Coccygectomy is surgical removal of the coccyx. Fortunately, the vast majority of patients with coccydynia (coccyx pain, tailbone pain) respond well to NON-surgical treatment and therefore do NOT require coccygectomy. Typical treatments include coccyx cushions and tailbone injections. For those small percentage of patients who fail to get adequate relief despite injections, etc., it […]
I was recently asked: Do I order sitting-versus-standing coccyx x-rays for patients who have persistent pain after coccygectomy (surgical removal of the coccyx/tailbone).
1) First of all, do we know for sure whether the ENTIRE tailbone has indeed been surgically removed?
If we know for sure that the entire tailbone has been […]
What is coccygectomy? Coccygectomy is the surgical amputation of the coccyx. During coccygectomy, the coccyx (tailbone) is removed. Who needs coccygectomy? Coccygectomy is only medically necessary in a relatively small fraction of patients with coccydynia (tailbone pain, coccyx pain). Typically, coccygectomy is reserved for those patients who have failed to get adequate relief despite a […]
There are a few different ways to approach your question about an association between tailbone (coccyx) problems and bowel problems. Sometimes it is the bowel problems causing tailbone symptoms, and sometimes it is the reverse where the coccyx problems are causing difficulties with the bowels. Let’s address these 2 categories separately below.
Bowel problems can […]
See 10 videos on Tailbone Pain
Here is the link to Play all 10 videos on Tailbone Pain
Here are the individual videos (click to play):
Do you have TAILBONE PAIN (Coccyx Pain)?
Describe TAILBONE PAIN (Coccyx Pain)
TAILBONE PAIN During PREGNANCY
Cushions for Tailbone Pain, Coccyx Pain
Coccyx X-rays for TAILBONE PAIN
SOFT surface […]
Essentially all surgery results in some scar tissue at the surgical site. Not all scar tissue needs to be treated. If the scar tissue is not causing any symptoms or problems, sometimes it’s best to just ignore it. However, scar tissue can sometimes be painful or cause irritation of nerves, muscles, and tendons in […]
Tailbone pain (also called coccyx pain, or coccydynia) sometimes requires surgical treatment. Surgery to remove the coccyx is called coccygectomy.
Fortunately, the vast majority of people with tailbone pain respond well to non-surgical treatment, such as the use of cushions, medications by mouth, and coccyx injections.
For those uncommon cases where the tailbone needs to […]
You may be wondering… “If I have tailbone pain, why not just have it surgically removed? Why bother trying non-surgical approaches?”
Why not just remove the tailbone right off the bat for people having tailbone pain? My answer would be that the vast majority of patients do well with milder and easier treatments. The milder […]
At the time of surgery to remove the coccyx (coccygectomy), it is somewhat variable what the surgeon does. Sometimes the tailbone is partially removed, sometimes completely removed. Surgeons differ in their opinions as to how important it is or isn’t to try to re-attach the pelvic floor tendons that were previously attached to the […]
When there is skin breakdown of ulceration of the skin over the coccyx, it is worth looking for a cause. Sometimes people develop a bed-sore of the skin behind the sacrum and coccyx after spending too much time laying in bed. (The medical term for a bedsore is a “decubitus ulcer”.) Usually, a bedsore […]