Pain in the coccyx should be referred to an orthopedic surgeon to rule out injuries to the coccyx, such as coccygeal fracture, coccygeal contusion, which is the most common cause of pain in the coccyx, as well as injuries to the sacrococcygeal joints or inflammation, which can also cause localized pain symptoms. Injury to the soft tissues around the tailbone can also cause localized pain, such as the muscles, fascia, ligaments, and fat around the tailbone. Injury or chronic inflammation of these soft tissues is also a common cause of tailbone pain. Older people with tailbone pain should consider the presence of degenerative diseases. The sacrococcygeal joints may degenerate with age, with narrowing or even sclerosis, resulting in localized pain when subjected to external forces or activities in this position. There are also lumbar spine disorders, such as slipped fifth lumbar vertebrae, which can also cause symptoms of tailbone pain, due to irritation of the dura mater and nerve roots.