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Tailbone pain-“Sitting” x-rays for Coccyx Pain

Diagnosis For Tailbone Treatment | Dr. Rajveer Singh


Practically every day, patients with tailbone pain come to see Doctors. Many have faced a same challenge regarding imaging studies.

 Coccyx Region | Diagnosis For Tailbone Treatment

Unfortunately VERY common that the patient has tailbone pain (coccyx pain, coccydynia), but they have a difficult time getting medical imaging studies such as basic x-rays (radiographs) of the tailbone.


There are unfortunately many reasons why the coccyx x-rays fail to be done:


The treating physician Doctor may not know much about tailbone pain, and if they don’t know what kinds of x-rays to order or what kinds of abnormalities to screen for on those x-rays, then they do not know the benefits of ordering and obtaining the x-rays in the 1st place.


The treating physician may not know more about the Diagnosis For Tailbone Treatment, and how modern treatments are based upon taking the imaging results into consideration. If the treating physician incorrectly thinks that x-rays will not make a difference, then they will be doubtfully to order those x-rays.

X-Ray for Tailbone | Diagnosis For Tailbone Treatment

Even though if the ordering physician correctly orders Diagnosis For Tailbone Treatment x-rays, the radiology technician may be so familiar with doing lumbar x-rays (and rarely does any coccyx x-rays), that the technician is on autopilot-mode and when you come with some pain in the low back or buttock area they just automatically do the lumbar or lumbosacral x-rays.


The Doctor may have absentmindedly “checked off” the order box that said “lumbar” or “lumbosacral” x-rays. Because pain in those parts is probably thousands times more common than tailbone pain, the template forms probably do not even have a box to check off for coccyx x-rays.


An insurance company or health care system may delay authorization for the x-rays, because they incorrectly believe that the x-rays are unlikely to have any impact on the patient’s subsequent treatment.

Tailbone X-Ray | Diagnosis For Tailbone Treatment

The insurance company and health care system may incorrectly use authorization/denial criteria regarding the Lumbar spine, and inappropriately apply those lumbar criteria to the coccyx region.


Every week here at the Tailbone Pain hospitals, new patients come to see doctors with similar stories, having suffered through the situations described above. While they are here, we review the previous images (x-rays, MRI, etc.) and we assess whether the studies did or did not give an appropriate evaluation of the coccyx. We also can obtain additional imaging studies, like x-rays done while the patient is sitting.

Coccyx / Tailbone | Diagnosis For Tailbone Treatment

When the appropriate imaging studies are over, the majority of patients with tailbone pain will have an accurate Diagnosis For Tailbone Treatment that appropriately explains the reason for their symptoms. If diagnosis then also provides a basis for a personalized treatment plan that specifically treats the specific cause of the pain in that specific patient.


-By Dr. Rajveer Singh (P.T)