(Tailbone Pain)

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Coccydynia facts

  • Coccydynia is inflammation localized to the tailbone.
  • There are many mimics of coccydynia.
  • Symptoms and signs of coccydynia include focal pain and tenderness at the tailbone. The pain is usually dull and achy.
  • Injury is the major risk factor for coccydynia.
  • Coccydynia is diagnosed based on the history and physical examination.
  • Conservative measures usually resolve coccydynia.

What is coccydynia?

Inflammation of the tailbone (coccyx or bony area located deep between the buttocks above the anus) is referred to as coccydynia. Coccydynia is associated with pain and tenderness at the tip of the tailbone between the buttocks. The pain is often worsened by sitting.

What causes coccydynia?

Coccydynia is often caused by an injury, but it may occur seemingly spontaneously. There are many causes of tailbone pain that can mimic coccydynia, including sciatica, infection (including shingles of the buttocks), pilonidal cysts, sacroiliitis, and fractured bone (broken tailbone or tailbone fracture).

What are risk factors for coccydynia?

The major risk factor for coccydynia is injury to the coccyx or pelvic bones.

What are coccydynia symptoms and signs?

Pain and local tenderness at the tailbone are the major symptoms of coccydynia. This can lead to difficulty sitting or leaning against the buttocks. Along with the pain with sitting, there is typically exquisite tenderness at the tailbone area.

Medically Reviewed by a Doctor on 1/26/2015

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Buttock Pain Symptoms

Many conditions and diseases can cause pain in the buttocks. These range from temporary annoyances, such as bruising and shingles, to more serious diseases with long-term consequences, such as cancers and arthritis of the sacroiliac joints. All symptoms related to buttock pain must be evaluated in terms of their intensity, duration, location, aggravating or relieving factors, and in view of the presence or absence of accompanying medical issues in order to precisely identify the cause.