Coccydynia or tailbone pain is an inflammation of the tip of the tail bone called the coccyx. Coccydynia may lead to pain and tenderness between the buttocks. Initial treatment for coccydynia is typically non-invasive, such as hot packs, cold packs and activity modifications that relieve pressure on the tailbone. Patients may also take anti-inflammatory medications, and try gentle stretching, physical therapy with ultrasound, chiropractic manipulation and injections. Surgery is an option, but rarely performed.