Does physiotherapy treat coccydynia?

Coccydynia is pain around the coccyx, often felt while sitting, rising from a chair or leaning backwards. A physiotherapist considers your sitting position, spine and hip movement, pelvic floor and nearby muscle tension, as well as any recent fall, childbirth or prolonged pressure. Treatment may include advice on a cushion or sitting position, gentle mobility, relaxation or coordination work, and gradual strengthening of the trunk and hips. The approach should be comfortable and tailored because pressing directly on a painful area can aggravate symptoms.

Break up long periods of sitting and try a supported position that reduces pressure on the tailbone. Change position slowly, use the movement plan provided by your clinician, and avoid repeatedly testing painful sitting postures. A physiotherapy assessment is useful when pain persists, limits work or travel, or follows an injury. Mention bowel, bladder, pelvic or pregnancy-related symptoms because they may affect the assessment. Explore [Physiotherapy](/treatments/physiotherapy-and-rehabilitation/physiotherapy/).

Seek prompt medical care after a fall if you cannot walk normally, pain is severe, or you develop leg weakness or numbness. Urgent assessment is needed for loss of bladder or bowel control, numbness around the groin, fever, unexplained weight change, or pain that is rapidly worsening. Arrange review for persistent night pain or symptoms that do not improve.

Ask what may be causing the tailbone pain, which sitting adjustments are suitable, and whether pelvic floor or hip treatment is relevant. Ask what improvement to expect and when another assessment is needed if sitting remains difficult.