Low-back pain is a common complaint during pregnancy, especially in the tailbone area. The tailbone, or coccyx, is located above the buttocks and is connected to the pelvic floor muscles, making it susceptible to pain during pregnancy due to the changes in the body. Approximately one third of pregnant individuals experience tailbone pain, also known as coccydynia.
Factors that can contribute to tailbone pain during pregnancy and postpartum include looser ligaments, tight pelvic floor muscles, extra weight from pregnancy, and tailbone injury during birth. Other causes can include prolonged sitting, constipation, and lack of exercise.
Even after a C-section, tailbone pain can occur due to ligament-loosening hormones, weight gain, and prolonged pushing during labor. Those at higher risk for tailbone pain after birth include individuals with larger babies, prolonged labor, or babies in the “sunny-side up” position.
Symptoms of tailbone pain after birth include pain when transitioning from sitting to standing, during bowel movements, and during sex. Other symptoms can include back pain, sciatica, and mental health issues like depression and anxiety.
To differentiate tailbone pain from typical postpartum pain, pay attention to the location of the primary pain. Tailbone pain typically occurs at the bottom of the spine near the buttocks, while pain from a C-section or vaginal birth is located in different areas.
Most cases of postpartum tailbone pain resolve quickly after birth, but some may experience chronic pain if ligaments remain loose or trauma to the tailbone persists. Home remedies for tailbone pain include taking NSAIDs, sitting on a cushion, taking hot baths, and using hot or cold packs. If pain persists, it’s important to seek medical advice for further treatment options.
