How do I know if my tailbone pain is serious?
Emily Ross
Published Jan 11, 2026
See your doctor if the pain is severe or lasts more than a few days. Most of the time, tailbone pain isn't serious. It can sometimes be a sign of an injury. In very rare cases, tailbone pain can be a sign of cancer.
When should I go to the doctor for tailbone pain?
You should call your doctor immediately if you have pain in the tailbone and any of the following other symptoms: A sudden increase in swelling or pain. Constipation that lasts a long time. Sudden numbness, weakness, or tingling in either or both legs.
How do I know if I seriously hurt my tailbone?
Tailbone Injury Symptoms
Severe localized pain and tenderness may be felt in the tailbone area. If the injury is traumatic, a bruise may be visible in this area. The pain is generally worse when sitting for prolonged periods of time, or with direct pressure to the tailbone area.
Should I go to the ER for tailbone pain?
Problems With Urination or Bowel Movements:
If you are experiencing these symptoms, along with a numbness around your buttocks, you should visit an emergency center. This can be a sign of damage to the nerves in your tailbone region. This is a medical emergency and needs immediate attention.
How do you tell the difference between a bruised tailbone and a fracture?
bruised tailbone. X-rays can also reveal if the tailbone is broken or just bruised. A fracture will usually be visible on an X-ray. Although the treatment may be the same, the recovery time is longer for a fracture than for a bruise.
17 related questions foundIs walking good for tailbone injury?
Standing or walking should relieve the pressure on your tailbone and ease discomfort.
How do you fix a sore tailbone?
Lean forward while sitting down. Sit on a doughnut-shaped pillow or wedge (V-shaped) cushion. Apply heat or ice to the affected area. Take over-the-counter pain relievers, such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or aspirin.
What kind of doctor do you see for tailbone pain?
The vast majority of cases of tailbone pain can be managed by a primary-care physician, such as a family physician or internist. In the rare case of surgical intervention, a spine surgeon will be consulted.
How do you know if your tailbone is misaligned?
Possible symptoms of a protruding tailbone include: visible, hard bump above the butt. pain when sitting or lying down. lower back pain.
Can tailbone pain last for months?
Acute coccydynia typically resolves within weeks or months. However, tailbone pain can become chronic (lasting longer than three months), if instability, soft tissue strain and inflammation aren't treated. Some people live with the pain for months or even years.
What does a tailbone tumor feel like?
Tumors in the spine can cause pain in the area of the tumor (neck, back, or tailbone). A tumor pressing on nearby nerves can cause symptoms similar to a slipped or herniated disk. These symptoms may include pain, weakness, numbness, clumsiness, or tingling in the arms or legs.
What diseases cause tailbone pain?
Here are 5 possible causes of tailbone pain:
- Coccyx bruising, fracture, or dislocation. Damage to the bony segments or ligaments of the coccyx may occur due to1,3: ...
- Anatomical changes in the coccyx. ...
- Coccyx bone spurs. ...
- Coccygeal arthritis. ...
- Coccygeal infections and tumors.
How long does it take for tailbone injuries to heal?
A tailbone injury can be very painful and slow to heal. Healing time for an injured tailbone depends on the severity of the injury. If you have a fracture, healing can take between 8 to 12 weeks. If your tailbone injury is a bruise, healing takes about 4 weeks.
Can you XRAY a coccyx?
The lateral view of the coccyx is typically the most important view when getting x-rays (radiographs) for a patient with tailbone pain. The “Lateral” view is essentially looking at the coccyx from the side (side view).
What cancers cause tailbone pain?
Tailbone pain may stem from chordoma, a rare, cancerous tumor that develops in your spine, the base of your skull, or your tailbone. As the mass grows, it can cause pain.
Can a tumor cause tailbone pain?
In very rare cases, tailbone pain can be a sign of cancer. You may get an X-ray or MRI scan to look for signs of injury, such as a bone fracture or a tumor pressing on the bone. X-rays may be taken both sitting and standing to show possible problems with your tailbone in different positions.
What is tailbone surgery?
Coccygectomy is the surgical removal of a portion of your tailbone called the coccyx. An incision is made at your sacrum. The coccyx is separated from the sacrum and removed. Surgical removal may involve all or a portion of the coccyx (coccygectomy).
Does coccydynia show up on MRI?
An MRI cannot show coccydynia. But it does show inflammation around the coccyx which allows for a radiologist to make the diagnosis.