Coccyx PSEUDO-SPUR: Tailbone Extension Causing Tailbone Pain, Coccyx Pain, Coccydynia

There are many causes of coccyx pain (tailbone pain, coccydynia). This article will focus on coccyx pain being caused by the lower coccyx being in extension, which is called a pseudo-spur.


Normally, the coccyx position has a mild, gradual forward flexion. This means that the coccyx is flexed forward. […]

Pregnancy After Coccygectomy: Vaginal Delivery Versus Cesarean Section

I was recently contacted by a  woman who had undergone a  coccygectomy (which is surgical amputation/removal of the coccyx/tailbone). Her question was whether, after having undergone coccygectomy, it would or would not be advisable for her to undergo a cesarean section rather than a vaginal delivery for any subsequent pregnancy. Perhaps you, the reader, […]

Lumbar MRI does NOT include the Coccyx, for Tailbone Pain, Coccydynia

A standard “Lumbar” or “Lumbosacral” MRI does NOT include the COCCYX.

The most common MISTAKE that I see when patients have an MRI done for coccydynia (tailbone pain) is that the MRI does NOT even include the coccyx!

Often, the wrong MRI is ordered/done.

Look at the radiology report and see if they even […]

Free Book on Tailbone Pain, Coccyx Pain, Coccydynia, March 1, 2021

This eBook on Tailbone Pain is Free on Amazon worldwide: March 1, 2021, Pacific Time.

“Tailbone Pain Relief Now! Causes and Treatments for Your Sore or Injured Coccyx” by Patrick M. Foye, M.D., Director of the Coccyx Pain Center at Rutgers New Jersey Medical School.

Learn all about how to find answers and relief […]

Does the Middle Cluneal Nerve Cause Coccyx Pain, Tailbone Pain?

I recently watched a video about the middle cluneal nerve as a possible cause of coccyx pain, tailbone pain, coccydynia.

I think that this is possible, but probably very uncommon.

I sometimes treat cluneal nerve pain. It is relatively common to have pain from the SUPERIOR cluneal nerve after bone is harvested from the iliac […]

Carmichael Throne Chairs and Drummer Stools for Coccyx Pain, Tailbone Pain

A few of my patients with tailbone pain are professional drummers.

One of them recently told me that he finds the Carmichael Throne Chairs (more specifically their stools for drummers) to be significantly helpful when he needs to sit for a prolonged duration when drumming during a set for a live gig.

I don’t sponsor […]

Should Coccygectomy be done for a Tailgut Cyst (Retrorectal Hamartoma)?

Many patients come to see me for coccydynia (coccyx pain, tailbone pain).

Occasionally we discover that their pain seems to be coming from a mass, tumor, abscess, or similar problem. (We see these types of things in ~ less than 5% of our patients with coccyx pain.)

One such mass is called a Tailgut Cyst […]

Tarlov Cyst Surgery May Relieve Coccyx Pain

Below is one research publication from Japan reporting on 9 patients.

They found that surgical treatment of Tarlov cysts may help relieve coccyx pain in some of the patients who had Tarlov cyst surgery.

Here is the link to the article at the Journal’s website:

Below is the abstract: (Presented here as part of […]

Looking Below the Sacrococcygeal Joint in Patients with Coccyx Pain, Tailbone Pain

Today I was informed that my latest publication on coccyx pain has just been published by the Indian Journal of Orthopaedics.

The title is:

Looking Below the Sacrococcygeal Joint in Patients with Coccydynia (Coccyx Pain) Our 3 main points: When treating patients with tailbone pain (coccyx pain, coccydynia), unfortunately doctors often limit themselves to the […]

Podcast Interview by Dr. Betsy Greenleaf, Asking Dr. Patrick Foye about Coccyx Pain, Tailbone Pain, Coccydynia

Dr. Foye was Interviewed about Tailbone Pain, on a Podcast called “Some of Your Parts” Thank you to Dr. Betsy Greenleaf, for helping me spread the word about coccydynia (coccyx pain, tailbone pain). It is a shame that so many patients suffer from tailbone problems, yet most doctors have little or no training in the […]

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