I have had this same dull pain on and off for at least the last 12 years now. I also have the itchy spot you mention and never considered that they might somehow be related. The pain comes randomly and inconsistantly and always feels good when pressure is applied or the tailbone area is massaged, but this does not stop the pain, it usaully has to just run its course until it is through hurting. The pain is also felt behind the tailbone (internally) and in the testicles as well. Time is the only thing that seems to make the pain subside, and sometimes it takes longer than others and sometimes the pain is dull, while other times it makes me reel in discomfort and agony. I too would like to know what is causing this pain. I had an x-ray done of my tail bone last year and there was no sign of a fracture or break, I have often wondered if the prostate was the culprit.

Yours sounds MUCH more severe than mine...never got the testicle pain.

Me too. Right now I am sitting here writing and it feels as though I got kicked in the ass with a steel toed boot. The reason I found this forum is because I googled "aching tailbone shingles herpes". The whole thing started out with a small rash at the tip of my coccyx... I've had it before. It got worse this time and affected my anus as well. Then I got this creepy crawling feeling in my anus like I have worms or something. The back of my upper legs were tingling like they were half asleep. I went to my doc and he told me I have herpes ( don't freak out because I think he is full of crap ). So I started searching the net and found that tailbone pain can be attributed to shingles. If you have ever had chickenpox, it can resurface as shingles when your immunity is down. It stays in your nerves for life and can reappear as a rash with flu-like symptoms - lathargy, headaches, irritability. One of the common complaints is aching in your coccyx and/or pelvic area. All this can happen with herpes as well but, the symptoms of herpes are fairly obvious in comparison. Both of them affect your nervous system and both reside in the base of your spine. If you have had any type of rash before this aching started, it could be shingles. Thats what Im sticking with because the alternative is way more unpleasant.

I'm thinking mine sounds like a pilonidal (sp?) cyst.

ive got the same thing i got tailbone pain a couple years ago before i got my appendix removed then after that i found a lump on my right testical on the epididimis about the size of one sand grain my doc said it was a cyst but now the pain is where that cyst is and my tailbone aches but it comes and goes i am now waiting for an ultrasound on the cyst and if that doesent work then ill have to get other tests because there gotta be sumthing wrong here and it needs to be fixed