Why Does My Tailbone or Lower Back Hurt When Sitting?

If you experience discomfort or pain in your tailbone or lower back when sitting, you’re not alone. This common condition, known as tailbone pain or coccydynia, can cause significant discomfort and affect your daily activities.

Tailbone pain can be caused by various factors, such as injury, prolonged sitting on a hard surface, arthritis, or even childbirth. Regardless of the cause, it’s important to understand why you’re experiencing this pain and what steps you can take to find relief.

In this article, I will explore the symptoms and causes of tailbone pain, discuss self-care and home remedies for relief, explain medical treatments for chronic pain, highlight the process of diagnosing tailbone pain, and offer some key takeaways for managing this condition effectively.

Key Takeaways:

  • Tailbone pain can be caused by various factors such as injury, prolonged sitting on a hard surface, arthritis, or childbirth.
  • Self-care measures such as maintaining proper posture, using a cushion, and applying heat or cold packs can help alleviate tailbone pain.
  • If self-care measures do not provide sufficient relief, medical treatments such as physical therapy or injections may be necessary.
  • Diagnosing tailbone pain involves a thorough evaluation of symptoms, medical history, and physical examination, including imaging tests to rule out other potential causes.
  • Consult a healthcare professional for personalized advice and guidance tailored to your specific situation.

Symptoms and Causes of Tailbone Pain

Tailbone pain, also known as coccydynia, can cause tenderness and discomfort in the area around the coccyx. The pain can vary from dull and achy to sharp and occasional. Individuals with tailbone pain often experience worsened symptoms when sitting for long periods, bending forward, or engaging in activities like bowel movements or sexual intercourse.

There are several common causes of tailbone pain. The most frequent is injury or trauma, such as falling directly onto the tailbone. Prolonged pressure on the coccyx, often from sitting on a hard surface, can also contribute to tailbone pain. Poor posture, including slouching or sitting in a position that puts excessive strain on the tailbone, is another common cause.

Pregnancy and childbirth can lead to tailbone pain due to the pressure exerted during labor or the change in posture during pregnancy. Joint hypermobility, a condition in which the joints are more flexible than usual, can also contribute to tailbone pain.

In some cases, the exact cause of tailbone pain may not be immediately apparent. However, it is essential to seek medical attention if the pain persists for more than a few weeks or is accompanied by other concerning symptoms.

why my tailbone or lower back hurts when sitting

Self-Care and Home Remedies for Tailbone Pain Relief

Tailbone pain, also known as coccydynia, can often be managed effectively with self-care measures and home remedies. By incorporating these strategies into your daily routine, you can find relief and promote healing for your tailbone discomfort.

Maintain Proper Posture

One of the key factors in managing tailbone pain is maintaining proper posture while sitting. Sit upright with your back aligned against the chair and avoid slouching or leaning back excessively. This helps to minimize pressure on the tailbone and promotes better spinal alignment.

Use a Specially Designed Coccyx Cushion

A specially designed coccyx cushion can provide significant relief by redistributing pressure away from the tailbone. These cushions feature a cut-out area or contour that helps to alleviate discomfort and prevent further irritation. Consider using a coccyx cushion when sitting for extended periods, especially on hard surfaces.

Lie on Your Side

If sitting becomes uncomfortable, lying on your side can help reduce pressure on the coccyx. Place a pillow between your knees for added support and alignment. This position can alleviate tailbone pain and allow for better relaxation.

Perform Pelvic Floor Exercises

Pelvic floor exercises, also known as Kegel exercises, can help strengthen the muscles around the tailbone and provide support to the area. Engaging in these exercises regularly can improve stability and reduce pain. Consult a healthcare provider or physical therapist for guidance on proper techniques.

Apply Heat or Cold Packs

Applying heat or cold packs to the affected area can provide temporary relief from tailbone pain. Heat therapy helps increase blood flow and relax muscles, while cold therapy reduces inflammation and numbs the area. Experiment with both methods to determine which one works best for you.

