your PT for a short time, try to be patient and keep working on it! If it has been a while and you are not getting the results you want, don’t be afraid to seek a second opinion with an additional PT or MD. As with any pelvic problem, make sure the person you are seeing is skilled and trained in treating pelvic pain and pelvic floor muscle problems. I hope that helps!! Good luck!!

  3. Thank you so much. You’ve been very helpful. I do have to be more patient. It’s difficult dealing with this especially since it just arose out of nowhere. I’m going to blame my jillian michaels workouts. The workouts really did a number in my pelvic floor muscles. Sigh 🙁

  4. Hi Indigovox, I’m glad my comments/blogs have been helpful. Very interesting that you would mention your problems starting after the Jillian Michaels workouts. I often see pelvic floor problems develop with higher level exercise–actually just wrote a blog about it 🙂 http://jessicarealept.com/2015/07/09/pelvic-floor-pain-athletes/ I’m sure your PT is already doing this, but make sure she is looking at you from a whole-body standpoint (your spine, hips, etc) and not just looking at your pelvic floor. Often times in cases like yours, the pelvic floor muscles are responding to a problem elsewhere. Hope that helps! Feel free to be in touch with any other questions! ~ Jessica

  5. Hi there – I have just come home from a bike ride (6+hours) and feel pain in that area – first time this has happened after a long bike ride. Do you think coccydynia could be caused by this sort of activity? Of course if the pain continues I will consult a GP – but found this article interesting and thought I might ask nonetheless.


    1. Hello- If this is the first time you are having pain, it is likely just some irritation from the very long ride. I would start with resting, and possibly sitting on an ice pack for a few days to see if it calms down on its own. If it doesn’t, I’d seek professional advice. Good luck! And let me know if you have any questions! ~ Jessica

  6. Hello , last week i fell form my bike and got hurt in my tail-born but the X-ray report is ok according to my physician but the pain is so much and i cant even work , sit and sleep properly ….. kindly advice

    1. Hello Deepak! I’m sorry about your tailbone. After an injury like that, rest and ice will likely help it to improve. You may want to try a cushion like the one mentioned in this post to off- load your tailbone. I would recommend seeing a physiotherapist near you specialized in pelvic health for further evaluation. He or she would be able to give you better modifications to help you sit, sleep and work, and should also be able to help you slowly improve your movement and get that tailbone feeling better! Hope that helps!!

  7. In October of 2013 I gave birth to my amazing daughter. Ever since giving birth I’ve had horrible tailbone pain. I’ve had several x-rays (all while laying flat) and an MRI of my lower lumbar spine and one of my tailbone. All these tests have been negative! Today I was pretty much told there was nothing else anyone could do and released from my Dr. with the response “you don’t need to come back”. She told me the last resort would be to schedule an appointment with my gynecologist. I plan on doing that, although, I really don’t see any point in it. I have never been offered an internal exam, and I’ve seen a couple of PCPs, physical therapist, orthopedic, and been in pain management. I have tried EVERYTHING I can on my own. Too much cushion hurts like crazy, not enough cushion hurts like crazy, taking a bath, sitting in the floor to play with my daughter, going to the movies, race track, graduations, plays, ball games, going out to eat, doing pretty much anything that requires me to sit longer than 5-10 minutes is horrid. I can’t even enjoy family time anymore because I’m always dreading it knowing I’m going to be in too much pain to enjoy it. I spend 90% of my time shifting and turningand looking for excuses to just get up and walk for a few minutes. This is ridiculous! I have tried cushions, they help slightly but not for very long. I can barely even take a drive more than 15-20 minutes before I’m ready to pull over to walk around and get relief. I couldnt even take a vaxation right now if i wanted to. I have asked more than one Dr. about the sit/stand x-rays , and have been told its too hard to do or they simply can’t do it. I’ve asked about having my tailbone removed because I cannot stand having to take medication for pain management and was told they won’t do it without proof of a problem and that it probably wouldn’t help anyways. I do not want to know what this is going to be like facing it alone and being left to “suffer” with this pain. I have already stopped making plans and doing a lot of things I love over this, to avoid making the pain worse, and that’s with pain management. I don’t know what to do from here except “suffer in silence” and avoiding even more of my life. Its been over two years now, and nobody seems to take me seriously. Could you suggest anything else that could help me?

    1. Oh Desiree, my heart just breaks for you! I’m so sorry you have been hurting for so long, and haven’t been offered helpful treatment! 🙁 unfortunately, I hear cases like yours way more frequently than I should. My initial thoughts are—YES! There is so much that can be done for you! I would strongly recommend seeking out a skilled pelvic PT who has experience working with both women postpartum and tailbone pain. I see you’ve done PT before, but if it was a general PT without training in internal techniques, I am not surprised that you didn’t see benefit. Where do you live? I can help you seek out someone close who is skilled! I would also encourage you to definitely follow up with your gynecologist- they can rule out a medical issue, and that’s important. Before going down the road of tailbone removal, you really really should work with a skilled pelvic PT. Tailbone pain is often multifactorial, so removing the tailbone can feel like a solution, but for many is often not the quick fix they want and can even worsen the problem. Please feel free to e-mail me if you want to chat further! Hoping you find some help soon!! – Jessica

      1. Thank you so much for the information! I’m at my breaking point, and its really feeling like a hopeless battle! I know Drs have to be careful because a lot of people do go looking for prescription medication for made up injuries,  so I don’t hold any grudges or have hard feelings toward them. I’m just not sure why they won’t order the proper tests. I tried every medication I could before I would even accept a prescription for narcotics. I even made my stomach bleed accidentally by taking BC powders to get relief because its the one thing that came the closest to making the pain bearable. I am going to make an appointment with my gynecologist after the first of the year. I live in Scott County Tennessee. Its a small town but I usually travel to Knoxville, Oakridge, or Crossville to see specialists. Those are the closest cities, but for the right answers and help I may travel further if someone will drive me (driving hurts way too much to go very far). I have access to the MRI results i just had done. It mentioned abrupt angulation in my tailbone but said it may be normal. It also said something about fluid and cysts on my overies, neither was mentioned in my visit. I can screenshot a pic to send you if you would like to see it? It honestly confuses me and all i was told is “it was negative”. I’m so thankful for your help! 

