Summary

• Disabling pain in the coccyx, usually provoked by sitting or rising from sitting.
• May be traumatic (e.g., a fall or childbirth) or idiopathic in origin.
• More common in women.
• Conservative management includes pressure-relieving cushions, local corticosteroid injections, and/or coccygeal manipulation.
• Surgery (coccygectomy) is highly effective in recalcitrant post-traumatic coccygodynia.
• It is important to rule out local pathology, such as tumours or infection.