Coccygodynia, commonly called coccyx or tailbone pain, refers to pain felt around the lowest part of the spine. It can occur after a fall directly onto the tailbone, prolonged sitting on hard surfaces, repeated pressure on the coccyx, childbirth, or sometimes without any clearly identifiable cause. Poor sitting posture and changes in the movement or loading of the pelvis and lower back may also contribute to persistent symptoms. Patients commonly describe pain while sitting for long periods, getting up from a chair, leaning backward, driving, or during activities that place pressure on the tailbone. In some cases, the pain may also be associated with stiffness or discomfort in the lower back, hips, or pelvic region.
At Physionautics Physiotherapy Clinic, treatment for coccygodynia is planned according to the individual's symptoms, examination findings, and daily activities. The physiotherapist first assesses posture, spinal and pelvic movement, muscle flexibility, strength, and areas that may be contributing to excessive stress around the coccyx. Treatment may include education about sitting and activity modification, gentle mobility exercises, soft-tissue techniques, manual therapy when appropriate, stretching, strengthening of the core and pelvic muscles, and pelvic-floor rehabilitation when indicated. Patients may also be advised on suitable sitting positions and pressure-relieving cushions to reduce direct stress on the coccyx during recovery. A personalized home-exercise program can help maintain mobility and gradually improve tolerance to sitting and other activities. The intensity of rehabilitation is adjusted according to pain and functional progress rather than following the same program for every patient.
At Physionautics, our focus is to understand the factors contributing to coccyx pain and provide a structured rehabilitation plan that helps patients gradually return to their normal daily activities with improved comfort and confidence.
