Patient presents with complaints of sacrum pain, also described as sacral pain, lower back pain, tailbone pain, or pain in the buttocks.  Onset of pain is described as [acute/gradual/insidious] and began [duration] ago.  Patient reports the pain is [character of pain: e.g., sharp, dull, aching, burning, throbbing, radiating] and is located [specific location: e.g., central sacrum, left sacrum, right sacrum, sacroiliac joint].  Pain is [severity on a scale of 0-10].  Aggravating factors include [e.g., sitting, standing, walking, bending, lifting, twisting, lying down, bowel movements, urination].  Alleviating factors include [e.g., rest, ice, heat, medication].  Associated symptoms may include [e.g., numbness, tingling, weakness, bowel or bladder dysfunction, leg pain].  Patient denies [pertinent negatives: e.g., fever, chills, night sweats, unexplained weight loss, trauma].  Physical examination reveals [e.g., tenderness to palpation over the sacrum, limited range of motion in the lumbar spine, positive straight leg raise test].  Differential diagnoses include sacroiliitis, lumbar disc herniation, piriformis syndrome, coccydynia, spinal stenosis, and sciatica.  Assessment: Sacrum pain, likely [differential diagnosis].  Plan includes [e.g., further evaluation with [imaging studies: X-ray, MRI, CT scan], referral to [specialist: physical therapy, pain management, orthopedics], medication management with [medications: NSAIDs, muscle relaxants, analgesics], and patient education on activity modification and home exercises].  Follow-up scheduled in [duration].