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There are common pathophysiological ways that a person may develop coccydynia.
In many cases the exact cause is not known (called idiopathic coccydynia).
The two main causes for this condition are sudden impact due to fall, and coccydynia caused by childbirth pressure in women.
Also, coccydynia can be caused by sitting improperly, straining the coccyx.
Pain at the coccyx (tailbone) is known as coccydynia.
One way of classifying coccydynia is whether the onset was traumatic versus non-traumatic.
At the lowest end of the spine, some patients may have tailbone pain (also called coccyx pain or coccydynia).
Both coccydynia and coccygeal tumors may require surgical removal of the coccyx (coccygectomy).
Rarely, coccydynia is due to the undiagnosed presence of a sacrococcygeal teratoma or other tumor in the vicinity of the coccyx.
Coccyx pain (tailbone pain, coccydynia) (Peer-reviewed medical chapter, available free online at eMedicine)
Cleveland Clinic: "Coccydynia (Tailbone Pain)."
Injuring the coccyx can give rise to a painful condition called coccydynia and one or more of the bones or the connections thereof may be broken, fractured tailbone.
This type of pain can be very serious even though according to the ICD, coccydynia is rare, accounting for less than 1% of back pain conditions reported to physicians.
In humans, coccygectomy is the treatment of last resort for coccydynia, but is considered a required treatment for sacrococcygeal teratoma and other germ cell tumors arising from the coccyx.
Pain while sitting is a well known symptom when having ischial tuberosity pain, Myofascial Pain Syndrome, coccyx pain (coccydynia), failed back surgery and back pain in general.
The evidence is inconclusive for cervical manipulation/mobilization alone for neck pain of any duration, and for manipulation/mobilization for mid back pain, sciatica, tension-type headache, coccydynia, temporomandibular joint disorders, fibromyalgia, premenstrual syndrome, and pneumonia in older adults.
Tailbone pain physicians specializing in Physical Medicine and Rehabilitation at New Jersey Medical School have published that sometimes even just a single local nerve block injection at the ganglion impar can give 100% relief of coccydynia when performed under fluoroscopic guidance.