From the Research
Coccydynia (tailbone pain) can last anywhere from a few weeks to several months, with most cases resolving within 6-8 weeks with conservative treatment, as supported by the most recent study 1. The duration of coccydynia can vary significantly depending on the cause of the pain, individual healing factors, and adherence to treatment recommendations.
- For acute coccydynia, pain usually improves within days to weeks, while chronic cases (lasting longer than 2 months) may require more extensive treatment.
- Treatment typically begins with non-prescription pain relievers like acetaminophen (500-1000mg every 6 hours, not exceeding 4000mg daily) or NSAIDs such as ibuprofen (400-600mg three times daily with food).
- Using a donut-shaped cushion when sitting, avoiding prolonged sitting, applying ice or heat, and practicing good posture are essential self-care measures.
- If pain persists beyond 2-3 months despite these approaches, medical interventions like physical therapy, local steroid injections, or rarely, surgery may be considered, with recent studies suggesting the efficacy of ultrasound-guided coccygeal nerve radiofrequency ablation and steroid injection 1. The pain tends to persist because the tailbone area experiences regular pressure during sitting and movement, which can delay healing of the sensitive coccygeal joints and surrounding tissues, highlighting the importance of prompt and effective treatment to minimize morbidity and improve quality of life, as noted in earlier studies 2, 3, 4, 5.