hi im hema physiotherapist. i understand your concern. In rare cases, surgery to remove the coccyx (coccygectomy) may be required. before cosidering surgery change in lifestyle and different approches to pain and prevention helps to deal with the condition. •Stretching. Gently stretching the ligaments and glueal,piriformis... attached to the coccyx can be helpful. A physical therapist or other appropriately trained healthcare practitioner can provide instruction on the appropriate stretches. •Ultrasound. Physical therapy with ultrasound can also be helpful for pain relief.you need to continue for long and whenever pain is more and stop treatment gradually ie weekly twice then weekly once...which i followed for my patients. •Applying heat or a hot(not too hot) pack to the area after diclofinac gel application twice daily along with ultrasound,for nearly 8 weeks. •Avoiding sitting for prolonged periods, or placing any pressure on the area, as much as possible. •A custom pillow to help take pressure off the coccyx when sitting. Some find a donut-shaped pillow works well, and for others it is not the right shape and still puts pressure on the coccyx. Many prefer a foam pillow that is more of a U-shape or V-shape (with the back open so nothing touches the coccyx). Any type of pillow or sitting arrangement that keeps pressure off the coccyx is ideal. •If the tailbone pain is caused or increased with bowel movements or constipation, then stool softeners and increased fiber and water intake is recommended. hope this helps and gives you some relief. write to us in doubt.