Pain in the caudal spine when sitting, but not when standing, is usually a localized pain condition caused by compression of the soft tissues and bursa in the caudal region when the patient is sitting. Alternatively, some patients with trauma to the coccyx may have pressure on the coccyx in the sitting position, but not in the standing position, and therefore do not have pain. Local soft tissue pain can also be seen in some thinner patients with prolonged sitting, resulting in friction and compression of the tailbone with harder objects such as benches. If there is significant pain and a fracture has been ruled out, observe for localized redness and swelling. If there is redness and swelling, you can try to take some oral anti-inflammatory and analgesic drugs, and ask the patient to sit with a hollow soft pillow at the sacrum and coccyx to avoid direct pressure, and the pain will be significantly reduced after a period of time.