(01582) 714 304
The coccyx is the bit of your spine right down at the bottom, also known as the ‘tail bone’. The coccyx can become inflamed and potentially even mis-shaped. This can be caused by trauma but equally can come on for no apparent reason. This can result in pain when you are sitting down, and also when getting up after sitting. We refer to a painful coccyx as having ‘coccydynia’.
If you have coccydynia then the potential management options are:
Conservative management: Using a cushion when sitting to keep the load off your coccyx. If you search ‘coccyx cushion’ on a search engine, then it will give you a number of options of differing prices. The idea with a cushion is that by keeping your weight off the coccyx hopefully your symptoms will settle down. Physiotherapy can also be helpful, though it is often best to see a pelvic floor specialist physiotherapist rather than a general physiotherapist. If your symptoms are settling down with conservative management, then we will arrange for you to have a MRI scan of your coccyx.
Injection: This is an injection of a mixture of local anaesthetic and hydrocortisone (steroid) around the coccyx. The injection is a potent anti-inflammatory and it is hoped that this will help to break the inflammatory cycle. Following an injection you should continue with your cushion for at least 6-weeks.
Surgery: If you have an on-going problem with coccydynia then you maybe a candidate for having your coccyx removed. This is called a ‘coccygectomy’.
Spire Harpenden Hospital
(01582) 714 304