Tailbone Art on Magazine Cover here at Rutgers

Check out this lovely tailbone / coccyx illustration on the cover of our Literature / Arts magazine here at Rutgers New Jersey Medical School:

Coccyx on Magazine Cover

Full Link: http://njms.rutgers.edu/inside_njms/archives/2017q3/ArsLitBooklet.pdf

Great illustration by Stephanie Ruthberg, New Jersey Medical School. Well done!


What's the BEST Injection for Tailbone Pain, Coccyx Pain?

What’s the BEST Injection for Tailbone Pain, Coccyx Pain?
  • Recently, another physician asked me, “What’s the BEST injection to do for patients who have coccyx pain (tailbone pain)?”
  • There are multiple different types of injections that can help decrease or eliminate tailbone pain.
  • But which injection is “BEST”?
  • The answer depends on many factors…
  • This video discusses this topic.
  • To reveal the video, click on the image below or on the link:
  • BEST injection for Tailbone Pain, Coccyx, screenshot
  • Link: https://youtu.be/K5wayJ0LHF0
More information on Different Injections for Tailbone Pain:

Neck Pain caused by Tailbone Pain?

Can tailbone problems cause neck pain?
  • Some tailbone problems can cause people to also have pain or stiffness in their neck.
  • The most common form of this is due to abnormal sitting (sitting leaning forwards or to the right or left side, which is done to take pressure off the tailbone).
  • A much less common way that tailbone problems cause neck pain is tightness or tethering of the dura. This video discusses this specific issue.
  • To reveal the VIDEO, click on the image or the link below:
  • NECK pain with Tailbone Pain, Coccyx
  • Link: https://youtu.be/u5pilrdyuv4

For more information, go to: http://www.TailboneDoctor.com

Tailbone LENGTH and Coccyx Pain?

Does Tailbone LENGTH cause Coccyx Pain?
  • Here’s a recent video discussing whether the length of the tailbone results in coccyx pain (tailbone pain, coccydynia).
  • To reveal the video, click on the image below, or on the link:
  • Tailbone LENGTH and Coccyx Pain
  • Link: https://youtu.be/QH0bTOqSovc
Here is the text from the video:
  • Hi. I’m Dr. Patrick Foye.
  • I am the Director of the Tailbone Pain Center, online at www.TailboneDoctor.com
  • This is a short video in response to a question about whether the length of the tailbone is correlated to whether somebody does or does not have tailbone pain.
  • In general what’s more important than the actual length of the tailbone is the position of the tailbone and whether the joints are unstable.
  • So there’s a lot of variability in terms of how long the tailbone is: in some patients there’s only three bones within the coccyx so three individual vertebral bones that are strung together. In some patients there’s four and some people there’s five.
  • So there’s a lot of variability in terms of the number of bones and the overall length of the coccyx in general.
  • But what becomes important is the positioning.
  • So whether it’s a relatively long or short tailbone if it’s curved backwards or has a bone spur (a little bit of additional boning material on the lower end) that can be a source of pain when somebody sits, especially when they’re sitting leaning back.
  • Or, whether again  the tailbone is long or short overall, if there is instability within the joints (if the ligaments that normally would hold the joints in place are not doing their job of holding the joints in place, of holding one bone in relationship to the next) then again people can have tailbone pain, especially when they’re weight-bearing (which for the tailbone her coccyx is when they’re sitting, and especially again while they’re sitting leaning back).
  • So, in general, more important than the actual length of the tailbone is the position of the tailbone, which can be seen on x-rays and MRI and CT scans.
  • And more importantly because more commonly it’s whether there is instability whether the joints at the tailbone are not stable and that can be assessed mainly by doing sitting versus standing x-rays of the tailbone.
  • So we look at the position that the tailbone is in while somebody is standing up and then we have them sit and lean back in their most painful position and then we repeat the x-rays and see what position the has moved into while they’re sitting and putting their weight on to the tailbone.
  • So I hope that’s helpful just in answering the question of whether the length of the tailbone tends to be correlated with whether somebody does or does not have tailbone pain.
  • If you’re looking for more information certainly you can find me online at http://www.TailboneDoctor.com

