Pain in the area of the tail bone can be very intrusive. It could sometimes be the result of a fall on the back or following a difficult labour. Most often there is no underlying cause for this condition. MRI helps in ruling out any underlying pathology. Association with a low back pain occurs in half the patients. An inflamed bursa is seen frequently. Pain on sitting is the usual presenting complaint.
Treatment options range from seating modifications, the use of a ring cushion and injection of steroids locally. An examination under anaesthesia is required to assess the problem in sever cases. Rarely coccygectomy is performed to surgically remove the coccyx.