<s>[INST] So I fell on my tailbone 3 days ago while atempting to sit softly on a tile floor and it did not hurt the first day but then it did. I crinch with pain when I sit or lay down. There is Also a lump on the area that is hard and painful to touch. Are there any treatments?... I have a horse show next month and its too painful to ride. [/INST] Hi you have a lump on the tailbone secondary to a fall on hard tile. It pains when try to sit down.  This condition is called Traumatic coccydynia. In my practice I would start painkillers, muscle relaxants Sits bath twice daily and Gluteal + Spinal extension exercises. I would also advise to use a cushion / ring while sitting. If there is no relief in 10 days I would go for an X-ray and/or Local steroid infiltration. </s>