The pelvis is composed of four parts, the two ilia or hip bones, the sacrum – a triangular bone that joins the ilia in the back of the pelvis, and the coccyx, commonly known as the tailbone. The coccyx is a small bony projection that sits at the end of the sacrum. It is the very end of the spinal column. This small bone serves as a connection to the pelvic floor muscles and ligaments that line the inside of the pelvis. The coccyx is a small part of the pelvis and spinal column but can cause big problems.
Coccydynia is defined as pain in the coccyx, caused by inflammation or irritation of the coccyx and surrounding connecting tissues. The symptoms are pain in the middle lower buttock region, or tailbone area. Pain can be worse with sitting, going from sit to stand, intercourse, and bowel movements. This condition can be caused by many things such as childbirth, traumatic car accidents or falls, or it can occur spontaneously. Physical therapy can help to relieve this discomfort.
The physical therapists at Anderson Physical Therapy Associates specialize in disorders of the spine, pelvis, and the pelvic floor muscles. By completing a comprehensive pelvic floor evaluation, we can help to pinpoint the origin of your tailbone pain. We are skilled in techniques that have been proven to help alleviate the pain in or around the coccyx by using various manual techniques – including myofascial release, spinal mobilization, and even dry needling. We also can help with postural correction, positioning suggestions, teaching proper biomechanics when lifting, and by providing gentle stretches or exercises.