Primary prevention

Weight loss may prevent the development of coccygodynia, as obesity decreases the degree of pelvic rotation during sitting, and exposes the coccyx to trauma.[5] Avoiding tight-fitting clothing may be preventive (e.g., in jean-seam coccygodynia, also known as Stoshak-Mortimer syndrome).[11]

Secondary prevention

Weight loss may prevent recurrence of coccygodynia.[5] Rest is recommended. Adjustments in seating with U-shaped cushions can relieve pressure on the coccyx. Additional measures include sitz baths, pelvic floor physical therapy, and chiropractic manipulation.[1][28]

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