Coccydynia

PRESENTATION AND DIAGNOSIS

The classic presentation of coccydynia is localized pain over the coccyx. Patients present complaining of "tailbone pain." The pain will usually be worse with prolonged sitting, leaning back while seated, prolonged standing, and rising from a seated position. Pain may also be present with sexual intercourse or defecation.

History may be significant for a recent trauma with an acute onset of pain. Physical examination will reveal tenderness over the coccyx

Signs and symptoms

Patients with coccydynia most often present with complaints of pain in and around the coccyx without significant low back pain or pain radiation or referral. Classically, this pain is associated with sitting and is exacerbated when rising from a seated position. Many patients will also feel a frequent need to defecate or pain with defecation.

Injection technique for coccydynia