Tail Bone Injection in ChennaiImage-Guided · Day-Care · Relief for Coccydynia
When tailbone pain keeps you from sitting, driving or sleeping, a precise tail bone injection can settle it at the source. Performed under image guidance as a quick day-care procedure by Dr. Soma Sundar S — and, when helpful, combined with coccyx manipulation and a Ganglion Impar Block in the same sitting for a stronger, longer-lasting effect.
Dr. Soma Sundar S
MBBS · MS (Ortho) · DNB · FRCS (Tr & Orth) UK · FISS · FESS (Germany) · FMISS (Switzerland)AO Spine fellowship (UK), Gold medalist, Pain Management Specialist, Minimally Invasive Surgeon – Spine and Ortho.
Dr. Soma Sundar performs the tail bone injection under image guidance for accuracy and safety — and is among the few pain specialists in Chennai who also offer coccyx manipulation and the Ganglion Impar Block, often combined in a single sitting. The aim is real, lasting relief with the least intervention needed.
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Kauvery Hospital, Alwarpet
Mon – Sat · 8:30 AM – 5:00 PM
Get Directions →
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Shens Hospital, Ashok Nagar
Mon – Sat · 5:30 PM – 8:00 PM
Get Directions →
Quick Answer: What Is a Tail Bone Injection?
A tail bone injection (coccygeal injection) is a precise, image-guided injection of local anaesthetic and anti-inflammatory medicine right at the painful coccyx joint. It calms inflammation at the source of coccydynia, is done as a short day-care procedure, and lets most patients return to comfortable sitting quickly. For stubborn pain, it can be combined with coccyx manipulation and a Ganglion Impar Block in the same sitting.
A Precise Injection That Treats Pain at Its Source
The coccyx (tailbone) and its joint take a lot of load when you sit. When that joint and the tissue around it become inflamed or sensitised, ordinary sitting becomes painful. A tail bone injection places anti-inflammatory medicine and local anaesthetic exactly where the pain is coming from.
Because it is delivered under image guidance, the medicine reaches the right spot — not somewhere nearby. That precision is what makes a well-placed injection both more effective and safer than a blind one.
It is a small, focused procedure with a big practical goal: to break the pain cycle so you can sit, work, drive and sleep comfortably again — and so physiotherapy and posture work can finally take hold.
🦴Tailbone Pain Guide
🎯Ganglion Impar Block
🖐️Coccyx Manipulation
Image guidance lets the medicine be placed precisely at the painful coccyx joint — accuracy that a blind injection cannot match.
Who Benefits Most From a Tail Bone Injection
A tail bone injection is usually considered when simple measures have not been enough — or when pain is too sharp to wait. You may be a good candidate if any of these sound like you.
Pain That Stops You Sitting
Sharp or aching tailbone pain on sitting, leaning back, or standing up that disrupts work, driving and daily life.
Cushions & Physio Not Enough
You have tried cushions, posture changes, medicines and physiotherapy but the pain keeps returning.
Pain After a Fall
Coccyx pain that started after a backward fall and has not settled over several weeks.
After Childbirth
Persistent tailbone pain following delivery that interferes with sitting and feeding your baby comfortably.
Chronic, Long-Standing Pain
Coccydynia that has lasted months and needs a targeted step to reset the pain before it becomes a habit.
Want to Avoid Surgery
You would prefer a precise, minimally invasive option before any surgery to the tailbone is ever discussed.
How the Tail Bone Injection Is Done
Knowing exactly what happens removes most of the worry. Here is the full journey, from arrival to going home — usually all on the same day.
1
Assessment & consent
Your symptoms, examination and any X-ray or MRI are reviewed. The procedure, benefits and what to expect are explained, and your questions are answered before you agree.
2
Comfortable positioning
You lie face down comfortably. The skin over the tailbone is cleaned and a local anaesthetic is used so the area is numb.
3
Image-guided precision
Using C-arm fluoroscopy or ultrasound, the exact target at the coccyx joint is located so the medicine goes precisely where the pain originates.
4
The injection
A small amount of local anaesthetic and anti-inflammatory medicine is placed at the sacrococcygeal joint and surrounding tissue. The active part takes only a few minutes.
5
Short observation
You rest briefly while we make sure you are comfortable. Many patients already notice early relief from the local anaesthetic.
6
Home the same day
You go home with a cushion and clear aftercare advice. Most people resume light routine the same or next day.
Done under image guidance in a sterile day-care setting — typically a short procedure with same-day discharge.
What a Tail Bone Injection Can Do for You
The goal is simple: get you back to comfortable sitting and normal life, using a precise procedure rather than a long, uncertain wait.
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Targets the Real Source
Medicine is delivered straight to the inflamed coccyx joint, not spread vaguely around it — so relief is more reliable.
