Coccydynia Treatment

Have you put up with your pain long enough?

​Our experienced physiotherapists can help you with your coccydynia to sit in comfort! We have been successful treating this problem both in-clinic and online..


Coccydynia or coccygodynia is pain in or around the coccyx (tailbone), the bony end point of the spine. It is a very important structure as it serves as an attachment for several ligaments, tendons and muscles. The deep pelvic floor muscles insert on the anterior surface of the coccyx, and the largest gluteal muscles (buttock) originate partly on its posterior surface. In the sitting position, the coccyx becomes a weight-bearing structure along with the two ischial tuberosities (sitting bones).

Coccydynia can feel dull or like a deep ache, but can also feel sharp with certain movements or positions such as sitting, prolonged standing or moving from a sitting to standing position. Sexual intercourse, direct pressure on the coccyx and stool evacuation may also be uncomfortable. Some people have even noted an improvement in their pain following a bowel movement or walking. Although it is more common in people with vaginas, it can affect people with penises too.

The pain usually passes over a few days to a few weeks, but in some cases it may develop into a more chronic pain syndrome. If severe or persistent, coccydynia may impact a person’s ability to perform various daily activities. 


There are several possible causes for coccydynia. A common trigger is local trauma to the coccyx. The trauma can be abrupt and acute, for example a fall onto the coccyx (external trauma) or vaginal childbirth (internal trauma from the pressure as the baby descends through the pelvis) causing the coccyx to be fractured, bruised or displaced. The trauma can also be progressive, for example with prolonged sitting on a hard surface. Some people develop coccydynia following certain medical procedures.

Other possible sources of coccydynia include malignancies, infections, degenerative joint changes of the sacrococcygeal and intracoccygeal junctions, or excessive and abnormal mobility of the coccyx.

The pain may also be referred from another structure, such as a lumbar disc herniation at the lumbosacral level (especially if palpation of the coccyx itself is not painful) or in many cases be idiopathic (without an identifiable cause).


Your pelvic floor physio will assess you globally, including a detailed history on your lifestyle habits and a physical evaluation to determine the cause(s) for your coccydynia. Your problem will likely be addressed through a variety of specific exercises, manual techniques, rectal sensitization exercises, and tips on how to adjust your lifestyle to manage your problem. Our goal is to guide you to be able to meet your goals, and return to your daily life with confidence! 

Treatment Options

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