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Why Does The Top of My Buttcrack Hurts When I Sit?

Sitting all day might sound fun! But, do you know that it can be a painful experience for some too?

Pretty sure that you cannot believe what you just read! But, yes, it is true. Some people feel extreme pain on the top of their buttcrack when they sit.

We all know how a little pain can affect our entire movement. This pain to be specific comes with more severity than usual.

It is hard to even sit for a minute without having an urge to lie down! This continuous pain is known as coccydynia. Well, why does this pain occur?

Today we are going to dissect the topic – “the top of my buttcrack hurts when I sit“. To know the reasons and treatments for this problem, continue reading this article!

Table of Content

Reasons of Buttock Pain When Sitting

Are you unable to sit without pain in the buttocks? This can be very torturous. But, some reasons are there for which this issue occurs.

Let us quickly check out the causes behind this stinging pain!

Piriformis Syndrome

Due to macro trauma to the buttocks, piriformis syndrome can occur. It is a neuromuscular problem.

Piriformis syndrome can happen when the piriformis muscle puts pressure on the sciatic nerve. The piriformis muscle is located in the buttocks close to the hip joint.

Irritation of the sciatic nerve by the piriformis muscle leads to inflammation and spasm. This finally results in buttock pain when sitting.

buttock pain when sitting

Degenerated Disk

Our disks can wear out with age! Doctors call it the “degenerative disk disease”. As you grow older, the disks in your body lose the cushioning.

This cushioning is what prevents bones from colliding with each other. Due to this one can suffer from extreme pain in the buttocks and thighs. Pain might ease with walking or standing.


Bruising is the black and blue marks on your body caused by any injury. Try to recall if something has hit you on your buttocks!

Bruising is one of the most common causes of buttock pain. Sometimes bruises can take a longer time to heal than normal. In that case, keep applying doctor suggested ointments.

Pain might be caused due to bruised feeling at top of the bum crack. Do not worry if the pain is from bruising. It will go away with time.

Herniated Disk

The bones in the spine are covered with a jelly-like cushioning. These are the disks. It can be herniated when the inner material comes out by tearing the outer layer.

A herniated disk can cause pain in the buttock. It can put pressure on the nearby nerves. One can feel numbness, tingling feeling, or weakness due to this.

Pilonidal Cyst

A pilonidal cyst is a common issue. But, it is more common in males than females.

A Pilonidal cyst is an abnormality of the skin. Ingrown hair, dirt, or skin debris accumulates there. This problem can also occur from friction.

You can find a pilonidal hole in the top of the butt crack. It is near the tailbone above the cleft of the buttock.

Check out Pilonidal cyst pictures from the internet. It will help you diagnose your problem at home.

Muscle Strain

Overstretching of muscles can cause muscle strain. Three types of muscles are present in our body. Tearing any of that will result in severe pain.

Exercising too much or repetitive strenuous activity can tear muscles. Always try to warm up before performing any exercise.

Upon noticing swelling and tenderness, visit a doctor. Consulting a doctor fast can save you from worse situations.

Well, these are a few of the most common reasons for buttock pain while sitting. To know if you have any of these problems, go for a lower limb checkup.

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Pain at Top of Buttock Crack When Sitting – Treatment

Coccydynia or Buttock pain when sitting needs treatment as soon as possible. Untreated coccydynia can cause greater problems like permanent bone damage.

Tailbone pain when sitting is something that happens regardless of age and gender. A huge number of people face this problem. They suffer from the stinging pain for years.

So, in this section, we are going to learn the treatments of this problem.

Hot and Cold Compression

The most basic treatment of any pain is to apply hot and cold compression. Alternatively, apply the compression. This will ease the pain for the time being.


Your orthopedics doctor will provide you some stretches and exercises. Try to follow those regularly.

Light movement hitting the proper places will solve this issue. But, do not do any of these vigorously. Be gentle and try to understand your body.

Anti-inflammatory Drugs

Anti-inflammatory drugs and painkillers can soothe out the pain. But, do not take these without the suggestion of your doctor.

Massage with muscle-soothing ointments and cream. This can help the surface to feel better.

Using Cushion Under Buttocks

Try keeping a doughnut-shaped cushion under the buttocks. This will provide the support that your body needs.

Cushions in the back and under the buttock are the simplest way to avoid the dreadful pain. You can continue this while sleeping too.


Sometimes a degenerated disk or herniated disk requires surgery. If the pain is too extreme, your doctor will suggest surgery.

After the surgery, the pain goes away in most patients. Try to avoid any strenuous activity or heavy-lifting post-surgery.

