Tailbone Pain No More: Safe Approach For Treating Coccydynia At Cb Physiotherapy

 

Tailbone pain, or coccydynia, is a surprisingly common yet often overlooked condition that can affect everyday life. People with coccydynia may find it painful to sit, bend, drive, or even get up from a chair. Because the coccyx is a small but sensitive structure located at the very bottom of the spine, even a minor injury or prolonged pressure can trigger persistent discomfort. At CB Physiotherapy, we focus on safe, non-invasive, personalised physiotherapy to relieve tailbone pain and restore comfort in daily activities.

 

What Is Coccydynia and Why Does It Occur?

Coccydynia refers to pain at the coccyx—usually made worse while sitting, leaning back, or transitioning from sitting to standing. Common causes include:

• A fall directly on the tailbone
• Prolonged sitting on hard surfaces
• Childbirth-related strain
• Repetitive micro-trauma (cycling, rowing)
• Poor posture
• Degenerative or arthritic changes
• Sometimes the pain becomes chronic if the surrounding muscles tighten, the joints stiffen, or inflammation persists. This is where expert physiotherapy intervention becomes important.

 

Why Physiotherapy Is the Safest Approach?

Physiotherapy is considered one of the safest and most effective treatments for tailbone pain because it avoids medications, injections, or surgical procedures unless absolutely necessary. The goal is to:

• Reduce inflammation
• Restore mobility
• Improve posture
• Release tension in pelvic floor and surrounding muscles
• Correct faulty sitting mechanics
• Prevent recurrence
• At CB Physiotherapy, each treatment plan is carefully personalised based on the patient’s symptoms, lifestyle, and functional needs.

 

CB Physiotherapy’s Evidence-Based Approach to Coccydynia

Detailed Assessment and Posture Analysis

Treatment begins with a comprehensive assessment, which includes:

• Pain pattern analysis — when and how the pain appears
• Sitting posture evaluation
• Examination of lumbar, sacral, and pelvic alignment
• Muscle tightness or trigger point assessment
• Review of aggravating activities (office sitting, driving, workouts)
• This helps identify the root cause and guides a customised rehabilitation plan.
  
  

1. Manual Therapy for Pain Relief

CB Physiotherapy uses specialised manual therapy techniques to release tension and improve joint mobility around the sacrococcygeal area.

Soft Tissue Release

Gentle massage, trigger point therapy, and myofascial release reduce muscle spasm in:

• Gluteal muscles
• Piriformis
• Pelvic floor
• Lower back musculature
• This helps reduce pressure on the tailbone.
  
  

2. Mobilisation Techniques

If the coccyx is slightly misaligned or stiff, controlled mobilisations can help restore normal movement, improving comfort while sitting.

Pelvic Floor Physiotherapy (if required)

Many patients are surprised to learn that tight or dysfunctional pelvic floor muscles can worsen tailbone pain. Our trained therapists assess and treat pelvic floor issues through:

• Relaxation training
• Breathing coordination
• Stretching techniques
• This approach is especially beneficial in postpartum coccydynia.

3. Electrotherapy for Safe Pain Reduction

To reduce pain and inflammation safely, CB Physiotherapy uses modalities such as:

• Ultrasound therapy
• TENS
• Interferential therapy (IFT)
• Shockwave therapy
• Laser therapy
• CRET therapy
• Heat therapy
• These treatments help accelerate healing without relying on pain-killers.

4.Tailbone-Friendly Exercise Prescription

Exercises are the cornerstone of long-term recovery. A personalised plan may include:
Pelvic Mobility Exercises

To reduce stiffness around the coccyx and lower back.

Core Strengthening

Strong core muscles reduce pressure on the tailbone while sitting and during movement.

Pelvic Floor Relaxation Exercises

For patients with hypertonic pelvic floor muscles.

Hip and Glute Stretching

To release surrounding tension and improve posture.

Postural Re-education

Patients are trained in:

• Correct sitting alignment
• Use of ergonomic chairs
• Safe ways to bend and lift
• These changes significantly reduce recurrence.

5. Ergonomic Training & Lifestyle Correction

Many patients develop coccydynia due to prolonged sitting or incorrect work posture. Our physiotherapists provide:

• Guidance on cushions (donut cushions, wedge cushions)
• Sitting posture correction
• Driving ergonomics
• Advice on avoiding painful positions
• Tailbone-safe ways to sit and get up
• These modifications allow patients to continue their routine without aggravating the pain.

6. Advanced Manual Therapies at CB Physiotherapy

Where beneficial, the treatment plan may include:

• Dry Needling
• Kinesio Taping
• Manual traction techniques
• Strength and conditioning programs
• Every therapy is selected to enhance safety and accelerate recovery.

 

Why Choose CB Physiotherapy for Tailbone Pain?

Highly trained physiotherapists with expertise in spine & pelvic rehabilitation

Evidence-based, result-oriented treatment

Modern equipment and safe modalities

Personalised rehabilitation plans

Holistic care (manual therapy + exercises + ergonomics)

Comfortable, privacy-maintained treatment environment

Our focus is always on providing non-invasive, safe, and long-term pain relief.

Coccydynia can severely affect quality of life, but it is highly treatable with the right physiotherapy approach. At CB Physiotherapy, we combine clinical expertise, modern techniques, and personalised care to relieve tailbone pain safely and effectively. Whether your pain is new or long-standing, physiotherapy can help restore comfort, correct posture, and prevent recurrence—allowing you to return to daily life pain-free.