Coccydynia, or tailbone pain, can manifest in various ways. The symptoms can range from mild discomfort to severe pain that can limit your ability to move.

• Pain: This is often the first symptom of coccydynia. The pain may be dull (achy) or sharp (piercing), and it often worsens when you go from sitting to standing.
• Pain during bowel movements: You may experience pain when you poop.
• Pain during sex: Some people may experience pain during sex.
• Back pain and Sciatica: These related symptoms may occur in people with coccydynia.

Treatment for coccydynia aims to control pain, minimize joint damage, and improve or maintain function and quality of life. The treatment plan will depend on the cause of your coccydynia.

• Medications: Over-the-counter pain relievers and anti-inflammatory medications can help to reduce pain and swelling. In some cases, prescription medications may be necessary.
• Physical therapy: A physical therapist can teach you exercises to help improve flexibility and strength, and to reduce pain.
• Lifestyle changes: These can include regular exercise, a healthy diet, and weight loss if the person is overweight.
• Surgery: In some cases, surgery may be necessary to repair damage to the tailbone.
• Exercises to improve strength and flexibility: These can help to reduce pain and improve joint function. Specific exercises can include strengthening of the pelvic floor muscles, stretching and mobility exercises, and core stabilisation exercises.
• Advice on managing daily activities: This can include learning new ways to do everyday tasks, such as cooking or cleaning, to reduce strain on affected joints.
• Assistance with pain management: This can include learning relaxation techniques or other methods to help manage pain.

Physiotherapy is often recommended to help patients maintain mobility through exercises designed to strengthen muscles and improve flexibility. The physiotherapist may give you advice on posture, movement, exercises and stretches. They may also use manual therapy and taping to treat the local problem. Manual therapy can include mobilising the coccyx, either externally or sometimes internally via the back passage. This usually provides good relief from the symptoms.