Image-guided
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Quick & Day-Care
A short procedure under local anaesthesia with same-day discharge. No long hospital stay, minimal disruption to your week.
Same day home
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Comfortable Sitting Again
By calming the pain, the injection helps you sit at work, drive and rest — and lets physiotherapy actually work.
Back to routine
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Confirms the Diagnosis
Good relief after a precise injection confirms the coccyx is the pain source — useful information that guides any next step.
Test + treatment
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Helps Avoid Surgery
For most patients, a targeted injection settles pain so that surgery to the tailbone never becomes necessary.
Minimally invasive
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Can Be Combined
When needed, it pairs with coccyx manipulation and a Ganglion Impar Block in one sitting for a stronger effect.
3-in-1 option
Three Procedures, One Sitting — For a Stronger, Longer Effect
Dr. Soma Sundar is among the few pain specialists in Chennai who can offer the tail bone injection alongside coccyx manipulation and a Ganglion Impar Block. In selected patients, performing them together under image guidance gives a useful added effect — and means fewer visits and fewer anaesthetic exposures for you.
Tail Bone Injection
A targeted coccygeal injection of local anaesthetic and anti-inflammatory medicine that settles inflammation right at the painful joint.
Coccyx Manipulation
Gentle, controlled manipulation to reposition or mobilise an unstable or stiff coccyx, often improving sitting comfort.
Ganglion Impar Block
An image-guided block of the ganglion impar interrupts pain signals from the tailbone and lower pelvis for longer-lasting relief.
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The added-effect advantage: Combining all three in the same sitting can settle stubborn coccydynia more completely than any single step alone — while sparing you repeat visits and repeat anaesthesia. Whether one or all three are right for you is decided after a careful assessment.
Why Choose Dr Soma Sundar
Experienced Hands, Honest Advice
A tail bone injection is only as good as the hands and judgement behind it. You get a clear explanation, image-guided precision, and a doctor who recommends the procedure only when it genuinely helps.
14+Years Experience
InternationallyTrained
Image-GuidedPrecision
Impar BlockSpecialist
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Image-guided accuracy: The medicine is placed precisely at the coccyx joint for reliable, safer results.
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Honest, conservative-first: Recommended only when simpler measures aren’t enough — never over-treated.
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Full range of options: Injection, manipulation and Ganglion Impar Block — combinable in one sitting.
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Clear, calm guidance: Every step explained in simple terms, so you feel informed and at ease.
A short rest, then home — most patients are back to light routine the same or next day.
Safe & Straightforward
Safety, Recovery & What to Expect
A tail bone injection is a low-risk, well-tolerated procedure when performed under image guidance by an experienced specialist. It is done under local anaesthesia, takes only a few minutes of active time, and you usually go home the same day.
You may notice early relief from the local anaesthetic, then a short settling period before the anti-inflammatory effect builds over the following days. Mild soreness at the site for a day or two is normal and usually eases with simple measures.
As with any injection there are small, uncommon risks, which are minimised by careful assessment and sterile, image-guided technique. Everything is explained clearly beforehand so there are no surprises.
📞Discuss Your Case
🦴About Tailbone Pain
Tell us beforehand if any of these apply
Active infection or skin problem near the tailbone, blood-thinning medication, uncontrolled diabetes, pregnancy, or a known allergy to local anaesthetic or steroid. These don’t always prevent the procedure, but they help us plan it safely for you.
Aftercare: Do’s and Don’ts
A few simple habits in the first days help the injection settle the pain and keep the relief lasting.
✅Do
- Use a wedge or coccyx cut-out cushion whenever you sit.
- Take short standing or walking breaks instead of long unbroken sitting.
- Keep the injection site clean and dry for the first day.
- Resume light routine gradually as comfort allows.
- Continue any prescribed physiotherapy and posture work.
- Note how your pain changes — it helps plan the next step.
⛔Don’t
- Don’t sit for long hours on hard surfaces in the first few days.
- Don’t do heavy lifting or strenuous exercise immediately.
- Don’t soak the site in pools or tubs until advised.
- Don’t ignore increasing pain, redness, swelling or fever — call the clinic.
- Don’t expect full effect on day one; the anti-inflammatory action builds up.
- Don’t stop your physiotherapy once the pain eases.
Tail Bone Injection — FAQs
Clear answers to the questions patients ask most before booking the procedure.
It is a precise, image-guided injection of local anaesthetic and anti-inflammatory medicine placed at the painful coccyx joint. It calms inflammation at the source of coccydynia and is done as a short day-care procedure under local anaesthesia.
It is done under local anaesthesia with image guidance, so it is generally well tolerated. You may feel brief pressure during the procedure and mild soreness at the site for a day or two, which usually settles quickly.
