Persistent Coccyx Pain When Sitting (Coccydynia): When MRI Should Be Considered

FAQ: Persistent Coccyx Pain When Sitting (Coccydynia)

What is coccydynia?

Coccydynia refers to pain originating from the coccyx (tailbone), commonly felt when sitting, leaning backwards, or rising from a seated position. It can develop gradually or follow minor trauma that may not seem significant at first.

Why does coccyx pain worsen when sitting?

Sitting places direct pressure on the coccyx. If there is inflammation, joint instability, ligament injury, or bone pathology, this pressure can trigger persistent pain. In some cases, even prolonged desk work or frequent sitting can aggravate an underlying issue.

When is coccyx pain considered abnormal?

Pain should gradually improve with simple measures such as activity modification and cushioning. If coccyx pain:

• Persists for weeks or months
• Worsens with sitting despite conservative care
• Interferes with work or daily activities

Further evaluation is warranted.

Why is MRI important in persistent coccydynia?

MRI is one of the most accurate imaging modalities currently available.
Without accurate imaging, no doctor—regardless of experience—can reliably make a precise diagnosis.
Without accurate diagnosis, treatment plans become generic, presumptive, and often fail.
Many failed treatments are due to trial-and-error care without imaging.

MRI can identify:

• Inflammation of the coccygeal joints
• Ligament or soft tissue injury
• Bone marrow changes
• Early degenerative or stress-related changes

Based on modern medical technology and current standard of care, MRI should be considered in this scenario.
MRI is safe and does NOT involve ionising radiation.

Can this condition be managed without imaging?

Some mild cases improve with time. However, when pain persists, imaging becomes important to avoid prolonged discomfort, repeated ineffective treatments, or incorrect assumptions about the cause of pain.

I’m concerned about cost and waiting time for MRI.

Cost concerns are understandable, and many patients are also frustrated by long waiting times at imaging centres. Delayed MRI often leads to delayed diagnosis, prolonged symptoms, and unnecessary trial treatments.

---

Why Consider MRI at The Pain Relief Clinic?

The Pain Relief Clinic is centrally located at 350 Orchard Road, Shaw House, a 5-minute walk from Orchard MRT, with convenient parking and immediately outside ERP.

Patients benefit from:

• MRI machine on-site
• Doctor can assess and directly arrange MRI immediately
• No need to visit a separate imaging centre
• No need to find another doctor just for an MRI referral
• Doctor has been helping patients with spine and joint problems since 2007 (18 years)
• Focus on non-invasive, technology-powered treatments

MRI arrangements aim to be:

• Under $1000
• Within 1 working day

---

Can Insurance or Medisave Help Cover MRI?

MRI scans may be covered by:

• Personal accident insurance
• Travel insurance
• Company insurance
• Company flexi-benefits
• Hospitalisation plans (policy-dependent)
• Medisave

Medisave limits:

• Current: $300
• From 1 Jan 2026: $600

Medisave can potentially cover more than half the MRI cost, depending on eligibility and policy terms.

---

Key Takeaway

Persistent coccyx pain when sitting should not be dismissed as “normal.” Accurate imaging helps clarify the cause, guides appropriate care, and reduces unnecessary trial-and-error treatment.

For more information or to arrange an MRI scan, contact The Pain Relief Clinic via WhatsApp at +65 9068 9605.