Draining Cysts

We already know about pilonidal cysts. If the pain is due to the cyst, then take a doctor’s appointment. Your doctor will drain out the cyst and clear it.

But, do not try to do it yourself. An infected cyst can become more painful. So it is important to take an expert’s help.

These are some of the solutions to this severe issue. But, do not ignore this continuous pain. Consult a doctor for specific medicines and treatment.

Remember that your problem might be due to any of the mentioned reasons. And, you may need to pay more attention to the pain!

Ways to Avoid Coccydynia

By now we are already aware of a lot of terms related to Coccydynia. And, we know that prevention is always better than cure.

Finally, we are going to unwrap the part where we learn about prevention! Coccydynia can occur with age but mostly one can avoid it. So, to know  the ways, take a look at the enlisted points!

Maintaining Proper Posture

It is as important as simple it sounds! There is no alternative to maintaining a good posture while sitting.

Try to sit by keeping your body straight. Do not slouch or bend your body. This disturbs the muscles and bones.

Make a habit of keeping your posture straight. This will help to avoid any kind of a pain in the back and the buttocks. It will not only prevent but also make you look confident!

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Warming Up Before Exercise

Buttock pain or any type of pain can be caused by tearing a muscle. To prevent this issue, always remember to warm up.

For heavy-lifting or any kind of exercise, take some time to warm your body. Sometimes repetitive strenuous movement can create muscle issues.

Sitting for Too Long

Do you know how much that desk job is harming your body? Surprising but true that it is one of the main reasons for such pain.

Try to walk a bit once you have sat for a time. Move a little so that there is a balance on the pressure and posture. This simple habit will solve most of the problems related to pain while sitting.


This one tip might tire you by this time. But, exercise can indeed help you prevent any kind of pain that happens with age.

Light exercise and yoga help to maintain a good posture. This also keeps the muscles and nerves active. But, try to exercise by following proper instructions.

Also, try walking if you cannot exercise regularly. Walking will also help you prevent many other physical problems.

Avoiding Hard Surfaces

It is better to avoid sitting or sleeping on an extremely hard surface. Give priority while choosing a mattress.

A hard surface can do more damages than you can imagine. So invest your money in good materials while buying a bed and chairs!


The top of my buttcrack hurts– a complaint that doctors get often. It can be caused due to various reasons. But, one has to take this issue more seriously.

Talk to your physician to know the ways to get rid of this pain. Sometimes the pain might become the cause of severe issues. Follow your doctor’s suggestions to get rid of this horrific pain!

FAQs About The Top of My Buttcrack Hurt

1) What to do when there is a painful lump in the buttock crack?

A painful lump in the buttock crack is also known as a pilonidal cyst. It is similar to boils that occur in other body parts.

It is a type of skin infection. A lump can be red and itchy. To get rid of the pain it is important to release the pus.

The fluid-filled sack is the pus. You can handle this by applying hot compression. Consult a doctor if the pain is unbearable!

2) Is a painless lump in the buttock benign?

A lipoma is a type of painless lump in the buttock. It is formed with fat tissue. Doctors identify a benign lump that is soft, rubbery, and soft as a lipoma.

A lipoma is a normal thing. It does not include any severe medications or treatment.

But, if the lump is hard and large, it should not be taken lightly. Sometimes doctors suggest removing benign painless lumps to resist them from growing bigger.

3) How to get rid of a boil fast?

The untreated bacterial infection in the hair follicles causes boils on the skin. The steps to get rid of a painful bump on the buttocks cheek are

  • Warm compression works as a savior in this case. Try to soak the area of the boil with warm water. This will ease the pain and pus will draw out.
  • Wash the surface with anti-bacterial soap. Rub an alcohol pad when no more pus is left.

4) How to remove ingrown hair above bum crack to avoid pilonidal cyst?

Ingrown hair above the bum crack is irritating as any other body part. But, it is more difficult as you can not see the area properly.

To remove the ingrown hair, firstly wash the area. Use a mild soap for washing. You can also gently scrub to remove the dead skin around.

Warm water works like magic here. After applying warm compression remove the hair with a razor or wax.

5) What is a Pilonidal Hole?

A Pilonidal cyst or a pilonidal hole is an abnormality of the skin. It is a pocket-like thing in the skin. Ingrown hair, dirt, or skin debris accumulates there.

You can find a pilonidal hole in the top of the butt crack. It is near the tailbone above the cleft of the buttock.

This does not need any extra treatment. But, an infected pilonidal hole can be harmful.

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