Coccyx pain, also known as coccydynia, refers to pain at the very bottom of the spine — the tailbone or coccyx. This small triangular bone sits just below the sacrum and supports you when sitting. Pain occurs when the coccyx becomes bruised, inflamed, or unstable, leading to discomfort that can be sharp, aching, or persistent.
Typical symptoms include:
Coccyx pain may result from a fall or trauma, childbirth, repetitive strain (e.g. cycling), or prolonged sitting. In some people, the coccyx becomes slightly mobile or dislocated, leading to chronic irritation. Because symptoms can resemble other causes of pelvic or spinal pain, expert assessment is essential to ensure the correct diagnosis and avoid unnecessary treatments.
At Wessex Pain Clinic, we begin with a comprehensive history and physical examination (if required) to understand how the pain developed and which movements trigger symptoms.
We may recommend imaging such as MRI.
We work closely with physiotherapists specialising in pelvic and spinal rehabilitation. Treatments may include gentle stretching, posture correction, and pelvic floor relaxation. Hydrotherapy can also help restore mobility with minimal discomfort.
Our pain psychology partners support patients in managing chronic pain and regaining confidence in daily activity. Although rarely needed, we work closely with orthopaedic surgical colleagues, so can involve their expertise if needed.
At Wessex Pain Clinic, we work as a team and meet regularly to discuss complex, treatment resistant or unusual cases. As such you will often receive the expertise of several pain consultants. We believe that we are one of very few pain clinics to offer this.
Depending on the cause and severity, we may recommend:
Medication is reviewed regularly to ensure effectiveness and minimise side effects.
Our friendly team is on hand to support you every step of the way. Please get in touch at any time.