Yes. In most cases it is a short day-care procedure. After a brief observation you can usually go home the same day and resume light routine, using a cushion for comfortable sitting.
It varies. Many patients get useful relief lasting weeks to several months, and for some it settles the pain for much longer — especially when combined with the right cushion, posture correction and physiotherapy.
Most patients return to light routine the same or next day, using a wedge or coccyx cut-out cushion. Driving and desk work are usually possible quickly, with strenuous activity reintroduced gradually.
Yes. Dr. Soma Sundar performs the injection under image guidance (C-arm fluoroscopy or ultrasound) so the medicine is delivered precisely at the painful coccygeal joint, improving accuracy and safety over a blind injection.
Yes. In selected patients, Dr. Soma Sundar combines the tail bone injection, gentle coccyx manipulation and a Ganglion Impar Block in the same sitting. Together under image guidance, they can have a useful added effect while reducing visits and anaesthetic exposures.
When performed under image guidance by an experienced specialist, it is a low-risk procedure. Minor effects like temporary soreness or a short-lived flare of pain can occur. Serious complications are uncommon and are minimised by careful technique and assessment.
Many patients do well with a single well-placed injection alongside cushioning and physiotherapy. If pain returns, it can be repeated within safe limits, or a Ganglion Impar Block can be considered. The plan is tailored to your response.
For most patients, yes. A targeted injection — often combined with manipulation and a Ganglion Impar Block — is a practical, effective step that settles pain before surgery is ever considered. Coccygectomy is reserved for a small number of resistant cases.
It can be both. Good relief after a precisely placed injection confirms the coccyx is the source of pain while also treating it — useful information that guides any further steps if needed.
A clinical assessment and review of any X-ray or MRI is done first. Most patients can eat normally and continue routine before the procedure. Please mention any blood thinners, allergies, diabetes or active infection so the procedure can be planned safely.
Yes. Share your symptoms and any X-ray or MRI reports and a video consultation can clarify whether the injection suits you and what to expect. An in-person examination is needed to plan and perform the procedure.
What Patients Say After Their Procedure
Real-world relief, in patients’ own words. Individual results vary, and your plan is always tailored to you.
I had dreaded the injection, but it was quick and barely uncomfortable. Within a few days I could sit through a full work day again. I wish I had done it sooner.
★★★★★RRameshChronic coccydynia · Chennai
My tailbone pain after childbirth had dragged on for months. The combined procedure in one sitting made a real difference and the whole thing was explained so clearly.
★★★★★PPriyaPost-childbirth · Alwarpet
After a bad fall I couldn’t sit to drive. The image-guided injection settled the pain and I was back to routine the same day. Very reassuring experience.
★★★★★KKarthikAfter a fall · Ashok Nagar
I was told surgery might be needed elsewhere. Dr. Soma suggested the injection with manipulation first — and it worked. No surgery, and I can finally sit comfortably.
★★★★★SSuganyaAvoided surgery · Chennai
Video Consultation Before the Procedure
If you are outside Chennai, finding it hard to travel because sitting is painful, or simply want to understand your options first, a video consultation is an easy way to begin.
📄Share reports before the call
X-ray, MRI, prescriptions and previous treatment details can be reviewed in context.
🎯Know if the injection suits you
Understand whether a tail bone injection, coccyx manipulation or Ganglion Impar Block is right for your pain.
🗓️Plan the visit efficiently
If the procedure is suitable, your in-person visit can be planned so assessment and treatment flow smoothly.
💬Book Video Consultation
📞Call Clinic
Dr. Soma Sundar S
Spine, Orthopaedic & Pain Specialist
Online consultation available
1
Send your tailbone pain details and reports
2
Get a review and learn if the injection suits you
3
Receive a clear plan and book the procedure
ℹ️ Fever, swelling, a lump near the tailbone, unexplained weight loss or bladder/bowel changes need direct hospital evaluation, not only video consultation.
Dr. Soma Sundar S
MBBS · MS (Ortho) · DNB · FRCS (Tr & Orth) UK · FISS · FESS (Germany) · FMISS (Switzerland)AO Spine fellowship (UK), Gold medalist, Pain Management Specialist, Minimally Invasive Surgeon – Spine and Ortho.
If tailbone pain is stopping you from sitting, working or sleeping, a precise image-guided injection can settle it — often in a single day-care visit, and combinable with coccyx manipulation and a Ganglion Impar Block when that gives a stronger effect.
Book a consultation to find out whether the injection is right for you, and get a clear, honest plan with no pressure.
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Kauvery Hospital, Alwarpet
Mon – Sat · 8:30 AM – 5:00 PM · By appointment
Shens Hospital, Ashok Nagar
21/40 Mettupalayam, 11th Avenue, Ashok Nagar, Chennai 600083 · 5:30 PM – 8:00 PM
