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Broken Tailbone

Woman kneeling on a mat while holding her lower back in discomfort

Lower back tenderness during seated or kneeling positions is a common indicator of a broken tailbone, especially after trauma or prolonged strain.

Broken Tailbone – Overview

A broken tailbone is a fracture or dislocation of the coccyx. The small triangular bone located at the bottom of the spine. This is usually caused by direct trauma. Such as slipping and falling backwards, and while the injury is not often medically dangerous. However, it can be extremely painful and restrict movement for weeks or even months.

The coccyx consists of three to five small vertebrae and is the remnant of a vestigial tail. It acts as an anchor point for muscles and ligaments that support sitting, balance, and posture. Although small, injury to the coccyx can have a disproportionate effect on comfort, especially when sitting or transitioning between seated and standing positions.

Common causes include falling directly onto the buttocks, repetitive strain from cycling or rowing, or trauma during childbirth. Less frequently, the injury may result from degenerative joint conditions or abnormal bone growth.

Symptoms include sharp or aching pain at the base of the spine. Additionaly, discomfort while sitting, pain during bowel movements, and in some cases, radiating pain into the legs or lower back. Bruising and tenderness in the area are also typical.

broken tailbone

Diagnosis is often made through a physical exam and symptom history, but imaging such as X-rays or MRI may be needed to rule out more serious conditions or confirm a fracture.

Treatment is generally conservative and includes rest, pain relief, special cushions for sitting, stool softeners, and physical therapy. In rare cases where pain becomes chronic or the bone is severely displaced, surgery (coccygectomy) may be considered.

Most people recover from a broken tailbone within a few weeks to months, although some cases can result in persistent discomfort if not treated appropriately.

[Next: Causes of a Broken Tailbone →]

Treatment of a Broken Tailbone
Diagnosis of a Broken Tailbone
Symptoms of a Broken Tailbone
Complications and Recovery from a Broken Tailbone

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