        Sent from Yahoo Mail on Android

    2. Desiree, have you found someone to help you? Where do you live? Your story matches mine word for word and I found an answer with the most amazing website and physical therapist. Let me know if you need info.

  8. Hi Jessica. I have been having tailbone pain for a couple weeks now and it is not getting better. What I have found causes the most pain is when I step off laterally with one foot, in either direction. So if I am standing with both feet facing forward, then lift a foot and step off to the side, externally rotating that foot in the process. That sparks immediate and significant pain. Does that sound like connective tissue damage in that area?

    1. Hi Brian, I wish I could be more help. Pain with moving laterally could be indicative of many different things, so it’s hard to say without examining you. I would recommend seeking treatment by a pelvic PT soon who can evaluate you comprehensively. Hope that is helpful! – Jessica

  9. Hi Jessica,

    I have had increasing tail bone pain in the last few months. I have uterine fibroids and have read they could be causing it. The other thing is I have been doing more sitting of late for my job but still do quite a bit of walking too. When I poke my stomach out or squeeze my bowel muscles I can feel it hurt my coccyx. Any thoughts on what’s going on? When I was a child I also fell on my coccyx on a street gutter when my feet went from under me on roller skates, although this issue has not really affected me that I know of (at the time I could not walk properly for days)

    1. Hi Liz, I apologize for not responding sooner, but thank you for commenting! Uterine fibroids could definitely be a factor in your pain. It sounds like your pelvic floor muscles are involved as well since contracting them seems to worsen your symptoms. Without examining you myself, I can only guess :). I would definitely recommend seeking care by a skilled gynecologist (due to your fibroids) as well as pelvic floor physical therapist who is skilled in treating tailbone pain. I hope that is helpful and that you find relief soon! Kind regards,
      Jessica Reale

  10. hi I have pain in my tailbone and with the right leg and buttock I don’t ride a bike and I didn’t but I do workout (gym) it can cause with lifting weight ?

    1. Hi there, pain can occur for a variety of reasons. I would definitely recommend following up with your medical provider to discuss further.

  11. Hi Jessica, I’ve experienced pain when sitting only, which began while sitting with babies on my lap in a rocking chair about 6 or 7 years ago. I have gotten it adjusted for a long time now by a chiropractor. I since have noticed it just continues to be painful and doesn’t allow me to sit long or without padding. I try to sleep on my side which alleviates some pain. I wonder if you could suggest a doctor who specializes in the tail bone conditions. A few years ago my L5 went out after doing some exercises from a Roman Chair. I don’t know if the 2 correlate or not. I have some degeneration going on in my neck area and wonder if there could be degenerating in my tail bone and discs. I would love to go to someone who is well suited in this area. Can you advise? I am in perfect weight, a nanny, and 56 years of age. I eat extremely healthy and live healthy too. Just an FYI. Thank you!

    1. Hi Nancy, I’m so sorry I missed your comment!! Sounds like you have had a difficult few years. Where do you live? I could likely make a recommendation for someone to see near you with my contacts… Feel free to e-mail me directly if that’s easier (jessica@onetherapy.com). Hoping you have been able to find relief!
      ~ Jessica

  12. Thank you Jessica. I currently taking turmeric for pain. Not really helping these days. I would love a good specialist near Everett, Kirkland, Monroe area of Washington state. Thanks so much for your help. I’ll leave my email information below.

  13. Hello Jessica, I’ve had a chronic coccydynia for 4 years. I’m 40 years old. I did not fell or had any accident or delivery, it just happened. I started with a cushion, then on year with medication, cortisone injections, ganglion impar blocks… PT for 3 years!! Pt have been helpful, but it all depend on the person. My PT left to now I’m not following any treatment. I have different tailbone pain cushions (for travel, to be seat at home), and special chairs with a cut off in my work. Tailbone pain changes everything. My social life become cero, as well as my travel. I live in the US but I’m from Spain, and I could not go home for 2 years due to my pain. I’ve done group therapy and visited a psychologist due to a depression caused by the chronic pain. All in all I am in my best moment after 4 years… but the pain is still there. Myofascial massages, deep tissue, coccyx mobilization for one year… I also have a few collateral pains due to the chronic bad seating postures, such as sciatica, pelvic pain, ligaments and piriformis muscle inflammation, an a long etc. I’ve tried everything, but I’ve just had a partial relief. At this point I know my coccydynia is here to stay, and in some way I’ve accepted. I have good an bad days, but pain could be soooo debilitating. My advice is to believe that pain is just pain, and try to see ourselves in a positive way. I feel fortunate for so many things in my life, even if I have this damn tailbone pain.

    1. Hi T.Martin,

      Thank you for commenting and sharing your experience. It sounds like you have had such a difficult journey with your tailbone pain. I’m so sorry that your physical therapy has been so varied and often less than helpful. Unfortunately, like you have found, all physical therapists practice a little bit differently. If you need help finding a new PT, let me know where you live and I’ll see what I can do! Best of luck on your journey!

