Hi there,welcome to HCM, thanks for the question.
Tail
bone pain is probably one of the most tricky situation to deal with, both for the patient and the treating physician.Conservative meaures form the mainstay of treatment in almost all the cases of tail bone pain.This includes use of doughnut (religiously in all situations)sitz bath (Sittingbourne a tub of water- similar to aquatic therapy), medications.If no relief with this
prolotherapy which is injection of saline with locall ansthetic and/or local
steroid injection can be tried.Injectionseen can be repeated twice or thrice if thee is relief with first injection.
Since your pain has been present for more than 5 months, it is unlikely that conservative measures would help.Another evaluation with xrays and MRI might be warranted to investigate the source of your pain ( since there is no history of
injury in your case) .In unrelenting pain rarely surgery would be a consideration But unfortunately even surgical results of
coccygectomy (removal of tip of tail bone) have been found to be less than satisfactory for tail bone pain.
Hope this answers your question..All the best
with best regards.
Dr.SBK