Hip Pain or Stiffness due to Tailbone Pain, Coccyx Pain

Coccyx pain (tailbone pain) can sometimes cause people to also have pain or stiffness in the hip region.
Text from the video:
  • Hi, folks. This is Dr. Patrick Foye at the Tailbone Pain Center here New Jersey.
  • This is just a short video to answer the question about tailbone pain in association with hip pain, meaning pain at the hip joint, or hip tightness.
  • This was actually a discussion I had recently with the patient who was having a lot of tightness in her hips and she had been experiencing tailbone pain for a significant amount of time.
  • The general issue as I see it is that when people have tailbone pain tend to sit abnormally because the body is smart and it’s looking to avoid pain.
  • So people will sit where they’re leaning towards one side or the other. Or they’ll sit bending forward your leaning forwards so that the tailbone is not making so much contact with the chair that they’re sitting on.
  • But the downside of that is that if you’re sitting for a prolonged duration of time, sitting forward or leaning to one side, for hours at a time, it’s very very common that you would start to develop stiffness and tightness within the hip joints, because of how you’re sitting.
  • I can kind of show you this now if you’re sitting leaning forwards your flexing at the hips and therefore you’re not going to be having the normal neutral hip position the way that people without tailbone pain would sit.
  • So it’s not uncommon to see that combination (hip symptoms along with tailbone pain).
  • I certainly see a number of patients where they’ve had tailbone pain for a while and because of abnormal sitting other parts of the body, including the hips, will start to hurt.
  • In general, if the tailbone was the primary problem than the goal is to treat the tailbone pain and get the tailbone pain under as good control as possible. Then, often, those other areas will start to quiet down as the person can sit more normally.
  • But sometimes the pain and tightness and stiffness and decreased range of motion may persist in those other areas and actually need specific treatment above and beyond what we’re doing specifically at the tailbone.
  • So, anyway, that’s just a quick video with my thoughts and comments on hip joint tightness and pain and stiffness seen sometimes in combination for patients were suffering from coccydynia (Ward coccyx pain, tailbone pain).
  • Anyway, I hope that’s helpful information.
  • If you want more information you can find me online at www.TailboneDoctor.com.

4 Reasons why Tailbone Fractures and Dislocations Can NOT be Treated like Other Body Regions

Why can’t you just treat coccyx pain or injuries the same way you would treat other musculoskeletal injuries?
There are 4 main reasons:  
  • #1: You can NOT put a CAST on the tailbone.
    • Unlike an injury to your arm or leg, you can not put a CAST on your tailbone.
  • #2: You can NOT use a SLING for the tailbone.
    • Unlike an injury to your arm, you can not use a SLING for your tailbone.
  • #3: You can NOT use orthopedic hardware on the tailbone.
    • Unlike an injury to your arm, you can not use orthopedic hardware on the tailbone.
    • For arm or leg injuries, orthopedic hardware includes using plates and screws to hold the bones in place. But the bones that the tailbone are very small and fragile, and do not have the sturdiness or “bone stock” for the screws, plates, or rods to be held in place. The small bones of the coccyx may crumble if you tried to put a sturdy screw into them.
  •  #4: Ideally, the tailbone needs to be able to MOVE.
    • Even if you could use orthopedic hardware or other approaches to fuse the tailbone together, that may create new problems. Normally, the tailbone needs to be able to move a small amount. When we sit, the tailbone normally flexes forward so that it is out of the way while we are sitting. Fusion would prevent that, which could potentially make the pain even worse.


Fortunately, most people with coccyx pain (tailbone pain, coccydynia) respond well to non-surgical treatment, including the use of cushions, medications, and local injections.

