Hello, Tailbone pain (coccydynia) can make everyday tasks uncomfortable at best, and unbearable at worst. Tailbone pain ranges from a dull ache to a fierce stab. It can last for weeks, months or sometimes longer. The causes of pain in the tail bone are trauma, child birth, repetitive strain injury, obesity, and prolonged sitting. We must be able to diagnose any tail bone fractures if present by X-rays and CT scan. Most people recover without undergoing any sort of treatment. Of those who do require treatment, 90% just need to use at-home remedies. At-home remedies for tailbone pain (coccydynia) include taking a NSAID like ibuprofen to reduce pain and swelling. Decreasing sitting time. Lean forward if you have to sit. Taking a hot bath to relax muscles and ease pain. Using a wedge-shaped gel cushion or coccygeal cushion (a “donut” pillow) when sitting. Taking stool softeners to reduce pain during bowel movements. Stretching and strengthening the muscles of your lower back and pelvis. Applying hot or cold packs to your lower back. Apply for no longer than 20 to 30 minutes, several times a day. Wearing loose-fitting clothing. If the pain doesn t subside with home remedies, you need to see a doctor for the following treatment such as blocking the nerve supply of the area — a Coccygeal nerve block — using numbing medications and steroids to decrease the inflammation. Massage therapy (usually only provides temporary relief). Stretching exercises and posture improvement guided by a physical therapist. Do acupuncture and TENS (transcutaneous electrical nerve stimulation). Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist