Shock Wave Therapy Versus High-Intensity Laser Therapy for Coccydynia (Tailbone Pain)

Inclusion Criteria: * Age 18 to 65 years. * Diagnosis of coccydynia. * Coccygeal pain persisting for at least 3 months. * Persistent symptoms despite previous standard treatments. * Voluntary agreement to participate and provision of written informed consent. * Ability to attend regular follow-up visits. Exclusion Criteria: * Recent coccygeal fracture or severe coccygeal dislocation. * An injection, interventional procedure, or similar treatment to the coccygeal region within the preceding 3 months. * Previous extracorporeal shock wave therapy (ESWT) or high-intensity laser therapy (HILT) for coccydynia. * Another significant condition that could explain the pain, such as lumbar disc herniation, nerve compression, or significant hip or lumbar disease. * Suspicion that the pain originates from a non-coccygeal source, including gastrointestinal, urinary, gynecological, infectious, or tumor-related causes. * History of spinal or pelvic surgery. * Severe neurological disease, active infection, cancer, a severe bleeding disorder, or pregnancy. * Another condition causing widespread pain, such as fibromyalgia. * Inability to attend regular follow-up visits.