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Tailbone or Lower Hip Pain When Seated

Your Pain Pattern,
What Aggravates It,

The Underlying Anatomy
How to Get relief,
and more…

How People Describe This Pain Pattern

People complain of tailbone pain when sitting 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 gotten a special 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 for long periods. and squirm onto one side or the other.

Instead of pain, people may refer to tenderness in the darker areas of this illustration. Often, in those cases, they 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

This is aggravated when sitting with your hips pulled forward in the seat. This is more common when the low back erectors are weak and sitting up straight is tiring.

Forceful Hip Exercise

The muscle is aggravated by vigorous hiking, swimming, stair climbing, or step classes.

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 that perpetuate this problem. However, a fall on the lower hip that bruises the muscle and jars the hip joints can create this pattern. Occasionally, this trigger point is aggravated by vaccination or other shot to the hip.

The Musculoskeletal Anatomy Behind Your Pain

Musculoskeletal Anatomy

About these Illustrations…

This post on anatomy contains the standard information about origin, insertion, function, and innervation. It also includes information on functional considerations and anomalies. This is also the place to find all posts related to this muscle.

Getting Relief on Your Own

Clinically Proven
Self-Care Strategies

This post has strategies for getting relief on your own. Explore how to change your activities, stretch, and other strategies that relieve the pain associated with this trigger point.

Therapy Notes for Massage and Bodywork

Better Bodywork
Through Shared Expertise

This post has techniques, tips, treatment routines, and anatomy illustrations to improve the bodyworker’s approach.

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Tony Preston has a practice in Atlanta, Georgia, where he sees clients. He has written and taught about anatomy, trigger points, and cranial therapies since the mid-90s.

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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 will include more patterns with better self-care. In the meanwhile, there may be inconsistencies in formatting, content presentation, and readability. Until we get older posts updated, please excuse our mess.