Tailbone pain. Suggest what should i do.

Your symptoms are suggestive of coccydynia (tailbone pain), which commonly occurs due to prolonged sitting, poor posture, repetitive pressure over the coccyx, or rarely after an unnoticed minor injury. Most patients improve with conservative treatment: Use a coccyx (U-shaped) cushion while sitting to reduce pressure on the tailbone. Avoid sitting continuously for long periods; stand and walk for a few minutes every 30–45 minutes. Maintain proper sitting posture and avoid leaning backwards. Apply warm compresses and perform stretching exercises for the lower back and pelvic muscles under the guidance of a physiotherapist. Anti-inflammatory medications may help if prescribed by your doctor. Since your pain has persisted for 3–4 months, you should be evaluated by an Orthopaedic specialist to confirm the diagnosis and rule out other causes such as coccygeal instability, lumbar spine pathology, or rarely infection or a local lesion.

Consult an Orthopaedic specialist for a clinical examination. You may require X-rays of the coccyx (sitting and standing views), and an MRI only if clinically indicated or if symptoms persist despite treatment. Continue activity modification and physiotherapy.

Seek immediate medical attention if your pain is associated with fever, unexplained weight loss, bowel or bladder problems, numbness or weakness in the legs, or if the pain becomes severe even without sitting. Most cases of coccydynia improve with conservative treatment, but persistent pain may require targeted injections or other interventions after evaluation.