Coccygodynia

Coccygodynia, or coccygeal pain, is also known as coccydynia, coccalgia, or coccygalgia. It is a painful syndrome affecting the coccyx (tailbone). It is relatively uncommon, and may have a variety of causes. Pain is typically aggravated by sitting, particularly on hard areas, and can severely affect quality of life. Imaging should be correlated with a detailed medical history, including any therapies previously tried, and a thorough physical exam. Treatment options must be tailored to individual patient needs. Conservative treatments include massage, physical therapy, and medications. Interventional procedures, including ganglion impar blocks, caudal injections, and radiofrequency ablation, have all been used in management of this painful condition. For coccygeal pain that does not respond to conservative therapy, surgical treatment involving coccygectomy is available.