Tailbone pain, called coccydynia or coccygodynia, is a rare condition that affects more women than men. One of the reported causes is repetitive strain and friction to the coccyx from movements such as cycling and rowing. Prolonged sitting on a bike may damage the nerves that provide sensation to the coccyx resulting in pain and discomfort. Treatment is possible and prevention may involve adjusting your cycling position or replacing your seat.
Symptoms
The primary symptom of coccydynia is localized pain while sitting or just after sitting. Sharp pain may occur when you move, stand or sit on soft surfaces. the pain can vary in intensity from mild to severe. Tailbone pain while cycling may be apparent when you first ride, and then subside rather than getting worse. Other related symptoms include uncomfortable bowel movements and pain during sexual intercourse, particularly for women.
Treatment
Ice application several times per day can help, along with ibuprofen or a similar over-the-counter pain and inflammation relief medicine taken as directed on the package. Heat may be used on the area as well. If pain is severe, cycling should be discontinued until the pain improves. Sitting on a cushion with a hole in the middle may make sitting more comfortable. Sitting for long periods at a time should be avoided when possible.
Prevention
If cycling has caused your tailbone pain, try adjusting the handlebars on your bicycle to allow for more forward lean to take the pressure off your tailbone. Consider installing a cycle seat or using a seat pad that has a wedge cut out or space in the middle of the saddle. This design provides support for your lower pelvic bones and buttock muscles without strain and friction on the tailbone.
Evaluation
If your tailbone pain does not get better with rest from cycling, ice, and pain medication, you should seek medical evaluation. An X-ray and physical examination may determine if a fracture or dislocation is present. Rectal and neurological tests may also be ordered by your physician. In rare cases, a tumor may be present and a coccyxectomy, surgical removal of the tailbone, may be necessary to alleviate chronic pain.