For more information on coccyx pain, click here to get a copy of Dr. Foye’s book, Tailbone Pain Relief Now!
4 Reasons Tailbone Pain is treated Differently

e-Book on Tailbone Pain: Now Available on Amazon

Get your e-book version of Dr. Foye’s internationally acclaimed book, Tailbone Pain Relief Now!
  • Yes, this week we are excited to announce that this book is now also available in electronic, e-book form, on Amazon.com, at a fraction of the cost of the paper book.
  • Learn the tips, tricks, and secrets you need to get an accurate diagnosis for your coccyx pain and the best possible treatments.
  • The book contains 31 chapters, 272 pages, providing crucial information for people suffering with tailbone pain (coccyx pain).
  • It is written in plain language, so it is easy to understand by people who do not have any medical training.
  • The book has an impressive 5-star rating by readers on Amazon.
  • You can get your copy of the book in the format of your choice: either as a printed paperback or as an e-book. Available internationally.
  • The e-book can be read on your Kindle, or via Amazon’s other options, including on your Windows or Mac computer, iPod Touch, iPad, iPhone, Android, Windows Phone 7, or BlackBerry.
Click here now to get your copy of the book!
or go to: http://amzn.to/2pbirSU

Get your copy of the book, Tailbone Pain Relief Now!

Get your book at: http://amzn.to/2pbirSU

Medical Books do NOT include Coccyx Pain, Tailbone Pain

VIDEO: Medical Books often FAIL to cover Tailbone Pain Coccyx Pain

Transcript of the video:
  • Medical Books often Fail to Cover Tailbone Pain.
  • Patrick Foye, M.D.     www.TailboneDoctor.com
  • Okay. Hi. I’m Dr. Patrick Foye, the Director of the Tailbone Pain Center in New Jersey, United States, online at  TailboneDoctor.com
  • And I’m here at a medical conference, actually in New Orleans, Louisiana, right now.
  • And one of the things I was noticing just looking at some of the different textbooks (medical textbooks: musculoskeletal medicine and pain management) is how few of them have anything about tailbone pain.
  • So I’ll show you that on some of the books inside right here.
  • Okay, this is a book called Physical Diagnosis of Pain, by Steven Waldman, who is well respected for publishing in pain management textbooks.
  • And if we look at the index here in the back of the book… index and going under the letter “C” of course for coccyx pain, we see that it is NOT listed at all.
  • So then you might think that Dr. Waldman’s textbook of “Uncommon” Pain Syndromes might include this. But again if we go to the index of this one… again we see that going alphabetical here again.. coccyx is pain is NOT listed at all.
  • Okay, this book is on “i-Spine” on interventional spine care. You know that the coccyx is part of the spine. But if you go to the index and we look under “C”… we’ve got Cervical, we’ve got Chest, we’ve got Collagen, but NO coccyx.
  • Here’s another example: this one is a book called Orthopedic Imaging by Greenspan, who I can tell you is a well respected author of musculoskeletal imaging books. This book is over eleven-hundred-pages-long and again if we look back to the index and we look under C… we see that the coccyx is NOT included at all! There’s NOTHING about the coccyx in this over 1,100 page book about orthopaedic imaging. Okay, this one is called Fundamentals of Pain Medicine, by Hoppenfeld, also a well-known author in musculoskeletal books. And again if I swing back to the index under “C” and look here there’s nothing on coccydynia within this.
  • Okay, this one is actually a terrific textbook Essentials of Musculoskeletal Care. They’re up to version 5. I had version 1 when I got out of residency myself 20 years ago. It’s actually a fantastic book that’s put out by the American Academy of Orthopaedic Surgeons.
  • So here is the book. But again if we go to the index section here and if we look under “C” for coccyx or coccydynia…
  • Basically, you can see that it does not include anything about coccydynia or the coccyx.
  • So I guess this orthopedic textbook is saying that the coccyx is not one of the “essential” areas of musculoskeletal care, unfortunately.
  • Okay, so hopefully that gives you just some idea about how many many musculoskeletal and pain management medical books and textbooks and procedure guides and all of those kinds of things unfortunately contain little or NOTHING ABOUT TAILBONE PAIN.
  • So, Again just my perspective as a doctor who treats many many patients with tailbone pain. It amazes me how little is known by medical professionals and maybe it’s no surprise because often they’re not taught much about the tailbone in medical school or in residency or fellowship or even in the medical textbooks that they are reading.
  • So, alright that’s all for now, if you want more information on tailbone pain you can certainly find me on my website at TailboneDoctor.com
  • Bye, bye.
  • Or to get your copy of the book that I’ve written on tailbone pain, go to TailboneBook.com
  • This is 272 pages, 31 chapters, all about coccyx pain (tailbone pain), diagnostic workup, treatment, etc.
  • Largely I wrote this because there was not much published in the medical literature.
  • Go to www.TailboneBook.com.
  • Thank you.


