HI. I have a pyramidal cyst in the tailbone. I had one exactly one year ago and it was the most painful thing I have ever experienced. I now have one again, and would like to know how I get these things, and how I can get rid of them fast. Last year, I sat on a heating pad all the time, and a hole was eventually made in my tailbone and a puss-like substance seeped out of the hole, and the pain immediately went away.