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Coccydynia can be incredibly painful for patients who spend extensive time sitting or have incurred a recent injury to the tailbone. When a patient has developed coccydynia, their tailbone (or coccyx) becomes irritated, creating immense tenderness between the buttocks. Due to this inflammation, intense pain is felt when sitting and during sexual intercourse and bowel movements. With a state-of-the-art approach to pain relief and a team of Board Certified Specialists that genuinely cares about their patients, The Spine & Rehab Group in our Manhattan and New Jersey locations is highly trained in diagnosing and treating Coccydynia.

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What is Coccydynia?

Coccydynia is a pain in your tailbone or coccyx, the last bone in your spine. It is not considered to be a serious condition. You could get Coccydynia if you had an accident or injury, such as a fall. In most cases, Coccydynia improves over a few weeks or months, but it can last longer and affect your mobility.

What Causes Coccydynia?

There are many causes of Coccydynia, including:

Rare but serious causes of Coccydynia include infection and cancer. Also, age-related wear and tear can play a part. Other less common causes are arthritis and bony growth on the coccyx.

What are the Symptoms of Coccydynia?

Other than the main symptoms, which are pain and tenderness in the lower back or area just above the buttocks, you may also experience:

Our Board certified doctors Amr Hosny, MD, MBA, FASA Amr Hosny, MD, MBA, FASA David Chu, MD, FAAPMR David Chu, MD, FAAPMR Vivek Mehta, MD, FAAPMR Board Certified Interventional Spine Medicine Vivek Mehta, MD, FAAPMR Deepali Gupta, MD, DABA, DABPM Board Certified Interventional Spine Specialist Deepali Gupta, MD, DABA, DABPM

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Diagnosis of Coccydynia

Your doctor will first collect your medical history and begin a physical exam. A thorough coccyx pain examination will include palpation to check for tenderness and an intrarectal exam to manipulate the coccyx. The doctor will feel the area by hand to check for any swelling and tenderness, bone spurs, cysts, or tumors around the coccyx. As for the intrarectal exam, the doctor may manipulate the coccyx manually through your rectum to check for any limited mobility or muscle tension in the pelvis. Your doctor may also perform additional exams such as CT scans and X-rays.

Treatment for Coccydynia

here are many treatments for coccydynia. It can usually be treated at home, and almost 90% of cases improve successfully with at-home treatments. Common treatments for Coccydynia include:

If your pain lasts more than 8 weeks and treatment does not improve, your doctor may recommend surgery (Coccygectomy).

Beating Coccydynia at Home

You can beat Coccydynia at home with self-care measures such as avoiding sitting for long periods, applying warm and cold compresses to your lower back, and taking OTC painkillers such as ibuprofen. If your pain does not improve with home remedies, contact a spine specialist as soon as possible.

patient TESTIMONIALS ★★★★★

I came to the spine and rehab group for my back and leg pain. I was able to get an appointment the same day I called. The staff was very friendly and courteous. The doctors were very knowledgeable and took time to explain what was causing my pain and answer all my questions. I felt comfortable having my procedure done in their state of the art surgery center, where the staff made you feel at ease. They are very easy to reach and available to answer all your questions.

Narendra G.

The entire staff at The Spine & Rehab group is great. They are so helpful and kind. The doctors really take time to talk to their patients and answer any and all of the questions that I had. I've had office visits and procedures done and everyone to the front desk, to the nurses. and the doctors were just great and knowledgeable. They really got me feeling better as well. Since I starting going there my pain has improved greatly! I would recommend The Spine & Rehab Group to everyone!

Carmen C.

The Spine & Rehab Group is my go to place for chronic pain. The doctors are compassionate and supportive. The nurses and staff are professional and so caring. I have been a patient here for almost 10 years . The doctors and physician assistant are extremely knowledgeable and always looking for the best way to help with my chronic pain! I always recommend The Spine & Rehab Group to people dealing with pain, I even tell my other doctors what wonderful doctors they are.

Val B.

These days it’s hard to find a professional, yet extremely caring physicians office, particularly in the field of Pain Management. Dr. Hosny, Dr. Chu, physician’s assistant Summer and the entire staff have managed to make this happen. Robin helped me many times with insurance to ensure that I got my shots in a timely manner (Hi Robin!). I’ve been going to this office for about three years and I couldn’t be more pleased!


I went to Dr. Hosny with lower back pain. I spend many hours sitting in a truck for my job. After an hour or so I would get pain in my back. Since I am a truck driver, pain killers were not an option for me. After a few sessions with Dr. Hosny, I am pain free. The staff at New Jersey Pain Care Center and are wonderful and caring people. I would recommend anyone go to Dr. Hosny if they want real results.


I had gone to Dr. Hosny with severe back pain after spinal surgery. It was debilitating pain that stopped me from being able to function normally. Dr. Hosny suggested that I have a Spinal Cord Stimulator implanted in my back. It is the best thing I EVER did. I am so excited to be able to return to my normal life with no medication. My experience at the pain center was wonderful. The nurses were very understanding and kind.


I have had back surgeries that provided me no relief from my pain. After a few treatments with Dr. Hosny, I have almost no discomfort. I have no need for my pain medication anymore, and have been able to go back to working out and enjoying activities with my family. I was pleasantly surprised at the treatment I received at New Jersey Pain Care Center. The staff is very nice, and treats you with respect. The facility is clean, bright and everything is brand new.


I had been having pain in my neck for many years. I had been to other doctors and they all recommended that I have surgery. I was hesitant to get surgery, so I wanted one more opinion. I had a friend tell me about Dr. Hosny and New Jersey Pain Care Center. From the moment I met Dr. Hosny I knew he wasn’t your average doctor. He took the time to listen to my concerns about surgery, and he agreed. After my cervical radiofrequency, I have full range of motion back in my neck, and best of all, no pain.

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Page Updated on Dec 15, 2022 by Dr. Hosny (Interventional Spine Specialist) of The Spine & Rehab Group
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