Since your current medication isn't providing relief, I recommend a multi-step approach. First, use a specialised U-shaped coccyx cushion to relieve pressure when sitting. Physical therapy focusing on pelvic floor relaxation and gentle stretching can also help. For alternative medications, topical NSAID gels (like diclofenac) apply relief directly to the painful area with fewer systemic side effects. If pain persists, consult your doctor about advanced options like localised corticosteroid or anaesthetic injections, or a nerve block (ganglion impar block), which can provide highly effective, targeted relief.