Pain management for coccydynia typically begins with conservative treatments aimed at reducing inflammation and alleviating discomfort. Patients are often advised to use a cushioned seat or a donut pillow to relieve pressure on the coccyx when sitting. Applying heat or ice packs to the affected area can help reduce inflammation and ease pain. Over the-counter pain relievers such as nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen are commonly recommended to manage mild to moderate pain. In addition, physical therapy can be beneficial, including stretching exercises to improve mobility and strengthen surrounding muscles, as well as techniques like manual manipulation or massage to alleviate tension in the lower back and pelvic area.
If conservative methods fail to provide adequate relief, more advanced interventions may be considered. Corticosteroid injections can help reduce inflammation and provide temporary pain relief, while nerve blocks may be used to interrupt pain signals. In some cases, alternative therapies like acupuncture or transcutaneous electrical nerve stimulation (TENS) may offer relief. If pain persists despite these treatments, coccygectomy, a surgical procedure to remove the coccyx, may be considered as a last resort. However, surgery is generally reserved for
severe cases due to potential complications and the long recovery period. Overall, the choice of treatment depends on the severity and duration of symptoms, with a focus on minimizing pain and improving quality of life.
