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5-DAY 10-DAYYep, Your Tailbone Can Hurt After Giving Birth—but Not Always For The Reasons You'd Think
Low-back pain during pregnancy is a pretty common complaint. And it's no surprise: Your growing baby bump adds extra weight (that your back must support and shifts your center of gravity, screwing with your posture. But for some expectant birthing parents, the aches and pains also linger a little lower in the tailbone (read: in the rear).
Your tailbone, or coccyx, sits right above your butt and behind your uterus—aka, your womb. It's also connected to your pelvic floor muscles. When you're pregnant, this area goes through a lot of changes (more on this later), making it a hot spot for potential pain. In fact, approximately one third of pregnant people get tailbone pain, also known as coccydynia, according to UT Southwestern Medical Center. Though it usually goes away once you deliver your baby, tailbone pain after giving birth, and throughout postpartum, is possible.
Here, learn more about your tailbone and pelvic floor in pregnancy, how long tailbone pain lasts, and postpartum care tips to relieve this (literal) pain in the butt.
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What causes tailbone pain after birth?"The pelvis goes through a lot" during pregnancy and childbirth, says Christine Greves, MD, an OB/GYN at Orlando Health Women's Institute Center of Obstetrics and Gynecology in Florida. "From the bones, to the muscles, to the vagina, to the ligaments," all these changes can coccyx pain after birth, Dr. Greves says. Some more specific examples include:
Looser ligamentsIn the third trimester, your body releases hormones that soften the spot between your tailbone and sacrum—the part of your pelvis above your tailbone, according to the Cleveland Clinic. This makes the tailbone more flexible so it can move (to give your baby room to grow and enough space to pass through during birth). Problem is, the muscles and ligaments around your tailbone may grow a little too loose, Dr. Greves says. When this happens, they can no longer properly support the tailbone, which may cause muscle tension and pain.
Tight pelvic floorTo compensate for loose pelvic ligaments, your pelvic floor muscles—the basket of muscles that sit at the bottom of your pelvis—can contract to stabilize your body, according to UT Southwestern Medical Center. Thing is, your pelvic floor muscles are also connected to your tailbone, so if they become tight, it can cause pain in this area.
Extra weightDuring a healthy pregnancy, you gain weight as your baby grows. But these extra pounds can put pressure on your tailbone and make it lean backwards, according to the Cleveland Clinic. Plus, your bigger belly alters your center of balance and shifts your posture, which can both add strain on the tailbone, per UT Southwestern Medical Center.
Tailbone injury during birthWhile uncommon, it is possible to have a bruised or broken tailbone after birth, from the delivery itself. Pressure on your tailbone during birth (from the baby passing through the birth canal) is typically the cause.
Other causes of pregnancy and postpartum tailbone pain can include the following, according to the Cleveland Clinic and UT Southwestern Medical Center:
"Anything is possible," Dr. Greves says. Even if you end up having a cesarean, you still have some of the same risk factors for tailbone pain post birth:
On top of this, many people push for a long time before they have a C-section, which can add extra strain on the tailbone and produce pain, Dr. Greves says.
Who's at risk for tailbone pain after birth?While pregnancy and postpartum tailbone pain is pretty common, some birthing people are more likely to feel it after birth. Here are a few risk factors, per Dr. Greves:
The most common symptom of coccydynia is a dull/achy (or sometimes, sharp/piercing) pain in your tailbone. But there are other signs, too. These include the following, per the Cleveland Clinic:
Ongoing tailbone pain that's worse after birth can also come with symptoms like:
If your tailbone pain becomes severe or chronic, it can affect your quality of life and take a toll on your mental health. If you develop depression or anxiety, it's important to tell a trusted doctor or mental health professional, who can help you cope with your symptoms.
How to tell tailbone pain from typical postpartum painPregnancy and birth put your body through a lot. That means, you can expect some aches and pains in the postpartum period whether you delivered vaginally or by C-section. Sometimes, early postpartum pangs can even overlap with tailbone pain (for example, discomfort when you poop or during sex). So how can you tell the difference between the two? Location of the primary pain is key, Dr. Greves says. Tailbone pain happens in (and originates from) the bottom of your spine near your butt where you sit, she says.
On the other hand, pain from:
Luckily, not long in most cases. For many people, tailbone pain typically resolves quickly after birth, according to UT Southwestern Medical Center. Still, this can range anywhere from a few days to a few weeks depending on the degree of your issue. If you have a serious injury (say, a dislocation or fracture) the healing process can take longer.
For others, tailbone pain can become a more chronic condition. This happens when loose ligaments or trauma to the tailbone continue to cause instability in the area and persistent pain, per UT Southwestern Medical Center.
How to heal tailbone pain after birthAfter nine months of physical and hormonal changes and giving birth, your body will need time to recover from tailbone pain. The good news is 90 percent of people with tailbone pain feel better with home remedies, according to the Cleveland Clinic.
Hear are a few tips to cope with coccydynia, per the Cleveland Clinic and the Mayo Clinic:
If home remedies aren't cutting it, and your tailbone pain persists, your provider might recommend one of the following treatments, per the Cleveland Clinic:
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When to see a doctor about postpartum tailbone painUltimately, you may still be wondering, "Is tailbone pain normal after birth?" In some cases, yes, and while unpleasant, it typically resolves on its own within a few weeks after birth. That said, if your pain doesn't improve, affects your quality of life, and/or isn't managed with home remedies, reach out to your doctor, Dr. Greves says. You could be dealing with chronic coccydynia.
Your doctor will also check for other conditions and make sure you don't have more serious problems like tailbone fracture, joint issues, or in rare cases, a tumor, per the Mayo Clinic.
FAQ What are the best exercises for tailbone pain?Postpartum tailbone pain is often tied to tight muscles. When your pelvic ligaments loosen during pregnancy (to make space for your baby to grow), certain muscles in this region—like your pelvic floor—contract to better stabilize your body. But if they become too tight, you can feel pain.
Stretching can help reduce this muscle tension and coccyx pain. Dr. Greves recommends trying this simple stretch to lengthen the pelvic muscles and ligaments. You can do it in bed (think: before you start your day or before going to bed at night). Here's how:
If this doesn't help, you should consider seeing a physical therapist. They can teach you other pelvic floor relaxation techniques (including stretches and breathing exercises) to temper your tailbone pain. They can also offer postpartum workout suggestions that won't aggravate your tailbone.
How do I know if my tailbone pain is serious?Most times, tailbone pain is temporary and nothing to worry about. But if tailbone pain is severe and accompanied by other symptoms, you might be dealing with a more serious health issue. See your doctor right away if you have the following symptoms, per the Cleveland Clinic:
First, your doctor will review your symptoms and your medical history to see if you've had any prior injuries or trauma to your tailbone. They'll also want to take a better look at your tailbone area to determine whether you have any inflammation, abscesses (pockets of infection), lumps, tumors, or fractures. To figure out what's going on, they may recommend tests like the following, per the Cleveland Clinic:
For a suspected fracture:
For inflammation, abscesses, or tumors:
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