What should you expect from physiotherapy for coccydynia?

Coccydynia is pain around the coccyx, or tailbone. Your therapist may ask what happens when you sit, stand, rise from a chair or use the toilet. They can assess posture, hip and lower-back movement, and the muscles around the pelvis. Any intimate or hands-on assessment should be explained and agreed beforehand.

Treatment may include a pressure-relieving cushion, sitting changes, heat, hip and trunk exercises, and pelvic-floor relaxation when muscle tension contributes. Break up sitting time and use a controlled sit-to-stand movement. Do the home programme gently and report delayed flare-ups so the dose can be adjusted.

Get urgent care after major injury if you cannot move safely, or if pain comes with new leg weakness, groin numbness, loss of bladder or bowel control, fever or rapid worsening. Arrange review for persistent night pain or unusual swelling.

Which symptoms should change the exercise plan? What positions or activities should I modify? When should progress be reviewed?