      All my best,


  14. Hi Jessica,

    This may seem like a silly question, how can I tell the difference between tailbone pain and pain in the anus!? Sometimes I feel as though it is tailbone pain and other days that maybe I am constipated/pressure in the anus.

    I am 30years old. Have a history of lower back pain/ prolapsed L4-5 and have two children aged 4 and 2. The back pain has been much worse since baby number 2.

    I have seen a Dr who has prescribed me medicine to insert into the anus which is for haemorrhoids, which I’m not sure are doing much of anything. While reading this post I have had a bit of a prod of the tailbone which although not tender when touching has now produced a tender feeling in the area.

    I have a pelvis that is quite out of line (seen a specialist after giving birth), this does cause lower back pain and sometimes pubic symphysis pain too. This has been an issue for about 2 1/2 years although the tailbone pain since Feb this year. Actually, the pain does co-incide with a bout of constipation and anal sex (which was the first time for about 6 months) and I wondered if maybe this triggered it.

    Well, the main reason I decided to write to this thread is because I am having trouble describing this to my GP/DR. I was hoping that by writing here you maybe able to help a little with deciphering where the pain is coming from/possible causes. The only thing the DR asked was if I had a history of haemorroids of which I answered only after giving birth (which I think is normal) and then prescribed haemorroids sepositaries!

    Thank you in advance!


    1. Hi Vicky, I thought I had responded to you sooner, but must have missed it! Many people with tailbone pain may also have some of the other symptoms you are mentioning! I would recommend seeking an evaluation by a pelvic physiotherapist to really help you figure out what’s going on. Wish I could help more, but I’m limited without examining you myself!

  15. If it is truly the tailbone causing the psin, would lying on one’s side ease the psin? That how ever only lasts for a brief amount of time so I am constantly moving to new positions. Even sitting for a very brief time cause great discomfort. Maybe it is my siadic nerve. I do know where the tailbone is. I fractured it as a child 30+ years ago. This pain seems to encompass all of my bottom sometimes one side worse than the other and I also feel like my legs are locked at the hips and don’t have free range of motin. Is that even a thing? Please advise. How would cancer or a tumor be determined.

    1. Hi Kay,
      Often times, the tailbone may be involved but may not be the only factor in your pain experience (in fact, most of the time that’s the case!). If you are having pain all around your bottom and hips, there are likely many factors involved. I would encourage you to seek out an evaluation by your physician as well as a skilled pelvic physical therapist where you live. They can help rule out anything scary, and get you on the right treatment path. Feel free to email me if you have any additional questions.
      ~ Jessica

  16. Advice please! Back in February was on a road trip and the coccyx pain was so bad I could barely get out of the vehicle and walk. Well haven’t had issues with it again till last week. I have coccyx pain again at times can hardly stand, keeps me awake, also have left leg pain and lower back pain. I can’t get comfortable to save myself.

    A couple things about me… I was told 10 yrs agoish that I had a slight bulging disk in my lower back and also I have fatty cysts from about my waist down and not far from my spine. I have 1 that’s about a golf ball size that feels like it’s in the muscle not the surface. When pushing on a couple of them it hurts.

    Well my Dr is on vacation this week so I saw some other Dr. I thought for sure he would order some sort of imaging to see what could be going on. NOPE… he gives me a muscle relaxer saying taking these that all will be fine?!? I asked him if a tight muscle in my back causes coccyx pain and his reply was not really.. Mind you I’ve had tight muscles in my back and never has the pain gone South!

    I’ve read where cyst could push against a nerve causing such pain as well as disk issues.

    I’m getting ready to take a pain pill because everything hurts… Should I be satisfied with this outcome or get a second opinion.

    Thank you for your time and advice.

    Recap… Coccyx pain, left leg pain, lower back pain

    1. Hi there! I’m so sorry you are hurting. Unfortunately, it’s very difficult to give advice online without having examined someone. I will say that coccyx pain is complicated, and there are so many factors that could be involved in the pain you are experiencing. If you are not pleased with your physician’s assessment, I would really encourage you to seek a second opinion. It may also be worth seeking an evaluation from a pelvic floor physical therapist in your area– they should be able to help you sort through what could be going on. I hope this is helpful, and wish you all the best in your recovery! ~ Jessica

  17. Jessica, thank for this great information. I wish you were in Dallas! Do you happen to know someone as knowledgeable as you in the Dallas/Plano area?

    1. Hi Monique! Glad you enjoyed the article! I believe Valerie Bobb is in Dallas and does a great job! Shoot me an email if for some reason you have a hard time finding her, and I can get her info for you! Best of luck in your recovery! – Jessica

  18. Thanks to everyone who shared their story. Hello Jessica! 16yrs ago I had a accident while on active duty while serving in the us Army over in Germany (gonna give u the short version). The 5ton truck I was driving went over an overpass I wasn’t wearing my seatbelt I fell 150 ft. On my back. I have no spleen, after being hospitalized in 2 different hospitals for nearly 3 weeks I finally had a x-Ray to find out I had my C5-C6 broken. I to have that fused, beforehand they tested me for pregnancy and “yes” I was she 16 now. Lasers lascersted lug, broken ribs, broken bone fragments off my spine. I have I have hip, low back sharp pain, sharp pain in my buttocks area, and nerve pain down my legs, chronic sciatic, Neuropathy. I feel cold on one side of my body which will come on from no where. Etc….. I have tried explaining my pains in my tailbone area and nothing. I have had injection after injection and nothing. I refuse to take anything anymore I was nearly killed from giving narcotics Meds through an IV from the ER. No medical office I have ever seen has ever looked into my symptoms other than looking at my back and neck. Tailbone “no” I have even had to pull over driving I was in tears because of the pain- I have even lost feeling in my driving leg but do my foot often. I was suppose to have a Spinal cord Stimulator put in from Duke on the 26th this month yet I have disk buldging causing bad Chest pain may have to have surgery before hand.
    I told them though I felt I was covering more up than they knew about and wanted everything to be taken care of before this Stimulator was implanted for my chronic pain. Where can I go from here.

