Tailbone (coccyx) pain

Also called Coccydynia or Coccyx pain

Tailbone pain is pain in the coccyx, the small bone at the bottom of the spine. It is often worse when sitting, leaning back or getting up from sitting. It can be caused by a fall onto the bottom, childbirth, sitting on hard surfaces for a long time, or sometimes there is no clear cause.

Last updated Nov 9, 2026

What it is

It usually gets better within a few weeks or months. Painkillers, a special cushion and avoiding sitting for long periods help.

If pain continues, physiotherapy, injections or, rarely, surgery may be offered.

Common signs

  • Pain at the base of the spine
  • Pain worse when sitting or leaning back
  • Pain when getting up from sitting
  • Pain during bowel movements or sex

How it is usually diagnosed

  • Questions about symptoms and an examination
  • Sometimes an X-ray or MRI scan

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • GP or physiotherapy notes
  • X-ray or MRI reports
  • Pain clinic letters

Questions to ask your doctor

  • What can help me sit more comfortably?
  • How long is it likely to last?
  • When would an injection be considered?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Numbness around the bottom, loss of bladder or bowel control, or a fever with swelling at the base of the spine: get urgent help, call 112

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources