Hi.. Welcome to HEALTHCARE MAGIC.. I have gone through your query and can understand your concerns.. As per your complain Tail bone pain also known as Coccydynia can be due to a number of commonly occurring causes like traumatic injury to tail bone, tail bone fracture, Sciatica, Pilonidal cysts,Sarcoititis etc.. Although Hemorrhoids are also suspected to be a cause for tail bone pain but it is still less probable.. So I would suggest you to consult an Orthopedician and get evaluated and a thorough clinical evaluation and investigations like x ray of tail bone, MRI Scan and Sigmoidoscopy [to check for Hemorrhoid]can help in diagnosis and treatment can be planned accordingly.. In case if the pain is due to problems related to the tail bone then you can be advised anti-inflammatory painkillers, muscle relaxants, steroid injections and along with it avoiding long hours of sitting, used a proper cushioned seat to sit and physiotherapy under supervision of a trained Physiotherapy.. In case if it is due to Hemorrhoid then you will be referred to a Proctologist and he can advised you either medical or surgical treatment depending on the condition.. Hope this information helps.. Thanks and regards. Dr.Honey Nandwani Arora.