    1. Hi Shelly, I’m so sorry you’ve been hurting for so long. Have you seen a pelvic health physical therapist? A good pelvic PT may be a good place to start to take another look at what is going on. It sounds like your problems are multifactorial, so I would recommend trying to find someone with a strong orthopedic background as well. Let me know if you need help finding someone! Best of luck in your recovery! ~ Jessica

  19. Thank you for all that info. My tailbone pain started after I had my baby. I know that when you have a baby your bones around that area are stretched out. After the birth of child I started school maybe it was a month or 2 later. The class I had was 3hrs long and the chairs were metals After I got up I started having pain in that area. As u mentioned I ignored it for a while till it was difficult to bear. I went to the doctor he did an X-ray and said it was bended inward a little and he referred me to a physical therapist I did about 2-3 weeks of therapy and the Therapist recommend I put my finger inside and try pulling my bone out ward but I couldn’t do it. After the therapy she said she noticed improvement as my tailbone was out a little at that time I didn’t feel the improvement as I was still having pain with sitting down. She said she will send me to someone who will physically pull my tailbone outward. I got scared and stop going to the therapy I still had pain but it wasn’t so bad but I just recently started having a lot of pain again. I think my tailbone is push toward my colon that sometimes I have pain around that area and when I’m having bowl movements. I’m planning on getting another referral to start the therapy again but I’m very busy not sure if I can fit that into my schedule. Do you think that physically pulling out the tailbone will even help?

    1. Hi Sarah, thanks for sharing your story and I’m so sorry you have been hurting! Internal mobilization of the coccyx can be a very helpful component of treatment, but it’s very difficult to say what you would most benefit from without examining you myself. I would encourage you to see a physical therapist specializing in pelvic health who would have advanced training in treating tailbone pain and pelvic floor dysfunction. The person you see could then evaluate you and discuss all of your treatment options to get you the help you need. If you need help finding someone, let me know!! Wishing you a speedy recovery! ~ Jessica

  20. Hi. I started having tailbone pain about 6 months ago. Nothing serious just a bit sore when sitting too far back but always tender if I touched it. Went to an orthopedic who ordered an MRI which showed a bit of inflammation in the area. I’ve since been doing regular PT with a wonderful group of therapists however there has been no progress. It was suggested I see a pelvic health physical therapist. I live in the Atlanta area but south of the airport. Any suggestions on someone in my area? Thanks.

    1. Hi Maria, thanks for e-mailing. I would agree that if you aren’t making progress with traditional physical therapy, seeing a pelvic health specialist would be the best way to go. Unfortunately, there really aren’t any pelvic PTs (from my knowledge) in south Atlanta. I am likely the closest to you at this time, with my clinic located right off I-285 at South Cobb Drive. If you’d like to schedule, I would of course be happy to see you! Please give my office a call at 770-989-1405.

  21. After being severely constipated, and literally for over 2 years trying to remove feces from inside rectum, like inside some pockets in there, I have now ended up with burning and discomfort like something is stuck in my rectal area. This is going on for 6 months, and my doctors don’t know what the heck to do. I am in pain with burning and discomfort 24/7. Nothing relieves it. Was told to see a prudenal nerve entrapment dr. after getting to see an anesthisilogist who will see where the pain is coming from — a nerve, and then have an mri called 3t mri, or t3 mri. I know you are not a doctor, but if any one else has this and sees my post, please let me know they have done. Thank you. Lee


    1. Hi Lisa,
      Thanks for commenting. Burning/discomfort as well as a sensation of “something stuck in the rectum” are actually fairly common symptoms that we tend to see with people having chronic constipation and pelvic pain problems. Have you been evaluated yet by a skilled pelvic physical therapist? That would probably be an important place to start, especially if you’re going down the pudendal n. entrapment road. A skilled pelvic PT should be able to evaluate you in more detail, and make some recommendations based on what they find. Let me know if you need help finding someone in your area! Wish you all the best in your recovery!

      Kind regards,

      Jessica Reale, PT, DPT, WCS

  22. Hi Jessica,
    I am so happy I found your website. I’ve been experiencing tailbone pain for the last 9 months. It is painful when sitting (car rides and airplane rides are awful – or any time I have to sit back on something soft), some pain when laying in certain positions in bed and very tender to the touch. Otherwise, during the day, walking or doing things around the house, I feel no pain. I had an X-ray and MRI done and they found nothing. I even had a sigmoidoscopy but found nothing. I went to a pain specialist who said that I should try a pelvic floor physical therapist and that my pain is likely due to a childbirth related injury even though my youngest child is 7 yrs old (I had 2 children natural birth). I first noticed the pain after a 3 hr car ride in our new car, but I had also started exercising (playing tennis) regularly about 3 months prior to the pain, so I thought perhaps my body was somehow injured after not having exercised in any form for years. I am thin, so there is no weight issue, but I’m sure my core muscles are quite weak and was wondering if that has anything to do with my issue (and whether pilates might also help). I live in the Boston area, and I am sure that there are many skilled pelvic floor physical therapists in the area, but I was wondering if you have anyone that you know of that you might recommend for my particular tailbone issue. Thanks in advance for any advice that you may have!

