Tailbone pain – A tailbone doesn’t have to be broken to cause pain so getting X-rays of a tailbone are useless. Basically, it’s a type of joint pain. One can reproduce pain by putting pressure over the joint. It’s painful to sit, and anything a patient does that puts pressure on the tailbone is very painful.
Type of Pain: The pain is right at the crack of your buttocks. It can be burning or throbbing and can radiate out to your buttocks sometimes into the anus. This Pain is usually very localized and you can put your finger on it.
Treatment options: Physical therapy, massage, topical creams, anti-inflamitories, and injections into the joint with steroid. The drawback with steroid injections is that it only works for a certain amount of time and there is a ceiling to amount of steroid injections. If the above does not resolve the pain, the next step is a rhizotomy, or cauterizing/burning the nerves that go to the tailbone, so you no longer feel the pain. There’s no good surgical option. Spinal cord stimulation has been used for this pain in the past.