Painful, Small, Hard Lump at End, On, Near & Below Tailbone: Causes, Treatments

Envisage that you’ve just reveled in your diurnal bathing o’clock regime—you excitedly smear and slather yourself with some of that ludicrously swanky Lancome body butter that cost a king’s ransom. Unanticipatedly, when you near your butt you feel something disquieting—a small lump on your tailbone! Maybe it could be a pimple, but you’re not stressed and clearly aren’t enduring PMS. Upon closer inspection, it emerges that it isn’t a blemish at all.

What now? Here, we’re going to go into what it means and what your treatment options are.

What Is a Lump?

Ordinarily, a lump is a small or big bump that you can feel from touching your skin. It can vary wildly in its localization and causes. It can be painful and uncomfortable or barely felt at all.

The lion’s share of lumps is a nonexistent worriment according to most medical institutions. If the lump is unambivalent after a few weeks or you’re beastly jittery about it, discuss it with your physician.

What Is the Tailbone Area?

The coccyx (tailbone) is a bone on the very far end of your spine. It’s past the lowest vertebra and has a three-sided polygon geometry. Its location is just above the buttocks or between the beginning of them. The area surrounding it can also be affected by issues concerning the tailbone.

Going back in human evolution, it would’ve been a tail, which undoubtedly next door Joe currently doesn’t possess. Homo sapiens don’t necessitate this osseous and calcium superabundant matter anymore, thus rendering it useless as a tail. It is still invaluable to balance while sitting and connects different parts of your constitution and skeleton.

Painful Lumps on the tailbone

Sporadically, lumps can materialize at your coccyx and can be somewhat irksome. These bulges can eventuate and localize as a painful lump on the tailbone, lump at the end of the tailbone, lump under the skin near the tailbone or lump below the tailbone.

These sore lumps on your lower back near your tailbone can be an elephantine multitude of conditions, however usually harmless. It’s of vast importance to monitor the area, due to it’s susceptibility to swelling.

Supplementally, it can be frightfully afflicting while seated on your booty. Putting pain aside, it’s also wholly embarrassing. Traditionally, your bedfellows are the only cookies that periodically see you in your birthday suit and au naturel. So if you have a seeable and feelable lump, it’s less than ideal.

What Are the Most Common Types?

Pilonidal Cysts

They are by far the topmost prevalent type for a skin lump. They develop as a lump under the skin near the tailbone or at the pinnacle of the groove of your gluteus maximus or and can often start as a pimple. They’re most common in young men but do manifest in women and mature folk.

Sedentary personages are more vulnerable and the region entails close monitoring, especially lumps below and around the tailbone!

Tarlov Cysts

These cysts are far less common and occur across the whole spine, although they’re most likely to manifest as a lump at the end of the tailbone. They are bags inflated with spinal fluid affecting the roots of the nerves at the spine and are principally found in females.


This cancer is a very scarce tumor, however, it’s dangerous. It’s common at the base of the skull as well as around and above the tailbone heaving into view as a hard lump.

Most patients are diagnosed between the ages of 50 and 60.

What Are the Causes?

Pilonidal Cysts

By far the prevailing cause for pilonidal cysts is ingrown hairs in the skin. This can be due to rubbing and chafing of the dermis of your upper bahookie. Many recreations, enthusiasms, and actions can cause this, like bicycling, sitting at a desk, and driving for extended periods. Other factors are poorly maintained hygiene and overflowing hair growth.

Especially sedentary citizens get irritation from the contact of the chair at the base of the tailbone and can cause these cysts.

Tarlov Cysts and Chordoma

The reason for these cysts is largely unresolved and there are no known causes for them to epitomize. However, there are correlations between tumbles and fender benders pertaining to the coccyx region as well as epidurals and Tarlov Cysts.

What Are the Symptoms?

The principal symptom of a skin lump near the coccyx constitutes of soreness, aching and tenderness while seated.

However, Pilonidal Cysts have individualizing symptoms, like pus oozing from the lump, reddishness, swelling and in extreme cases, an icky fragrance once it has become an abscess.

Tarlov Cysts can have effects like incontinence, numbness, and change in libido.

Chordomas, on the other hand, can be noticed as pins and needles in the limbs, loss of feeling, and weakness.

How Are Skin Lumps Diagnosed?

Your physician will most likely touch and look at the lump or practicably drain and remove a biopsy surgically for testing if the type is unknown. Other methods include Magnetic Resonance Imaging (MRI) or other forms of imaging.

Treatments for Skin Lumps

Pilonidal Cysts

The main treatment for it is an incision and draining the contents of the pouch. This can be done before and after it has become infected.

There are a multiplicity of methods for this procedure, like leaving the wound open, sewing the boundaries of the incision or the complete closing of the wound.

Tarlov Cysts

There are many elections for these lumps, such as surgical and nonsurgical. Surgical options consist of draining the contents of the cyst and filling the pocket with a substance. Nonsurgical treatments are the prescription of anti-inflammatory drugs, physio and draining cyst injections.


This cancer is challenging to treat, and its maximally effective remedy is an amalgamation of surgery to withdraw the tumor and radiation. Chemotherapy is unproductive and continually an operation is unviable due to the immediacy to the central nervous system (CNS) making radiation the only choice. Experimental trials exist and could be alternatives for patients.

Swing by your doctor to circumvent, bypass, and dodge any long term hiccups as well as showing your tushie with pride.



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