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Tailbone or Lower Hip Pain When Seated

Table of Contents

How People Describe This Pain Pattern

People complain of pain in the tailbone while seated for long periods. Usually, it bothers them after a long drive in the car or sitting in a theater for long periods. Often, they have a unique pillow that prevents pressing on the tailbone, but it doesn’t help.

People may also complain of pain around the bone that presses into the seat. Like the first example, these people can’t stay seated long and squirm onto one side or the other.

Or tenderness…

Instead of pain, people may refer to tenderness in the darker areas of this illustration. In those cases, they often mention it as an aside and are not why they came for treatment.

Likewise, some people also complain of a general tenderness over the entire buttock. They may have more intense pain in the darker areas when seated, pressed, or during vigorous activity.

How You Activate and Intensify This Pain Pattern

Slumping While Sitting

Sitting with your hips pulled forward in the seat aggravates these trigger points. This is more common when the low back muscles are weak and sitting up straight is tiring.

Forceful Hip Exercise

Vigorous hiking, swimming, stair climbing, or step classes can aggravate this pain in the tailbone or lower hip. A few of my clients developed this pain in the tailbone after swimming in a cold lake.

Injurious Onset

There are other, less common ways to aggravate this trigger point. A strike to the hip, especially the tailbone, can create joint problems and perpetuate this problem. However, a fall on the lower hip that bruises the muscle and jars the hip joints can create this pattern. Occasionally, vaccination or other shot to the hip aggravates this condition.

The Musculoskeletal Anatomy Behind Your Pain

Musculoskeletal Anatomy

About these Illustrations…

This post on anatomy contains standard information about the origin, insertion, function, and innervation of muscles. Additionally, it includes information on functional considerations and anomalies.

Find Related Posts

Anatomy posts have a grid of all related posts. This includes posts on pain patterns, self-care, therapy notes, NMT protocols, cranial techniques, and cases.

Getting Relief on Your Own

Clinically Proven
Self-Care Strategies

Self-Care Posts have common sections to make them easy to follow and understand:

  • Activities to Avoid or Change
  • Strategies for Quick Relief
  • Stretches and Exercise for Longer-Lasting Relief
  • Yoga Corner

Therapy Notes for Massage and Bodywork

Better Bodywork
Through Shared Expertise

Therapy Notes provide details for cranial, spinal, and local joint work. These notes also link to a traditional neuromuscular protocol.

By treating integrative components first, direct work on the muscle becomes less intense while providing longer-lasting relief.

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Tony Preston has a practice in Atlanta, Georgia, where he sees clients. He has written materials and instructed classes since the mid-90s. This includes anatomy, trigger points, cranial, and neuromuscular.

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*This site is undergoing significant changes. We are reformatting and expanding the posts to make them easier to read. The result will also be more accessible and include more patterns with better self-care. Meanwhile, there may be formatting, content presentation, and readability inconsistencies. Until we get older posts updated, please excuse our mess.