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Management strategies of pediatric coccydynia: a narrative review

Jinchao Cao1, Kaixuan Tian1

  • 1Department of Pediatric Orthopaedics, Hebei Medical University Third Hospital, Shijiazhuang, Hebei, China.

Frontiers in Pediatrics
|March 25, 2026
PubMed

Insights

Pediatric coccydynia, or tailbone pain in children, requires unique management due to developing anatomy. This review synthesizes evidence to guide effective treatment strategies for this uncommon condition.

Area of Science:

  • Orthopedics
  • Pediatric Pain Management
  • Clinical Review

Background:

  • Pediatric coccydynia presents unique challenges due to anatomical differences in the developing coccyx.
  • A significant lack of high-level evidence complicates treatment decisions for children and adolescents with tailbone pain.

Purpose of the Study:

  • To address the knowledge gap in pediatric coccydynia management.
  • To synthesize current literature for an evidence-informed clinical practice foundation.
  • To provide a contemporary overview of etiology, diagnosis, and treatment.

Main Methods:

  • Comprehensive literature search of PubMed and Embase databases.
  • Focus on studies detailing pediatric and adolescent coccydynia.
  • Narrative review synthesizing findings on anatomy, etiology, diagnosis, and management.

Main Results:

  • Summarizes distinct pediatric coccydynia anatomy and diverse etiologies.
  • Outlines a refined diagnostic approach for pediatric cases.
  • Presents a stepwise treatment progression from conservative measures to surgical options.

Conclusions:

  • Establishes an evidence-informed framework for managing pediatric coccydynia.
  • Highlights the need for distinct management protocols compared to adults.
  • Offers guidance for clinicians treating tailbone pain in pediatric patients.

Keywords:
childrencoccydyniaconservative treatmentetiologypain managementsurgical procedures

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