Tailbone pain in the middle of the buttocks after a fall may be due to contusion of the soft tissues around the tailbone during the fall, resulting in pain in the tailbone and nearby areas, generally manifesting as localized swelling and pain, which can be relieved after resting on the side. The pain may also be caused by dislocation of the sacrococcygeal fracture, which is usually more intense and can be diagnosed by X-ray. If the patient does not see sacrococcygeal fracture after X-ray examination, cold compresses can be applied within 48 hours and hot compresses after 48 hours, and bed rest can be paid attention to, and side lying position can be adopted. Local application of blood-activating drugs or diclofenac diethylamine cream can be used to relieve pain and promote local inflammation absorption. Oral non-steroidal anti-inflammatory drugs such as celecoxib can also be taken at the same time to relieve painful symptoms. If a sacrococcygeal fracture is diagnosed after sacrococcygeal X-ray, usually for patients with mild fracture and no adjacent organ or tissue compression, bed rest and analgesic treatment will be taken first. If there is sacral nerve compression, closure therapy can be used. Patients with fracture with displacement should be repositioned in a timely manner. Those with mild displacement can be gradually repositioned through anal fingering after local anesthesia, and in the case of severe displacement or with neurological symptoms, open repositioning and internal fixation are required.