Tailbone Fracture
Tailbone Fracture: What a Pain in the Butt!
For those who have experienced the pain and discomfort of a tailbone fracture there is little explanation needed as to the soreness involved and length of time needed for healing. However; although it is a fairly common occurrence, many individuals have little idea of what a tailbone is or how it can become fractured.
What is a tailbone?
At the lowest end of the spine lies a triangular grouping of bones and ligaments that construct the tailbone, otherwise known as the coccyx. While this set of bones serves as evidence to our evolutionary growth, it continues to provide a needed service to the body. Although not highly functional, the tailbone does act as an attachment point for various muscles and aiding in normal sitting abilities.
How can a tailbone fracture?
Due to the tailbone’s structure, it has the ability to bend slightly under normal conditions. However, when violently or suddenly overextended, the tailbone breaks under pressure. While most tailbone fractures are the result of an individual falling directly onto their buttocks, there are other situations that may cause the affliction:
- Being forcefully struck in the coccyx area
- Repetitive grinding movements that place pressure on the tailbone
- Childbirth complications due to oversized birth weight or small pubic opening
What are the signs of tailbone fracture?
- Coccyx fractures are almost always evident by the extreme and sudden pain they create.
- Besides the initial pain, added discomfort may occur when defecating or engaging in sexual intercourse.
- Bruising may appear in the injured area.
- Soreness and hurt become increasing during frequent sitting spells or applied pressure to the coccyx area.
What can be done about a tailbone fracture?
Treatment for tailbone fractures varies on severity of the injury. Most cases, while painful, are relatively mild and require no professional involvement; however, there are cases in which professional assistance may be required.
IN HOME REMEDIES: After a professional diagnosis of fracture, some physicians may prescribe low dose pain medications to help alleviate discomfort during the healing process. Others may simply suggest an over the counter Ibuprofen product and rest. Many patients with tailbone fractures also find that the use of doughnut cushions is beneficial for reducing pressure on the area and lowering pain levels.
CHIROPRACTIC INTERVENTION: In some circumstances, manipulation and massage techniques administered by a trained chiropractor can alleviate pain and stimulate healing.
COCCYX REMOVAL: Although most injuries to the tailbone heal on their own, there are cases in which medical procedure is necessary. Often, when breakage is extreme or when tailbone pain is a recurring issue; surgical removal can eliminate the problem. Medically termed as a coccygectomy, this procedure includes partial or complete removal of the tailbone. As a rule, this type of treatment option is very uncommon and carries a wide array of negative side effects if done incorrectly.
How to prevent tailbone fracture
As anyone who has suffered from a tailbone fracture can testify; this type of injury is truly a pain in the butt. While there is no sure way to prevent accidental damage to the coccyx, there are things that can be done to lessen the risk:
- Always wear appropriate protective gear when participating in activities such as sporting events, bicycling, or skateboarding.
- Take care when sitting. This may sound simple, but the majority of tailbone fracture cases reported is by individuals who fail to properly analyze their seating position.
- Always use safety precautions when working or sitting in an area off of the ground. Rooftops, swing sets, and even the occasional horsing around on furniture can lead to painful injury.


