Tailbone Pain After a Fall or Direct Trauma: When an MRI Scan Is Necessary

FAQ: Tailbone Pain After a Fall or Direct Trauma

Why does tailbone pain sometimes persist after a fall?

Falls directly onto the buttocks can transmit force to the coccyx and sacrum. Even when initial pain seems mild, underlying injuries such as bone bruises, fractures, ligament strain, or soft tissue injury may not heal properly without accurate diagnosis. Persistent pain after a fall should not be ignored, especially if symptoms do not improve with rest or basic treatment.

Are X-rays enough to assess tailbone injuries after trauma?

X-rays are often the first imaging test used, but they have limitations. Subtle fractures, bone marrow injuries, ligament damage, and soft tissue inflammation around the coccyx may not be visible on X-ray. This is where MRI becomes important for a more complete evaluation.

When should an MRI be considered after a fall?

An MRI should be considered if:

• Pain persists beyond a few weeks despite conservative treatment
• Sitting remains painful or increasingly uncomfortable
• Pain worsens rather than improves
• There is tenderness over the tailbone without clear explanation on X-ray

Based on modern medical technology and current standard of care, MRI should be considered in this scenario.

Why is MRI important for tailbone trauma?

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 allows doctors to assess:

• Bone marrow oedema or occult fractures
• Ligament and soft tissue injury
• Inflammatory changes around the coccyx and sacrum
• Healing complications following trauma

MRI is safe and does NOT involve ionising radiation.

I’m worried about the cost of MRI. Is it necessary?

Cost concerns are common, but delaying accurate diagnosis may lead to prolonged pain, repeated consultations, ineffective treatments, and higher long-term expenses. Early MRI can help guide appropriate care and avoid unnecessary trial-and-error management.

Why do MRI appointments take so long elsewhere?

Many imaging centres have long waiting times due to limited availability and referral processes. Delays can prolong uncertainty and discomfort, especially when pain affects daily activities like sitting or working.

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Why Consider MRI at The Pain Relief Clinic?

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

Key advantages include:

• 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

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Can Insurance or Medisave Help Cover MRI Costs?

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 the scan type and policy structure.

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When should you seek medical review?

If tailbone pain after a fall persists, interferes with sitting or daily function, or fails to improve with conservative care, timely MRI assessment can help clarify the cause and guide appropriate management.

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