# Pregnancy Tailbone Pain

Source: https://www.pregnancypowerhour.com/conditions/tailbone-pain-pregnancy
Last updated: 2026-07-15

> Pregnancy tailbone pain, or coccydynia, is a discomfort often felt in later pregnancy and postpartum due to joint changes and pressure from your baby.

## What it is

Pregnancy tailbone pain, medically known as coccydynia, is a distinct discomfort that often arises due to the unique physiological shifts happening in your body as your pregnancy progresses. This particular ache stems from the sacrococcygeal joint, which is where your tailbone (coccyx) connects to the sacrum. During pregnancy, a hormone called relaxin is at work, gently loosening ligaments throughout your pelvis to prepare for birth. This joint laxity, combined with the increasing pressure from your growing baby's position, can put strain on the tailbone area, leading to discomfort. While your body is doing incredible work to nurture your growing baby, these changes can sometimes bring unexpected aches, much like the common experience of [Braxton Hicks Contractions](/conditions/braxton-hicks) as your uterus practices.

## What it tends to feel like

Coccydynia typically manifests as a localized pain or tenderness right at the base of your spine. Many people describe it as a dull ache, though it can sometimes feel sharper, especially with certain movements or positions. You might notice the pain more intensely when sitting, particularly on hard surfaces, or when transitioning from sitting to standing. For some, walking can offer a sense of relief compared to remaining seated. It's a discomfort that can be present in the second and third trimesters, often continuing into the postpartum period as your body recovers and realigns. Understanding these sensations can help you make informed decisions about comfort, similar to how recognizing the signs of [Pregnancy Hemorrhoids](/conditions/hemorrhoids-pregnancy) helps you manage that specific discomfort.

## What the evidence says helps

When it comes to managing tailbone pain, several evidence-informed approaches can offer relief. Many find significant comfort from using specialized cushions, such as donut cushions or those with a coccyx cutout, which redistribute pressure away from the tailbone when sitting. If your work or daily routine involves prolonged sitting, incorporating a standing desk or taking frequent breaks to stand and walk can be immensely helpful. For sleep, side-lying with a pillow placed between your knees is often recommended to reduce direct pressure on the coccyx.

For more targeted support, pelvic floor physical therapy is considered the most evidence-based intervention. A pelvic floor therapist can assess for associated muscle tension and provide specific exercises and techniques to alleviate discomfort. Additionally, some individuals find relief through chiropractic adjustments of the coccyx. While the evidence for chiropractic care in this specific area is primarily from case studies rather than extensive randomized controlled trials, it's an option some choose to explore with their provider. As a doula, I often encourage clients to explore these options, just as we might discuss comfort measures for other common pregnancy experiences like a persistent [PUPPP — Pregnancy Rash](/conditions/puppp).

## Working with your care team

Experiencing tailbone pain can be frustrating, but it's important to remember that you're not alone, and there are supportive strategies available. Most cases of coccydynia resolve naturally within weeks to months after birth as your body heals and the relaxin hormone levels return to normal. Rarely does it require significant medical intervention. However, your care provider — whether your OB or midwife — is your best resource for your specific situation. They can help you understand the nuances of your pain and guide you toward the most appropriate interventions.

As your doula, my role is to help you feel calm, clear, and confident in navigating these physical changes. We can explore comfort measures, discuss questions to ask your provider about pelvic floor therapy or chiropractic care, and help you craft a personalized approach to managing this discomfort. Remember, you get to decide what feels right for your body and your pregnancy journey.