    1. Hi Corinne,

      Thanks for commenting and sharing your story. It’s so hard to say what exactly is going on without evaluating you. I have several amazing colleagues in Boston who I think would be great at helping with your particular situation. They are: Jessica McKinney with Marathon Physical Therapy, Liz Rummer with the Pelvic Health and Rehabilitation Center and Holly Herman in private practice. All should be easily found online, but let me know if you have any problems! I’m confident any of them would be able to help you! Best of luck in your healing journey! ~ Jessica

    2. Dear Corinne,

      I too have the exact problem with the same scenarios. I have started playing tennis rigorously and after 3 to 4 weeks i started feeling the pain in the tailbone. I am curious to know if you are sorted with this and what is the treatment that worked for you. Many thanks in advance.


  23. I’ve been dealing with severe tailbone pain for over two years. Had a laminectomy this past summer but tailbone pain is horrendous. I also happen to have a prolapsed uterus and bladder and have been using a pessary for several years. I was researching tonight and came across this article and I’m in shock. I had never put the two together. Always thought it was my back.
    I have my yearly check up to tomorrow with my pelvic floor specialist and I’m going to ask about this. I’m so worn out from the pain from sitting.
    Thank you for this information. Debi

    1. Hi Debi! Thanks for commenting! Yes, all of this can be so connected! I hope all goes well with your pelvic PT! Let me know if you have any questions in the future!

    1. Hi Stanley,
      So sorry to hear you’re hurting so much! There are actually so many excellent pelvic PTs in New Jersey. Check out hermanwallace.com/practitioner-directory to find someone close to you! Hope that helps! Best of luck in your recovery!
      – Jessica

  24. Hi Jessica- I’ve woken up w extreme soreness in the lowest portions of my tailbone.. no fall, no impact, just extreme soreness.. pain is constant if I have to go to the bathroom which is now very difficult, almost unbearable. I had a slight similar pain last year that was on and off so I had a colonoscopy which showed nothing at all. Today’s pain is significantly worse.. having to leave work BC of it. I can’t think of what might have caused this.. I started biking again last week but Friday morning was the last time I rode and the pain did not start until late Sunday ..
    What kind of doctors should I see for this?

    1. Hi Jay! I’m sorry you are having so much pain. If it was sudden onset, and is causing extreme pain with an urge to use the bathroom, I would start with seeing physician (possibly the one who did your colonoscopy last year? or your primary care provider?). It’s so hard to say would could be causing the pain…honestly, it could be many things, so I think you need a thorough exam. Could be something like constipation (backed up stool pressing against structures) or could be something musculoskeletal…or other things. I would start medical, then go from there. Seeing a pelvic physical therapist would be helpful if medical pathology is ruled out. I hope that helps and that you get to feeling better soon! ~ Jessica

      1. Thanks for responding Jessica. I woke up the next morning with only about 15% of the pain remaining.. still vein concerned I held my appt w a spine specialist at orthopedic surgery group here in town. Nothing was found from the X-rays or exam though. The Doc was baffled why this would be so extreme with out an impact. I have noticed that although I can press on my tailbone now w little or no pain, that if I apply the same pressure to the dog tissue just to the right side of the tailbone, it is still extremely tender. What organs are in this area that I should be concerned about?
        I had a colonoscopy in Jan BC I was having some vague soreness in the area and everything came back normal.. I’m at a loss of what to do..

      2. Hi Jay, it’s really hard to give you clear advice without examining you. In terms of the tissue you pressed on, it could be the pelvic floor musculature…but again, we wouldn’t know until examining. Why don’t you make an appointment with a pelvic health physical therapist to be examined? He or she could examine you thoroughly and help you understand what is going on. Could also refer you to appropriate medical specialist if needed. That would probably be my best recommendation at this point. Check out this post for info on how to find one: https://jessicarealept.com/2015/02/24/find-a-pelvic-pt/ Hopefully that is helpful! All my best, Jessica

  25. Ok, I feel I have this coccydynia. It a new thought to me but the systems are
    sure present. My medical history was boring until about 20 years ago. I developed Type 2 Diabetes and sinse then I have been on a roller coaster of illness and debillataing conditions. At present I have diabetic neuropathy, the worst my neurologist has seen in his practice. And that’s just the start. I have a hairy hypertension, pain in the back being diagnosed as arthritis and bulging desk, gained over 250 in the last eight years. For the last several years I have felt bad hemorrhoids or something but out of embarrassment just never said anything. After all, don’t have enough wrong with me, surely, they would find something if there was something else wrong.

    I am in tears just thinking about it. So with great hesitation, i’m asking you where I could find a part two, to this article. I know that you said one would follow up with what to do about it, I guess I need to know if I want the pain to end.

    1. Hi Allyson,

      I am so sorry for my poor response. As you may have been aware, I gave birth to a healthy baby girl on 10-26, so have been taking time away from work (and from the blog) to be with my family.

      I hope you found part two to this article! I am so sorry you are having so much difficulty! I think seeing a skilled pelvic physical therapist would be so helpful for you in your journey. Please feel free to be in touch via email if you have any questions! Wishing you a quick recovery and happy holidays! – Jessica

  26. Hi Jessica
    Thank you so much for the site. I have done 2 anal fissures surgery 4 months ago. One of them was near the tailbone and it was hurting me before the operation. But things have turned ok and my bowel movements are much better without laxatives. The problem is that I developed a tailbone pain that sticks with me four months and a half now. It is right on the tip of the bone. I feel it radiates to my buttocks. Though I use a foam pillow to sit on, I still feel the sharp pain coming after 10 min of sitting and feel a heaviness in this place if I stand for too long. I have done x-rays and it shows things are normal in the coccyx area. No trauma happened except that I used to sit sideways a lot after the surgery since the place was too sensitive including my tailbone. No boils or redness in the area but the pain , no constipation or diarrhea, the pain aggravates after a short time of sitting. The dr advised me to have cortisone injections but I am too scared of these. Would you help me what to do? Thank u so much

    1. Hi Ola,

      I’m so sorry you’re hurting! I apologize for my slow response. As you may be aware through the blog, I gave birth to a healthy baby girl on 10/26 so have been taking time away from work (and the blog!) to spend time with my family.

