How effective is physiotherapy for coccydynia?

Coccydynia causes pain around the coccyx, often with sitting, rising from a chair or leaning backwards. A physiotherapist assesses posture, hip and lower-back movement, breathing patterns and the muscles around the pelvis. Treatment may include education about pressure relief, gentle mobility, hip and trunk strengthening, and relaxation of overactive pelvic-floor muscles. In some cases, an internal pelvic-floor assessment is discussed; it should only happen with clear consent and an explanation of what it involves. Improvement is usually judged by easier sitting and daily activity, not by a single exercise.

Use the sitting position and cushion advice given for your body rather than staying completely still. Change position regularly, hinge at the hips when sitting down, and build walking or other comfortable activity gradually. Complete home exercises with steady breathing and stop if symptoms become sharp or continue to worsen. Share information about childbirth, a fall, bowel symptoms or pelvic pain because these details can change the assessment and treatment plan.

Arrange medical review for unexplained or persistent tailbone pain, pain after significant injury, fever, skin changes, drainage or a lump. Seek urgent care for new leg weakness, numbness around the genitals, or loss of bladder or bowel control.

Ask what may be causing your tailbone pain, whether pelvic-floor therapy is suitable, how to sit during healing, and when another diagnosis or treatment should be considered.