Coccydynia is a painful condition of the tailbone (coccyx) that can occur due to trauma, childbirth, or idiopathic causes. It commonly affects women around age 40 and causes pain when sitting, rising from sitting, standing, climbing stairs, bending, lifting, or opening the bowels. Treatment may involve NSAIDs, local anesthetics, stool softeners, sitz baths, coccygectomy surgery, or physiotherapy including ultrasound, cryotherapy, a coccygeal pillow, manipulation, and advice on sitting positions.

1. COCCYDYNIAa complicated condition that can be a real painin tailbone….
Dr. Subhash Khatri,PT,PhD
physiokhatri@gmail.com

2. DEFINITION
• Disorder characterized by pain in tail bone or
coccyx
• Coccyx=segment of vertebral column
• Cuckoo =bird beak
• Dynia=odyne=pain
• Coccygodynia was coined by Simpson in
1859
• Coccygodynia/coccydynia/coccalgia,
coccygalgia, or coccygeal pain

3. ETIOLOGY
• Idiopathic
• Trauma
• Childbirth
• Growth spurt

4. PATHOLOGY

5. CLINICAL FEATURES
• Pain at the tail bone
• Women
• 1% of population
• 40 years
• Sitting
• rising from a seated position
• Prolonged standing
• Climbing stairs
• Bending
• Lifting
• Opening your bowels

6. Investigations

7. MEDICAL MANAGMENT
• NSAIDS
• LA
• Stool softener
• Sitz bath

8. SURGICAL TREATMENT
• coccygectomy

9. PHYSIOTHERAPY MANAGEMENT
• Modality: Ultrasound, Sitz bath, Cryotherapy
• Appliance: Coccygeal pillow
• Movements: Coccygeal manipulation
• Advice: Sitting/hard surface