Pelvic Floor Physical Therapy Conference for Tailbone Pain (Coccyx Pain)

I spent this past weekend in Tampa, Florida, at a conference on Tailbone Pain (Coccyx Pain) for Physical Therapists who specialize in treating pelvic floor disorders.

I was honored to give them a lecture on Tailbone Pain (coccydynia) from my physician perspective.

I was also honored to learn lots about how a pelvic floor physical therapists (pelvic floor P.T.s) approach patients who are suffering from tailbone pain and other pelvic pain syndromes.

Some patients have diffuse pelvic floor pain and dysfunction in addition to their tailbone pain, and a pelvic floor physical therapist can often be very helpful at providing relief for those patients.

To see a VIDEO of Dr. Foye discussing the conference, click here:


Photos from the event:

PT Coccyx Conference 2017

Patrick Foye, M.D., (center) with Pelvic Floor Physical Therapists, at conference on Tailbone Pain (coccyx pain, coccydynia). Tampa, Florida. March 2017.


Patrick Foye, M.D., gave a Lecture on Tailbone Pain (Coccyx Pain), to Pelvic Floor Physical Therapists. Tampa, Florida. March 26, 2017. Photo courtesy of: @LilaAbbate



How Big is that Coccyx Mass, Cyst, Tumor, or Cancer?

  • Sometimes I find that my patients with tailbone pain (coccyx pain, coccydynia) actually have a mass, cyst, tumor, or cancer either within the tailbone itself or in the nearby tissues.
  • Examples can include pilonidal cyst, retro-rectal hamartoma (tailgut cyst), chordoma (a type of bone cancer that tends to happen at the coccyx and is often deadly), and abscess (a collection of pus or infected tissue).
  • Within an MRI report, or CT scan report, the radiologist who reads the images will typically report the size of any such abnormal structure in centimeters (cm).
  • Patients often see the centimeters listed and they will ask me, “Well, how big is that?”
  • (Since the United States has not adopted the metric system, many people here are not familiar with thinking about things in centimeter size.)
  • I recently came across a medical blog post (link below*) that gives examples of common foods, based on size (as measured by centimeters in diameter).
  • This is a great way to visualize how big your mass is, compared to foods that you are already familiar with.
How Big is that Coccyx Mass, Cyst, Tumor, or Cancer?
  • Pea = 1 cm
  • Grape = 2 cm
  • Walnut = 3.5 cm
  • Plum = 5 cm
  • Tennis ball = 6.5 cm
  • Orange = 6.6 cm
  • Baseball = 7.5 cm
  • Grapefruit = 10 cm
  • Cantaloupe = 12 cm
  • Honeydew melon = 16 cm


*Reference: http://www.fibroidsecondopinion.com/2013/04/what-size-are-my-fibroids/
That excellent blog post was mostly about the size of uterine fibroids, but the same reference measurements would  of course apply for coccyx-related masses.

Book Now Available! Click on the book to get it now:

Get the Book at www.TailbonePainBook.com