### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am a 55 year old female. I have pain on a 8 level, at the very tip of my sacrum. It has gotten much worse over the past two months and much worse over the last week. I do have severe spinal arthritis, but this pain is different. What is that part of the bone at the tip of the sacrum called? I have had a hysterectomy. Sex is very painful in that region. Should I see a Gynecologist or a orthopedic doctor. Thank you

### output:

Hithanks for writing to Chat Doctor the part of bone at the tip of sacrum is called coccyx (tailbone)and you seem to suffer from a condition called coccygodynia (swelling of soft tissue around your tailbone)as there is no history of injury the chances of fracture are very less. Please take following treatment:1. For sitting -use ring pillow or doughnut cushion with a hole in between.  (this will offload your tail bone).2. Do not sit on any kind of hard surface3. Avoid sitting for long4. Do sat bath(dip your buttocks in a tub of lukewarm water).if not possible lie down sideways and do hot fomentation.5. Avoid any strenuous activities, lifting any kind of weight 6. Take mild anti-inflammatory like ibuprofen or naproxen7. Avoid constipation, take high fiber diet and increase water intake.it will 2-3 weeks for recovery. If no relief, you can see your orthopedic surgeon. He might consider giving a local steroid injection. Hope I have answered your query .if satisfied please rate my answer. Thank you