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What is the treatment for coccydynia?
Patients with coccydynia are advised to use a well-padded seat when sitting and avoid long periods of sitting when possible. If the condition becomes severe or persistently troublesome, then medical attention should be sought to
accurately evaluate the cause of the pain, especially if there is associated bruising or rash.
Rest, avoiding reinjury to the affected area, anti-inflammatory medications, and pain medications can relieve symptoms. Sitting on a pillow, cushion, or buttock support can help. Some patients with persistent coccydynia are treated with local cortisone injection. This injection is simply performed in the doctor's office and can potentially dramatically relieve the pain and even resolve the symptoms for many. Physical therapy with exercises can be helpful in the recovery. Rarely, when patients have unrelenting pain, a surgical resection of the coccyx (coccygectomy or surgery to remove the coccyx bone) can be performed to remove the irritated bony prominence.