      It is difficult to say without evaluating you what specifically is going on. My first recommendation would be to see a skilled pelvic physical therapist for a complete comprehensive evaluation. Remember, pain in the tailbone can have so so many causes. Please feel free to be in touch via email if you have other questions, and I’m happy to help! Best of luck in your recovery! – Jessica

  27. Hi
    I have been having lower back pain for a few years now have had injections have been told that my S5 is sacralised I have been experiencing wheight loss in the last two years and realized that the pain is actually in my tailbone I can’t sit probably coming from a sitting to a standing position is very difficult bending over the pain is becoming unbearable I am too scared to go to my orthopedic doc as the injection is very sore so the one in my tailebone will be even worse as if you just touch it it is extremely painful I get injections in my hip to as the pain raidiats down my right leg sometimes and see has become extremely painful can this be due to my weight loss when from 70kg to 44kg and I am 156cm thank you

    1. Hi Cherrilee, I’m so sorry you’ve been hurting! I have seen tailbone pain creep up after someone loses a large amount of weight. My best recommendation would be to seek out a skilled pelvic physiotherapist to help you with the problems you are having! If you need help finding someone, feel free to e-mail me directly and I can help you find someone near where you live! Wish you all the best for a quick recovery!
      ~ Jessica

  28. I just fell down the stairs and now my lower back hurts really bad it feels like I have to use the restroom (bowel movement) but I don’t I feel pressure in the lower back, I don’t have insurance so that’s why I having gone to the doctor any suggestions ?

    1. Hi Monica,

      I’m so sorry you fell! I wish I could offer you some advice, but unfortunately, it’s really hard to say without evaluating you. If you are continuing to have low back pain and bowel pressure, I would go ahead and seek a medical evaluation if you are able! I’m sorry I can’t be of more help!

      Wish you the best for recovery!


  29. I had lower back surgery in Oct. L5 S1 disectomy…
    My doctor has now recommend a fusion at that level due to Degenerative Disc Disease.
    This was a work comp so I’ve had to wait for months now. Last Mon I woke up with horrible tailbone pain Which has now traveled in to my butt and back of thigh..this pain is constant.better when standing but there.could this be sciatica?

    1. Hi Heather,

      It’s difficult to say without examining you. The sciatic nerve does run down the back of the leg, so pain there could be coming from that nerve, or referred by other structures. Your best bet would be to go see someone who can do an exam and help you find out what is going on with your pain. Wish you all the best in your recovery! – Jessica

  30. Hi. I was wondering if you could give me some more information. A year ago I found out that I have a degenerative virtabrea at L4. I started going to PT in April and discovered that majority of my pain was from my SI. A few weeks ago I began having pain in a new spot. Usually my pain radiates from were the top of my pelvic meets the spine area. Getting my pelvic back in line fixes it. However the new pain is further down. It closer to sacrum, but still on the right side. I felt a pop today and now I can’t put weight on my right leg. Any idea of what happened.

    1. Hi Chrisina, I am so sorry I missed your comment! I hope you have been able to get some answers and hope you were evaluated medically for your quick change in symptoms. If you are still hurting and have additional questions, feel free to contact me at jessica@onetherapy.com. All my best, Jessica

  31. Hi. I was wondering if you could give me some more information. A year ago I found out that I have a degenerative virtabrea at L4. I started going to PT in April and discovered that majority of my pain was from my SI. A few weeks ago I began having pain in a new spot. Usually my pain radiates from were the top of my pelvic meets the spine area. Getting my pelvic back in line fixes it. However the new pain is further down. It closer to sacrum, but still on the right side. I felt a pop today and now I can’t put weight on my right leg. Any idea of what happened.

    1. Hi Christina,
      Thanks for writing! Have you talked to the PT that you’ve been working with? I really think that is where I would start. If there was a sudden pop and you can’t put any weight on your right leg, I would get back in touch with them to find out what is going on as quickly as you can. If it seems to worsen, it would be beneficial to see a physician to be examined. In terms of the location of your pain, there are several things that could be going on. Hopefully your physical therapist will be able to figure that out for you, but you may benefit from seeing a pelvic health specialist as well. Let me know if you have any other questions. I hope that you’re starting to feel better! – Jessica

  32. Hi I have sciatica and stinging pain at the coccyx which never goes away, have been to the doctor’s for the last eight months, I’m having physio for the sciatica and taking gabapentin 100 mg capsules but the sciatica is really bad and the coccyx sting pain has got worse no let up, my doctors have only examined me twice but seem to not care, where can I turn now as the coccyx stinging is he’ll

    1. Hi there! I’m so sorry you are hurting so badly. If you are having stinging coccyx pain with the sciatica, it may be worth consulting with a physiotherapist specializing in pelvic health. They could examine in more detail for you and let you know what could be going on! I hope you’re able to find relief soon! All my best, Jessica

      1. Hi Jessica had an appointment at the hospital to see a physiotherapist who knows about coccyx pain, what I found yet again is this person asked me to show him where the pain was which I did, but at no time did he actually examine me? after I dressed he said I needed to go for an MRI SCAN which will be done on the 27/09/17 at DMI ST ANNES.

