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A.
Pain in the coccyx is a fairly common symptom. The onset may be associated with injury or it may come on its own without any other antecedent history. The important thing in management of this problem is to ensure that we know the underlying cause for the pain. In your case, your x-ray and MRI have already been done therefore it seems to be a case of coccygodynia. When the pain is intractable, local steroid injections are given. However, this may not always relieve the symptom. In addition, there is a small risk of infection. The condition is often self limiting so if you have simple analgesics and avoid sitting on hard surfaces, you may manage till it resolves on its own. Removal of coccyx is rarely performed for coccygodynia. It is more often done for infection or other tumours of the coccyx. If the coccyx is removed you will still be able to do your sitting job and I don't think it will affect your ability to support your family. I would suggest however, that before your go in for removal of coccyx, do take a second opinion.
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