Tailbone Pain and How Physiotherapy can help

Tailbone Pain and How Physiotherapy can help

What is Tailbone Pain?

Dull pain in the lower back is common, which can progress to intense or throbbing pain with activities such as getting up from a sitting position or extended sitting. While most people are unaware of the exact cause of these symptoms, a condition known as tailbone pain, or Coccydynia, has frequently been associated with such chronic lower back problems.

Coccydynia, or inflammation of the tailbone, is a rare form of lumbar pain that can cause extreme discomfort and anguish. Pain in or around the bony structure at the bottom of the spine is known as tailbone/coccydynia pain (coccyx).

Physiotherapy has been shown to be useful in teaching pelvic floor relaxation techniques, which help to correct the coccyx and decrease pain when urinating or defecating. For women, tailbone pain can make menstruation difficult. Because women are more likely to experience coccyx injury or direct trauma during childbirth, these problems are more commonly reported in women.

Common causes of Coccydynia:

Coccydynia/tailbone pain can be caused by

  • coccyx trauma from a fall,
  • prolonged sitting on a hard or narrow surface,
  • degenerative joint changes from vaginal childbirth, or
  • Also due to Repetitive Strain Injury.

The pain in the tailbone might range from dull aching to a sharp stab. It might last for weeks, months, or even years.

Physio-therapeutic Approach

The primary purpose of physiotherapy treatment is to provide posture education. A correct sitting position shifts weight away from the coccyx and onto the ischial tuberosities and thighs. Cushions may also be recommended by physiotherapists. Coccygeal cushions, which are modified wedge-shaped cushions, help to relieve strain on the coccyx while sitting.

Other treatment modalities include:

Mobilizations: This can help to adjust the coccyx. Mobilization treatments may be utilized when the purpose of treatment is to promote coccygeal mobility.

Manipulation: Manual manipulation of the coccyx also provides pain alleviation for patients. Manual manipulation can be used to modify the joint between the sacrum and the coccyx, perhaps relieving pain caused by insufficient coccyx mobility.

Soft tissue mobilization: Soft tissue mobilization of tense pelvic floor muscles that adhere to the coccyx can lessen or eliminate coccydynia. Tense muscles in this area can put additional tension on the ligaments and sacrococcygeal joint, reducing movement and pulling on the coccyx.

Transcutaneous Electrical Nerve Stimulator (TENS).


Dry needling: It is both comfortable and effective for a variety of conditions, including pelvic pain, incontinence, tailbone pain, and others. It reduces muscle spasms and evaluates sacrococcygeal joint mobility and position.

The advanced treatment includes:

Extracorporeal Shock Wave Therapy.

Super Inductive System. And

Also, High-intensity Class 4 laser.

Leave a Comment

Your email address will not be published. Required fields are marked *