Conversation: The conversation between human and AI assistant.
[|Human|] I have been having excruciating pain in my tailbone area for 5 months now.  I havent fallen or bumped into my tailbone, nor have I ever had any back injurys.  I have tried a donut to sit on but that doesnt help.  My tail bone hurts when Ilie in bed, when I sit and especially when I get up from a chair.  What can I do?
[|AI|]  Hi there, welcome to Chat Doctor, thanks for the question. Tail bone pain is probably one of the most tricky situations to deal with, both for the patient and the treating physician. Conservative measures form the mainstay of treatment in almost all the cases of tail bone pain. This includes use of doughnut (religiously in all situations)site bath (Sittingbourne a tub of water-similar to aquatic therapy), medications. If no relief with this phototherapy which is injection of saline with local aesthetic and/or local steroid injection can be tried. Injectionseen can be repeated twice or thrice if thee is relief with first injection. Since your pain has been present for more than 5 months, it is unlikely that conservative measures would help. Another evaluation with X-rays and MRI might be warranted to investigate the source of your pain (since there is no history of injury in your case). In unrelenting pain rarely surgery would be a consideration But unfortunately even surgical results of coccygectomy (removal of tip of tail bone) have been found to be less than satisfactory for tail bone pain. Hope this answers your question. All the best with best regards. Chat Doctor.