Coccyx with angulation and hypermobility removed
Anonymous, India
Posted 2025-07-06
Firstly, for anyone out there suffering like I did, there is hope. I'm a doctor myself and these are things I would suggest:
Start by offloading the coccyx with a pillow, when sitting and alternating icing the area with using a warm Sitz. That helps reduce inflammation and relaxes pelvic floor musculature. Next, take a short course of anti inflammatory medication along with a muscle relaxant for a week whilst working with a knowledgeable pelvic floor physical therapist.
Consider a mind body intervention such as pain reprocessing therapy, if the above mentioned steps fail and the pain becomes chronic.
If you're still struggling, you can opt for a manual manipulation under sedation, with a trigger point injection. Only to be done by a spine surgeon/ pain management specialist, in the operating room.
If this fails to give sustained relief, then consider surgery.
But all of this will only help if the cause of the pain is the coccyx which needs to be determined using sit & stand X-rays and an MRI, by an orthopaedic (preferably spine) surgeon. Be sure to visit a general surgeon and get a rectal exam to rule out any other causes. Aim to have Vitamin D levels between 40-60 ng/ml
Don't stop exercising. Walking and swimming are very safe. Avoid kegels and focus on relaxing the pelvic floor through breathwork
A little bit about my journey:
I had a coccyx with an anterior angulation and hypermobility. That, along with prolonged sitting for studies was the cause of my pain.
I tried many interventions that failed and in the end what gave me lasting relief was a near total coccygectomy with Z plasty carried out by Dr Arvind Kulkarni at Breach Candy Hospital, Mumbai (see Doctors and specialists in India) . Within three months of surgery, I was pain free.
My biggest learning from this journey is that no matter how desperate you are and however insurmountable the pain is, don't lose faith in yourself and only trust qualified medical (allopathy) professionals as opposed to quacks who pose as experts.