      2. Hmmm. That’s interesting… I wonder why you were not examined? I’m curious what led him to sending you for an MRI vs examining. Did you ask why he didn’t want to do an exam? Was this physiotherapist trained in internal rectal evaluation of the pelvic floor and coccyx? I know that has to be frustrating!

      3. Yes I agree this person was not qualified in how to examine me correctly , is my bottom that bad?
        It’s been nine months now,have no faith in the NHS anymore as nobody seems to want to examine this area correctly,nobody has checked my prostrate gland or checked for infection, the pain and stinging has change its more in one spot noe

      4. Hi Jessica so annoyed and in pain nobody wants to physically examine me don’t know why,the stinging in the coccyx keeps me awake all night even after taking 300mg of Gabipentin and 60 mg of codeine phosphate.

      5. That is so frustrating! Where do you live? Let me reach out to my network and see if I can find someone skilled to recommend to you (who will actually examine you!)

      6. Thank you Jessica please be advised that I am a pensioner who does not have a lot of money, but will try anything to get to the heart of this, I live in the UK in LYTHAM ST ANNES LANCASHIRE FY8 3BW, its said that we have come to this asking someone else to help just shows that the Tory government is trying to privatise our NHS

  33. Hi Jessica,

    I started having tailboan pain 10 days back. I don’t know the reason but i think it is because of gym.. i was using weights and might not have right posture.
    I went to urgent care but didn’t get any answer. Mostly i have pain if i sit on tailboan and now from two days I am feeling heaviness in the area. Is it a signof healing or i need to worry about.

    As i m not putting any pressure on my tailboan and sitting on donut pillows i dont know the severity of pain.

    1. Hi Shweta, I’m so sorry your tailbone is hurting! It could definitely have occurred by something happening at the gym. Pain in sitting is a very common symptom with tailbone pain. I would definitely recommend seeking out a pelvic physical therapist for evaluation if you haven’t! All my best in your recovery! ~Jessica

  34. Hi, I didn’t fall or anything, just one day it hurt with excruciating pain. I assumed that I just had bruised it from dancing because I had a few days before, but then 9 months later I will stand up or change seating positions during class and I get a sharp pain. What should I do? I have told my physical therapist that I bruised it( I also have patellafemoral tendonitis) but he just said it would heal over time. Now I’m not so sure that I did bruise it. I have read that it could be out of place. Would you recommend going to a doctor or just dealing with it? Thanks for your help

    1. Hi Sydney,
      If you did not have a fall or something like that, I would doubt it is bruised. As you can see from my blog, coccyx pain can come from multiple different structures. Could you talk with your physical therapist about a referral to a pelvic PT who could evaluate you to see what could be happening? I think that would be a good next step for you. All the best, Jessica

  35. Hi Jessica,

    Can you tell me what kind of an MD specialist would I look for. My PCP seems loath to do the internal exam. It seems like the pain started about a tear after surgery for an L2-L3 decompression with fusion (In addition, in the past 5 years I have also had laminectomies at L2-L3, L4-L5,L3-L4). I am 74 years old and in good/very good health aside from degenerative discs. My surgeon (in Boston) is fantastic but he sticks to surgery. I live in Concord, NH and would like to find an MD up here but I will go to Boston of necessary. I just don’t know how to describe the type of MD whose specialty is diagnosing coccydynia. There are PT’s in Concord who specialize in pelvic floor treatment.

    Thanks for whatever help you might be able to offer,


    1. Hi Stuart,
      It can be tricky to find a physician who can help. I have found that some non surgical orthopedic or spine specialists will be more knowledgeable about treating the coccyx. I also think there could be value in talking with the pelvic PTs near you to see which physicians they work with for patients with that problem. I hope that is helpful!

  36. First let me say thank you for providing this forum, and some much needed information, support and piece of mind. I live in Vancouver Canada, and am having difficulties getting to the root of my problem. I was diagnosed with IC about 6 years ago, with occasional flares and moderate pain. About 8 months ago, I started to experience coccyx pain without any specific reason. My family doc says it’s coccydynia, and I could have it for a long time. I’ve had an x-ray, showed some arthritic changes in my sacrum and coccyx. I have moderate/severe arthritis in my neck as well, so I guess it goes all the way down my spine. I also have a cestocele. I have seen a pelvic floor PT but did not get any relief from several visits. I’ve had chiropractic treatment, neuro-prolo therapy, massage therapy….no change. Sitting hurts, even with tailbone cut-out cushions. I am seeing a gyno tomorrow about my prolapse. My question to you is: the 3 conditions – prolapse, IC, and coccydynia – could they all be related? My family doctor says no….I am skeptical. I also have not had luck in finding a PT who specializes in this area – can you help with locating one in this part of the world? Thanks in advance!

    1. Hi Tindy,
      Thanks for reaching out! I am so sorry you have been struggling with IC, tailbone pain and prolapse. I can’t imagine what this has been like for you! I can’t offer specific thoughts on your case, however, I can say that I often see that pelvic problems can frequently be very interconnected. As noted in my article, the pelvic floor muscles can frequently refer pain to the tailbone. These muscles are also very involved in both cases of IC as well as prolapse. I really would encourage you to connect with a local Pelvic PT who could evaluate you more comprehensively and offer a clinical opinion. I looked at an online directory and found Nicole McVarish, who works at Diane Lee’s clinic (very reputable in PT). Her information is found here: https://pelvicrehab.com/practitioner/nicole-mcvarish-bsc-mscpt-cafci-ryt/ She may be worth consulting with. If she does not feel capable to work with you, I am sure she has connections in the area. I hope this is helpful! I wish you all the best in your healing! ~ Jessica

      1. Hello Jessica, thanks so much for getting back to me. I have actually seen Nicole already, but without much success. I have been referred to another specialist by a OBGYN I saw today, she felt that sometimes different practitioners have varying approaches to treatment, so it’s worth a try. I appreciate the piece of mind you offer on this blog, sometimes it feels like all these ailments are so hopeless, and for someone who gets anxiety over chronic health issues, your insight is invaluable.

