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Coccydynia is a surprisingly common condition. The condition itself is that of pain around the coccyx.

The coccyx is the small bone just below the sacrum, and is the remnant of the tail. The condition itself is that of pain around the coccyx that can occur when sitting or standing. It can occur after trauma when it is referred to as secondary coccydynia but can also occur for no particular reason when it is called primary coccydynia.

Coccydynia can occur after childbirth fall onto the bottom or even just after sitting on a hard seat the several hours.

The condition often goes unrecognised for many months patients find it difficult to discuss whether pain is actually coming from.

Conservative Treatment

The first line of treatment is to try simple oral analgesics and often the pain resolved spontaneously. If this line of treatment fails various forms of manipulation may be of assistance and can be obtained from a physiotherapist chiropractor or an osteopath.

Injection Treatment

If the pain persists for more than 2 to 3 months it is worth considering injection therapy as this has a high success rate in relieving the pain. The injections are performed under sedation and with local anaesthetic and the surgeon using x-ray guidance inject a small amount of local anaesthetic and steroid into the painful area.


The usual success rates are quoted as 75% for the first injection up to 86% of the second injection with only a small percentage of patients failing injection therapy.


If injection therapy fails to resolve the pain the patient may consider excision of the coccyx. This technique involves a small incision over the coccyx under general anaesthetic and removal of the painful phone.

Complications of Surgery

Unfortunately because of the location there is a 25% infection rate but fortunately a high success rate with this procedure. Overall the results of injection treatment and surgery are success and pain relief in the majority of patients.

problem area

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Spine and Coccyx
Hip and Pelvis
Foot and Ankle


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