Pain At The Top Of The Buttock Crack When Sitting? 5 Causes & Treatment

Pain At The Top Of The Buttock Crack When Sitting? 5 Causes & Treatment

Pain at the top of the buttock crack when sitting? Even while it may seem hard to avoid for some individuals and even tempting to some, sitting all day may be uncomfortable. 

When sitting for extended durations, some persons have severe discomfort near the top of the buttock crack.

Everyone is aware that even little discomfort may make it difficult to move, but this pain can be more intense than other kinds of discomfort. 

It might be difficult to sit for more than a few minutes with this ache without feeling the desire to lie down.

Coccydynia is the name for the discomfort that occurs while sitting at the top of the buttock. But why does this discomfort arise, and what can you do to lessen its impact?

5 | Causes Of Top Buttock Crack Pain When Sitting

When you are sitting, there are a number of factors that might be causing discomfort near the top of the buttock crack, some of which include:

1. Parietal Syndrome

Piriformis syndrome may occur when the buttocks are subjected to large-scale trauma. 

The piriformis muscle, which is situated in your buttocks near your hip joint and may exert too much pressure on your sciatic nerve, can cause piriformis syndrome, a neuromuscular condition.

Your sciatic nerve irritation may cause inflammation and spasms, which might cause discomfort near the top of the buttock crack while you’re sitting.

2. Declined Disc

As you become older, your spinal discs may start to lose their cushioning, a condition known as degenerative disc disease. 

Your bones are kept from contacting one another by the padding between your discs, which may result in excruciating discomfort in your thighs and buttocks. Standing or moving about may help with severe disc-related discomfort.

3. Bruising

Whether you have any black or blue bruises on your body, they may hurt in a variety of ways. If you have discomfort while sitting, try to recall if anything struck you there.

One of the most frequent reasons for buttock discomfort is bruising, which may also take longer to recover than usual. When the bruise has had time to heal, this kind of discomfort will go away.

4. A-Pillar Cyst

Pilonidal cysts are a frequent problem that is more prevalent in males and may result in discomfort at the top of the buttock crack while seated. 

A skin irregularity known as this kind of cyst is brought on by skin fragments, dirt, ingrown hairs, or even friction.

The pilonidal hole is located at the top of the buttock crack, just above the buttock cleft, close to the tailbone. 

If you suspect a pilonidal cyst, you should get it evaluated and examined by a doctor to see if there is anything they can do to assist with the discomfort.

5. Muscle Aches

Muscle strain, which may result from overstretching your muscles, can be quite painful while sitting and can break the top of your buttocks. Contact your doctor if you experience swelling or discomfort in the region.

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 5 | Treatments For Pain At The Top Of Buttock Crack When Sitting

Let’s discuss what you can do to assist alleviate those problems now that you are aware of some of the typical reasons for discomfort at the top of the buttock crack while you are sitting.

Remember that you should strive to get treatment for coccydynia as soon as you notice it to prevent unnecessary harm to your tailbone.

1. Desk Chair

If you notice that sitting in your office chair causes discomfort at the top of the buttock cracks the most, it may be time to consider getting a new chair. 

This may be accomplished by investing in a new ergonomic office chair or by replacing the chair’s wheels or cylinders. 

Either of these solutions can help you improve your posture and make your chair more comfortable, which will help you prevent more coccydynia.

2. Under-Buttock Cushion

Try placing a cushion in the form of a donut beneath your buttocks if you must sit for extended periods of time. 

This will provide your body the comfort it needs to manage the coccydynia. One of the easiest methods to lessen discomfort when sitting is using cushions.

3. Compresses, Both Cold & Hot

Applying cold and hot compresses to the region is the most typical pain relief method. 

This should assist reduce mild discomfort just enough to allow you to get on with your day. This therapy may not work as well if the pain is severe.

4. Stretching

Light motions that target the right places may be performed to relieve your discomfort, but avoid doing any of these stretches forcefully. 

Instead, make an effort to stretch as gently as possible while still gaining the maximum benefit.

5. Medicine That Reduces Inflammation

If the pain is severe and continuous, anti-inflammatory medication may be able to assist. To help the region feel better, you may massage it with lotions and ointments that soothe muscles. Don’t take them without first talking to your doctor.

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How Can I Prevent Buttock Pain While Sitting?

After learning how to manage pain, let’s talk about what you can do to avoid experiencing coccyx discomfort in the first place.

Good Posture

The most crucial thing you can do to avoid coccyx discomfort is this. Maintaining excellent posture involves sitting upright and avoiding slouching or bending, both of which may cause your body’s muscles to become tense.

Pain At The Top Of The Buttock Crack When Sitting?

Additionally, a nice office chair that won’t make you uncomfortable helps you maintain a straight back. 

You’ll find that by doing this, your back and buttock ache will go and you’ll seem really assured.

Building Up

Warming up your muscles before to activity is important since ripping a muscle may result in coccydynia.

Stay Away From Prolonged Sitting

Try to get up and take a few steps every now and then if your work needs you to sit for extended periods of time. 

You can maintain a balance between the pressure in your body and your general posture by moving a little bit every hour or so. This simple routine may ease most discomfort.


When sitting, buttock discomfort is uncomfortable and may be quite severe. This kind of extreme pain may be brought on by a variety of conditions, such as strained muscles, piriformis syndrome, degenerative discs, and more.

Upgrade your workplace chair to promote better sitting posture as one of the greatest ways to treat this kind of discomfort. 

With your back and buttocks in the proper positions to prevent muscle and bone tension, this will guarantee that you are sitting upright. Of course, there are a number of other things you may do, such as stretching.

If your discomfort doesn’t go away or if it becomes worse, see your doctor.

  • January 25, 2023