  37. Hi. I can’t really put my finger on what’s causing my tailbone pain and pain sometimes in the gluteus medius. for about 2 weeks I can hardly Bend at the waist at all and recently my flexibility has returned for the most part except after sitting and a very nice office chair for a while. when I come out of the shower or the jacuzzi I’m able to even touch my toes without any pain. I really don’t think this could be the result of something I did at the gym. I know this is out of left field, but is it possible that my experience with a vibrating dildo could have caused this issue. couldn’t have a cause trauma to that area. I’m concerned about this because I have partners that want to engage in anal play and I don’t want to aggravate or reactivate a situation. thanks for hearing me out.

  38. Is it possible that pain in this area could be caused by anal sex of any kind. I can’t think of anything I did at the gym or anywhere else that could have caused my current pain in the tailbone and the gluteus medius. is it possible that I caused trauma to the area buy a very intense anal dildo activity. I know this sounds like it’s coming from left field but I’m just at a loss to think of anything I could have done that would have caused enough drama to cause the pain that I’m going through.

    1. I’m so sorry I missed this post!! Anal sex, when consensual and enjoyed by both parties (or by a single party!) is not known to cause problems from what I have seen in the literature. That being said, vigorous and more intense sexual activity could lead to an injury or something like this, but it’s really hard to say without discussing in more detail and examining in person.

      If you are still struggling, would you consider seeing a pelvic PT? They could evaluate you more thoroughly and give more guidance as to what could be happening.

      All my best in your healing!


  39. Hi
    Iam having a tailbone pain since one month. I did my X-ray but it showed nothing. Pain gets worse when I contract the area near my anus. I just wan,t to know is it normal to experience this pain while contracting the anal area and how much time does it takes to recover

    1. Hi Dolly! It’s never normal to experience pain like you’re describing. Recovery varies per person based on what is happening for them. Have you seen a pelvic PT? I would recommend being evaluated to better understand what is happening for you. I’m sorry I can’t offer more specific advice. All the best, Jessica

  40. I have had tailbone pain since november and when i first came to see a regukat physician they didnt want to do xrays because im 14 and you know radiation and whatever so he just asked me where it hurt do i think know what caused he pain and when he touched me to feel where the pain is he touched my sacrum but not my tailbone when i told him it was the tailbone that hurt and he gave my ibuprofen 600mg and then i waited for more than a week all yhe way to late december. I saw a different physician at the same place and he checked me he didnt touch where it hurt but when he touched my lower bak i did feel some pain but it wast much and then they took xray of my tailbone. it isnt broken so keep taking the ibuprofen but the problem is i can only take it with food and i have school to go to im not gonna bring a weird shaped pillow to school and those ibuprofen i can only take them with food amd they only last like an hour. he said if it still hurt in a week go see an orthopedist and get an mri its been a week my mom hasnt got me a pillow yet either and i play softball tryouts are coming soon and there are some excersises i cant do i wanted to go to a chiropractor because it might be tension so you know relieve pressure from joints but my parents think it’s nothing i am not trying to go through a year of pain because it from a 4 out of 10 all the way to a 10/10 in 2 months so please help me

    1. Hi there! I am so sorry you are hurting so badly. I understand it can be awkward bringing a cushion to school. It sounds like it might be best for you to be evaluated by a pelvic physical therapist who could help you. Could you show your parents this article and see if they can help you get to one? There is a directory at pelvicrehab.com that can help you find someone near you! Hoping you are able to get help soon! – Jessica

  41. Found this post when looking for pelvic floor anatomy photos… Thanks for the helpful information!

    I think I have delayed onset muscle soreness around my tailbone/sacrum, started the day after I did three sets of exercises on the inner thigh machine at my gym. I did Bosu squats and single leg deadlifts that day too, but those are pretty routine for me… Interesting to think about how different muscles assist during these movements. My guess is the glutes (max/min) were recruited during the eccentric part of hip adduction/abduction… what other muscles/tendons/ligaments would be involved?

    Hoping it goes away soon, or else I will bust out some mini bands and maybe do some lighter resistance exercises to help it keep healing… My workout was Tuesday, my tailbone hurt the most as I was going to bed on Wed and Thursday. I did some gentle yoga last night and today (Friday) it is starting to feel better.

    I saw a couple other comments with people wondering about exercise causes of tailbone pain so wanted to share my experience!

    I also fell doing a TRX row a year ago and broke/bruised my coccyx (The anchor wasn’t clipped properly and I didn’t realize). It hurt to sit (burning pain) for a few weeks and then became duller over the next few months… My doctor said the x-ray was hard to read but it may have been a partial (hairline?) fracture, no displacement. I used a donut pillow in the car and an old airplane neck pillow to sit on at work, which relieved the pressure. Until researching my own injury, I didn’t realize how common it was for women to experience this pain after giving birth, or how many family members had similar injuries!

    To recover and stay active, I did light strength exercises through the spring, things like step ups and bodyweight squats. No running/jumping for a few months. I began more moderate lifting in the summer. By the fall I successfully returned to my pre-injury weights and even set a couple new personal bests! It still sometimes hurts when I do a lateral movement (side lunges), just to the side of the bone, but it doesn’t last long, so I try to be careful with how I progress my weights.

    It’s amazing to me how our bodies can adapt and heal when we give them a supportive environment and enough stimulus to rebuild the tissue safely!

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