Dr. Jordan Sudberg Explains Why Women Are More Susceptible to Tailbone Pain

Tailbone pain, medically known as coccydynia, is a discomforting condition that affects the small bone at the base of the spine called the coccyx. While anyone can experience tailbone pain, studies and clinical experience show that women are significantly more likely to suffer from this condition than men. But why is that the case?

To shed light on this gender disparity and provide insight into tailbone pain’s causes and treatments, we consulted Dr. Jordan Sudberg, a leading pain management specialist. Dr. Sudberg shares the physiological, anatomical, and lifestyle factors that contribute to women’s higher risk for tailbone pain, along with practical advice for managing and preventing this condition.

What Is Tailbone Pain?

Tailbone pain or coccydynia is characterized by localized discomfort at the very end of the spinal column. The pain typically worsens when sitting, rising from a seated position, or during activities that put pressure on the coccyx such as cycling or childbirth.

Dr. Jordan Sudberg explains, “Tailbone pain arises from trauma, inflammation, or abnormal movement of the coccyx. It can be quite debilitating because sitting is such a fundamental part of daily life.”

Why Are Women More Likely to Experience Tailbone Pain?

There are several reasons women face a higher risk of tailbone pain, rooted mainly in differences in anatomy, childbirth, and lifestyle factors:

1. Anatomical Differences

The female pelvis is structurally different from the male pelvis. It is wider and shaped to accommodate childbirth. This difference causes the coccyx in women to be more exposed and prone to injury or irritation.

“Women’s tailbones tend to be more curved forward, which can increase the likelihood of pressure and trauma during sitting or impact,” says Dr. Sudberg. “This anatomical shape also means the coccyx has a greater range of motion, which can lead to instability and pain.”

2. Childbirth-Related Trauma

One of the most common causes of tailbone pain in women is childbirth. During vaginal delivery, significant pressure is placed on the coccyx as the baby passes through the birth canal. This can result in bruising, dislocation, or fractures of the coccyx.

“Childbirth is a major factor for many women who develop tailbone pain postpartum,” Dr. Sudberg notes. “The trauma from delivery can cause long-lasting inflammation and tenderness.”

3. Hormonal Influences

Hormones like relaxin, which increase during pregnancy, loosen ligaments to prepare the pelvis for delivery. While necessary for childbirth, this ligament laxity can also make the coccyx less stable, increasing the risk of pain.

Dr. Sudberg adds, “Hormonal fluctuations can affect joint and ligament stability in the pelvic region, making women more vulnerable to coccyx injury or inflammation.”

4. Sitting Habits and Lifestyle

Women may also be affected by lifestyle factors that place additional strain on the tailbone. Prolonged sitting on hard surfaces, wearing high heels (which alter posture and pressure distribution), and certain sports or activities can exacerbate tailbone stress.

Symptoms of Tailbone Pain in Women

Women experiencing tailbone pain often report:

• Sharp or aching pain localized at the tailbone
  
• Pain worsening when sitting or rising from a chair
  
• Tenderness when pressing on the coccyx area
  
• Pain during or after childbirth in postpartum cases
  
• Discomfort during bowel movements or sexual intercourse (in some cases)
  

If these symptoms persist for weeks or interfere with daily activities, medical evaluation is recommended.

How Is Tailbone Pain Treated?

Dr. Jordan Sudberg emphasizes that treatment depends on the underlying cause but often includes:

• Pain Relief: Over-the-counter painkillers, anti-inflammatory medications, or prescription options for severe pain.
  
• Cushions and Posture Adjustments: Special coccyx cushions or wedges can relieve pressure during sitting. Improving sitting posture also helps.
  
• Physical Therapy: Targeted exercises to strengthen pelvic and lower back muscles and improve flexibility.
  
• Injections: Corticosteroid injections may reduce inflammation in persistent cases.
  
• Minimally Invasive Procedures: If conservative treatments fail, nerve blocks or radiofrequency ablation can be considered.
  
• Surgery: Rarely, coccygectomy (removal of the coccyx) is performed for severe, intractable cases.
  

Dr. Sudberg’s Tips for Women to Prevent Tailbone Pain

• Use cushioned seating, especially during prolonged sitting.
  
• Maintain good posture and avoid slouching.
  
• During pregnancy, engage in pelvic floor exercises and discuss pain symptoms with your healthcare provider early.
  
• Avoid high heels and activities that place excessive pressure on the tailbone.
  
• Seek early medical advice if you experience trauma or persistent pain in the tailbone area.
  

Final Thoughts

Tailbone pain is a distressing condition that disproportionately affects women due to anatomical, hormonal, and lifestyle factors. Understanding these reasons can help women take proactive steps toward prevention and effective treatment.

With expert guidance from pain management specialists like Dr. Jordan Sudberg, women suffering from coccydynia can find relief and improve their quality of life. If tailbone pain is limiting your daily activities, don’t hesitate to seek professional evaluation and care.