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Tailbone Pain or Coccydynia Physical Therapy in Philadelphia, Narberth PA

What is Coccyx or Tailbone Pain or Coccydynia?

Coccyx pain or tailbone pain is basically pain and discomfort in the tailbone area. The pain can be the result of a direct trauma on the coccyx or tailbone. The trauma could be anything – a fall, sports injury or childbirth. This injury can result in a bruise, dislocation or fracture of the coccyx.

The majority of coccyx injuries occur in women, because the female pelvis is broader and the coccyx is more exposed. (Source:

What is the coccyx?

The coccyx or tailbone is the triangular bony structure located at the bottom of the vertebral column. It is composed of three to five bony segments held in place by joints and ligaments. The tailbone is a joint that moves with the sacrum. 

Causes of Tailbone Pain and Injury

When you injure the tailbone, you can fracture the tailbone or have a ligamentous injury, meaning the ligaments that hold the tailbone in place can get strained.

You can also injure the muscles that are attached to the tailbone. The muscles can either be affected indirectly or directly by the injury. Part of the muscles affected by a tailbone injury can be part of the pelvic floor, which connects to the tailbone.

Pelvic Floor and Tailbone Pain

Problems with the pelvic floor can cause tailbone pain. For example, if the musculature in the pelvic floor is tight, the muscles can start to pull on the tailbone and cause trauma.

A tailbone injury can also cause pain in the pelvic floor. For example, if you traumatize the tailbone, the pain could be both from the fracture and soft tissue issues, such as muscle and ligaments around that area. The pain can continue even after the initial fracture is healed.

Tensioning in the pelvic floor can be caused by:

  • *alignment issues
  • *stress
  • *pregnancy
  • *carrying your baby
  • *chronic irritation from urinary tract infection, yeast infection or any chronic inflammatory issue
  • *constipation
  • *Irritable bowel syndrome or IBS
  • *Interstitial cystitis
  • *Endometriosis

Associated symptoms:

  • *Urinary frequency
  • *Urinary retention

Tailbone pain can vary. It can be tender to the touch, a sharp pain, throbbing pain or a dull achy pain. Tailbone pain can be constant or intermittent. You might experience tailbone pain from:

  • *Sitting for extended periods of time
  • *Having a bowel movement
  • *Pain when they bend forward
  • *Pain with breathing

Tailbone pain treatment:

  • *Pelvic floor treatment,
  • *Directly maniupalating the tailbone joint
  • *Internal pelvic floor work
  • *Taping the tailbone up
  • *Cold laser therapy
  • *Heal the joint and release any soft tissue around that tailbone
  • *Release glute trigger points giving you indirect pain in the tailbone

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