Coccydynia— pain that occurs in or around the bony structure at the bottom of the spine (coccyx) — can be caused by trauma to the coccyx during a fall, prolonged sitting on a hard or narrow surface, degenerative joint changes, or vaginal childbirth.

Tailbone pain can feel dull and achy but typically becomes sharp during certain activities, such as sitting, rising from a seated to a standing position or prolonged standing. Defecation and sex also might become painful. For women, tailbone pain can make menstruation uncomfortable as well.

Tailbone pain, also called coccydynia or coccygodynia, usually goes away on its own within a few weeks or months. To lessen tailbone pain in the meantime, it might help to:

• Lean forward while sitting down
• Sit on a doughnut-shaped pillow or wedge (V-shaped) cushion
• Apply heat or ice to the affected area

If tailbone pain doesn't improve (chronic coccydynia), consult doctor. He or she might do a rectal exam to rule out any other conditions. Doctor might recommend using magnetic resonance imaging (MRI) to find out if you have a fracture, degenerative changes or, in rare cases, a tumor.

Causes of Coccydynia

Factors that can cause coccydynia are:

• An injury or fall on the coccyx,
• During childbirth,
• Strain on the coccyx,
• Poor posture,
• Being overweight or underweight,
• Age-related wear and tear can also be there.
• Bony growth on the coccyx, coccyx being too flexible or too rigid, and
• Arthritis.

Other causes for tailbone pain which can impersonate coccydynia may include fractured bones (broken tailbone or tailbone fracture), sciatica, sacroiliitis etc.

Symptoms 

The main symptom is pain and tenderness in the area just above the buttocks.

The pain may:

• be dull and achy most of the time, with occasional sharp pains
• be worse when sitting down, moving from sitting to standing, standing for long periods, having sex and going for a poo
• make it very difficult to sleep and carry out everyday activities, such as driving or bending over

Some people also have back pain, shooting leg pains (sciatica) and painful buttocks and hips.

HOMOEOPTHIC TREATMENT

Hypericum 

Very useful for coccydynia where there is an injury from a fall. There is a pain in the spine which grows severe with every passing day, and the patient is unable to sit (except on an air cushion.).Useful for violent pain and inability to walk comfortably after a fall on the coccyx.

Rhus Tox 

Useful remedy for pain in the coccyx which is aggravated after overexertion. There is stiffness and soreness as soon as he attempts to move but gets better when in continuous motion or by warm applications. Useful for patient who is quite restless and often changes position.

Ruta Graveleons 

Useful for coccydynia where there is  bruised pain in the coccyx as a result of a blow or fall with the sensation of soreness. Very usaeful if patient experiences constipation after a mechanical injury.

Lachesis 

Very useful for continuous pain in the coccyx while sitting. There is a feeling of sitting on something sharp. Useful for drawing and continuous pain that prevents motion, along with a sharp, agonizing pain when rising from a seat. Also useful for neuralgia of coccyx which  is worse from rising in a sitting posture, and the patient must sit still.

Petroleum 

Useful for stiffness in the coccyx. There is uneasiness and stiffness in the small of the back and coccyx (especially towards evening). There is pain and sensitiveness in coccyx while sitting.

RL 15

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