Take Over-the-Counter Pain Relievers

Over-the-counter pain relievers, such as acetaminophen or nonsteroidal anti-inflammatory drugs (NSAIDs), can help alleviate discomfort and reduce inflammation associated with tailbone pain. Follow the recommended dosage instructions and consult a healthcare provider if you have any underlying medical conditions or are taking other medications.

“By incorporating these self-care measures and home remedies into your routine, you can effectively manage and find relief from tailbone pain.”

If self-care measures do not provide sufficient relief or if your tailbone pain persists, it is important to seek further evaluation and potential treatments from a healthcare provider. They can assess your condition and recommend additional interventions such as physiotherapy or corticosteroid injections to alleviate your symptoms.

tailbone pain relief

Remember, every individual’s experience with tailbone pain may vary, and it is essential to listen to your body and seek appropriate medical guidance. By taking proactive steps and utilizing these self-care strategies, you can find relief and promote healing for your tailbone pain.

Medical Treatments for Chronic Tailbone Pain

In cases of chronic tailbone pain that does not respond to self-care measures, there are several medical treatments that may be considered.

1. Physical Therapy: A physical therapist can provide targeted treatments to address chronic tailbone pain. This may include teaching pelvic floor relaxation techniques and performing muscle manipulation around the tailbone.

2. Injections: Corticosteroid and local anesthetic injections into the coccyx joint can help alleviate chronic tailbone pain. These injections can reduce inflammation and numb the area, providing temporary relief.

3. Surgery: In rare cases of severe and persistent coccydynia, surgery may be recommended. This can involve the removal of part or all of the coccyx, known as a coccygectomy. Surgery is typically considered a last resort when conservative treatments have been unsuccessful.

It is important to note that medical treatments for chronic tailbone pain should only be considered after conservative measures have been tried and failed. Discussing all available options with a healthcare professional is crucial to determine the most appropriate treatment plan.

Diagnosing Tailbone Pain and Ruling Out Other Conditions

Diagnosing tailbone pain involves a comprehensive evaluation of the symptoms, medical history, and physical examination. To rule out other potential causes and assess for fractures or joint changes, healthcare providers may request imaging tests such as x-rays or MRI scans. It is crucial to differentiate tailbone pain from conditions that mimic its symptoms, including sciatica, sacroiliitis, fractures, infections, or pilonidal cysts. Seeking medical attention is important if there are concerning symptoms or if the pain worsens, as a proper evaluation and diagnosis are essential.

When diagnosing coccydynia, healthcare providers will conduct a thorough assessment to understand the specific characteristics of the pain and any accompanying symptoms. They may inquire about the onset of the pain, its intensity, aggravating or alleviating factors, and any associated sensations or limitations. A physical examination may involve assessing the area around the tailbone for tenderness, swelling, or abnormal movement.

In some cases, imaging tests such as x-rays or MRI scans may be ordered to visualize the tailbone and surrounding structures. X-rays can help identify fractures or abnormalities in the coccyx, while MRI scans provide a detailed view of soft tissues and can help detect problems like infections or tumors.

Additionally, healthcare providers must rule out other conditions that can cause similar symptoms to tailbone pain. Conditions like sciatica, which is caused by irritation or compression of the sciatic nerve, can radiate pain to the tailbone area. Sacroiliitis, inflammation of the sacroiliac joints located at the base of the spine, can also cause pain in the lower back and buttocks region. Fractures, infections, or pilonidal cysts should be excluded as well.

Differential Diagnosis of Tailbone Pain

When assessing tailbone pain, healthcare providers may consider the following conditions in the differential diagnosis:

  • Sciatica
  • Sacroiliitis
  • Fractures
  • Infections
  • Pilonidal cysts

By ruling out these conditions, healthcare providers can arrive at a more accurate diagnosis of coccydynia. It is important to consult with a healthcare professional for a proper evaluation and diagnosis, as tailbone pain may have different underlying causes that require specific treatment approaches.

