Coccydynia can be acute or chronic. Acute cases are typically easy for physicians to treat. Physical therapy focusing on the levator ani or the coccygeus can help alleviate pressure on the region and provide greater support. Chronic cases of coccydynia may require more advanced treatments. Surgery to remove the tailbone, a coccygectomy, can alleviate pain and has very few side effects. Radiofrequency ablation or chemical ablation can destroy or inhibit the nerve fibers around the coccyx, preventing the nerves from sending pain signals to the brain.

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