Tailbone Pain / Coccydynia Physiotherapy in Indirapuram

Why the tailbone hurts

The coccyx is the small triangle of bone at the very bottom of the spine. When you sit leaning back, it takes some of your weight. A fall onto the bottom, a difficult delivery, or long hours sitting on hard surfaces can bruise or sprain the joints around it, or leave it moving too much or too little.

It's more common in women, partly because of pelvic shape and childbirth. Sometimes there's no clear trigger at all.

What makes it worse

Sitting, particularly on hard chairs or slouched back, and the moment of getting up are the classic triggers. Some people notice pain during bowel movements. Driving can be miserable. Standing and walking are usually comfortable, which is a useful clue.

How it's treated

Taking pressure off the coccyx comes first. A wedge cushion with a cutout at the back works better than a round donut cushion for most people, because it lets you sit on your sit bones without the tailbone touching. Sitting upright or slightly forward helps too.

The muscles of the pelvic floor attach to the coccyx, and when they're tense they can pull on it and keep pain going. Relaxation and release of these muscles, done carefully and with consent, is often a key part of treatment. External soft tissue work around the buttocks and ultrasound can also help. Manual mobilisation of the coccyx itself helps some people.

Most cases improve within weeks to a few months. Persistent pain after that deserves a medical review to rule out other causes.

Exercises often used for Tailbone Pain / Coccydynia

These are exercises our physiotherapists commonly include. Which ones suit you, how many and in what order depends on your assessment and stage of recovery.

All back and spine exercises

Frequently asked questions