ConditionSymptomsDiagnostic Tests
SciaticaRadiating pain, numbness, or tingling from the lower back down the legPhysical examination, imaging tests such as MRI or CT scans, electromyography (EMG)
SacroiliitisPain in the lower back, buttocks, or hips, typically worse with prolonged sitting or standingPhysical examination, imaging tests such as x-rays or MRI scans, blood tests to measure inflammation markers
FracturesLocalized pain, tenderness, swelling, and difficulty sittingX-rays, CT scans, or MRI scans to visualize fractures or other bone abnormalities
InfectionsPain, swelling, redness, warmth, and feverPhysical examination, blood tests, imaging tests to identify signs of infection
Pilonidal cystsLocalized pain and swelling near the tailbone, may develop a pus-filled abscessPhysical examination, imaging tests such as ultrasound or MRI scans

Conclusion

Dealing with tailbone pain when sitting can be a frustrating and uncomfortable experience, but the good news is that it often resolves on its own with time and self-care measures. To find relief for your tailbone and lower back pain, it is important to prioritize proper posture and make use of supportive cushions and pillows to reduce pressure on the tailbone.

In addition to self-care measures, seeking medical attention is recommended if the pain persists or worsens. A healthcare professional can provide further evaluation and recommend personalized treatments tailored to your specific needs. Whether it’s physical therapy, corticosteroid injections, or in rare cases, surgery, there are various medical treatments available for chronic or severe cases of coccydynia.

Remember, everyone’s experience with tailbone pain is different, so it is crucial to consult with a healthcare provider for professional advice and guidance. They can help you determine the best course of action, ensuring you find the relief you need and improving your overall quality of life. Don’t hesitate to reach out and take the necessary steps to alleviate your tailbone pain and get back to enjoying your everyday activities.

FAQ

What causes tailbone pain when sitting?

Tailbone pain, also known as coccydynia, can be caused by various factors such as injury, prolonged sitting on a hard surface, arthritis, or childbirth.

How long does tailbone pain usually last?

Tailbone pain usually resolves on its own within a few weeks or months.

How can I alleviate tailbone and lower back pain while sitting?

To alleviate tailbone and lower back pain while sitting, it is recommended to lean forward, use a pressure-reduction cushion, apply heat or ice, and take pain relievers.

When should I consult a healthcare provider for tailbone pain?

It is important to consult a healthcare provider if the pain persists or worsens, or if it is accompanied by other concerning symptoms.

What are the common symptoms of tailbone pain?

The main symptom of tailbone pain is tenderness and pain in the area around the coccyx, which can feel dull or achy with occasional sharp pains.

What are the common causes of tailbone pain?

Common causes of tailbone pain include injury or trauma, prolonged pressure on the coccyx, poor posture, pregnancy and childbirth, and joint hypermobility.

How can I manage tailbone pain at home?

Tailbone pain can often be managed with self-care measures and home remedies such as maintaining proper posture while sitting, using a specially designed coccyx cushion, applying heat or cold packs, and taking over-the-counter pain relievers.

What medical treatments are available for chronic tailbone pain?

In cases of chronic tailbone pain that does not respond to self-care measures, various medical treatments may be considered such as physical therapy, corticosteroid and local anesthetic injections into the coccyx joint, and, in rare cases, surgery to remove part or all of the coccyx.

How is tailbone pain diagnosed?

Diagnosing tailbone pain often involves a thorough evaluation of the symptoms, medical history, and physical examination. Imaging tests may be requested to rule out other potential causes or to assess for fractures or joint changes.

How long does it take for tailbone pain to resolve?

Tailbone pain can resolve on its own with time and self-care measures. However, it is important to seek medical attention if the pain persists or worsens.

Should I seek medical attention for tailbone pain?

It is advised to seek medical attention if the pain persists or worsens, as further evaluation and treatments may be necessary. Consulting with a healthcare professional can provide personalized advice and guidance tailored to your specific situation.

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