Hello,
You are suffering from a large protruding tail bone, it hurts you when you sit on flat surfaces. It needs correction so that you become more comfortable to do your daily activities. You are suggested to get clinically examined by an orthopedist, get all required tests and investigations done.
Your treatment will depend on the cause detected, like it can be due to genetics or hyperlordosis-when the lower spine curves inwards, pushing the pelvis back and up, making the tailbone stick out or tailbone misalignment and it will be treated appropriately. Stretches may improve symptoms caused by a protruding tailbone.
Physical therapy is helpful, it helps to reduce tailbone discomfort, stretches and exercises to improve spinal alignment. Gentle massages with pain relieving ointment will help to reduce
tailbone pain. The treating doctor may recommend Injectable dermal fillers. In severe cases dermal fat grafts to pad the surrounding area may be recommended.
If required
Coccygectomy, which is the removal of a portion or all of the tailbone may be suggested by the treating doctor but postoperative recovery may take time as people complain of continued pain. If need be you will be referred to a plastic surgeon.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Nupur K., General & Family Physician