Coccygodynia (CD) refers to pain localized in the area between the tailbone and the anus.

Women suffer from CD 5 times more often than men. Being overweight is also associated with an increased risk of developing CD. Acute CD is mostly the result of trauma (usually a fall while sitting). Repetitive micro-traumatization, for example, riding a bicycle with a hard seat, engaging in bicycle sports can also cause the development of CD.


In the case of acute posttraumatic CD, conservative treatment is indicated, like nonsteroidal anti-inflammatory drugs (NSAID) and special seating aids that reduce pressure on the tailbone.

In chronic CD cases blockade with the local anesthetics, in most cases, leads to a pronounced decrease in pain syndrome.

In cases where repeated blockade using local anesthetics and/or steroids has a short-term effect, radiofrequency treatment of neural structures in the tailbone area can be used.

Surgical treatment, i.e. the removal of all or part of the tailbone, can only be considered in patients with long-term and unsuccessful treatment of CD by other, less invasive methods. There are reasonable contraindications for this surgical intervention due to the high probability of severe postoperative adverse events.