Medically reviewed by M. Thurairaj, Registered physiotherapist. · Last reviewed June 2026.
What can cause it
Tailbone pain can follow a fall or knock onto the bottom, long periods sitting on hard surfaces, or develop without an obvious trigger. It is typically worse with sitting, especially leaning back, and when moving from sitting to standing. Because the area is sensitive, even minor irritation can be quite uncomfortable, though it is often manageable with sensible measures.
Easing the pressure
Using a cushion, particularly a wedge or one with a cut-out at the back, can take pressure off the tailbone when sitting. Avoiding long stretches of sitting on hard surfaces, shifting position, and leaning slightly forward rather than back can help. Many cases settle over time with these measures. A doctor can advise if it is persistent or followed a significant fall.
Where massage may help
Massage to the surrounding muscles of the lower back, buttocks and hips can ease tension that may accompany tailbone discomfort, though we do not work directly on the tailbone itself. It is a supportive comfort measure alongside cushioning and sensible sitting. Persistent, severe pain, pain after a significant fall, or any concerning symptoms should be assessed by a doctor.
Key takeaways
- Tailbone pain is often worst with sitting and standing up
- A wedge or cut-out cushion takes pressure off it
- Avoid long sitting on hard surfaces
- Persistent pain or pain after a fall needs assessment
Frequently asked questions
How can I make sitting more comfortable with tailbone pain?
A wedge cushion or one with a cut-out at the back takes pressure off the tailbone. Avoiding hard surfaces, shifting position and leaning slightly forward also help.
When should tailbone pain be checked?
See a doctor if it is persistent, severe, followed a significant fall, or comes with any concerning symptoms, rather than just managing it yourself indefinitely.