As a consultant treating coccydynia regularly I have read your site with interest. Few doctors seem to recognise the altered mechanics of the sacro-coccygeal joint or coccyx joints when sitting compared with standing. Conservative treatment should be multi-disciplinary. I use a combination of oral NSAIDs, regular ice packs, pelvic ligament stretching exercises, manipulation of sacro-iliac joint and coccyx, back school training and a special wedge shaped cushion for sitting on. The treatment does not work for all, but the majority demonstrate improvement with the cushion alone.
The course of the condition is usually chronic and recovery slow. Injection therapy should be reserved for those who have been through a conservative course of treatment lasting 3-6 months or for those in acute pain.
Email: DrElliott@painbusters.co.uk, Shiphay Chiropractic Clinic, 55 Cadewell Lane, Torquay, Devon, TQ2 7ER, UK.