Treatment is more likely to work when the coccyx has normal mobility. Steroid injection with a numbing agent such as lidocaine (like lidocaine) may help. Massage and stretching of the nearby muscles after the injection has helped many patients.
Some chiropractors suggest an adjustment to realign the coccyx. The results of this treatment depend on how mobile the coccyx is. A more extreme treatment option is surgery to remove the coccyx. This is called a coccygectomy. Conservative care is always tried first before surgery. The results are somewhat unpredictable.