“Ouch…My Tailbone Hurts!”

“I’ve heard the term…but what is Coccydynia?”

Plain ‘n simple….it is pain in the region of the coccyx (tailbone). This can happen for a variety of reasons, and is often a cause of post-delivery pelvic pain.

What does the coccyx do and where is it located?

  • The coccyx serves as an attachment site for tendons, ligaments, and muscles.
  • It also functions as an insertion point of some of the muscles of the pelvic floor.
  • The coccyx also functions to support and stabilize a person while he or she is in a sitting position.

coccyx“So, . . . what exactly causes Coccydynia?”

  • Chronic poor posture
  • Sports Injuries
  • Childbirth
  • Obesity
  • Joint disorders
  • Fall or motor vehicle accident with foot on break
  • Lifting injury
  • Repetitive Strain such as cycling, rowing, etc.
  • Constipation
  • Diseases of pelvic organs
  • Sexual Abuse
  • Muscle Imbalance
  • SI Joint Dysfunction
  • Hormonal Changes
  • Scared Adhesions
  • Tumors / Bone Spurs
  • Sciatica
  • Fear, Anxiety, Stress



  • Pain when sitting
  • Deep ache, cramping, or generalized pelvic pain
  • Constipation or incomplete emptying
  • Pain upon transfers from sit to stand
  • Sexual dysfunction
  • Referred pain in SI joints, buttock, groin, hips, lower extremities, perineum, feet
  • Dyspareunia
  • Headaches due to neural/dural tenion
  • Low back pain, Sciatica
  • Pain with coughing




“How can pelvic floor pt help me?”


  • Soft tissue palpation of pelvic joint alignment to identify pain sources and trigger points.
  • Pelvic Floor Muscle Exam
  • Manual Muscle Test (MMT)
  • Posture Exam
  • Mobility Testing
  • Musculoskeletal Screening Exam
  • Soft Tissue Massage
  • Patient Education


  • Electrical Stimulation
  • Muscle stretching
  • Joint mobilization
  • Body mechanics for daily tasks
  • Spinal stabilization exercises
  • Orthotic-sacroiliac joint belt
  • Correct posture
  • Modalities to reduce inflammation
  • Seat Cushions


If Coccydynia sounds like something you are dealing with, give our offices a call to set up an initial evaluation with one of our therapists! 804-282-3500


Published by Dr. Cora T Huitt

Cora T. Huitt, PT, DPT, BCB-PMD ~Thirty seven years of clinical practice, specializing in women's health for fifteen years. ~BS Degree in Allied Health Professions, Ohio State University, '72. ~Master of Arts in College Teaching (MACT) focus in Physical Therapy & Therapeutic Exercise, University of North Carolina, '76. ~ Doctorate of Physical Therapy, Alabama State University, 2010 ~Attended multiple courses offered in Women's Health Physical Therapy, including Pelvic 1, 2, 3 Course in Women's Health Section APTA. ~Member of VPTA and APTA, Women's Health Section. ~BCIA-PMDB Biofeedback- Pelvic Muscle Dysfunction Biofeedback. ~Certified Pilates instructor, ProHealth. ~Affiliate member of the American College of Obstetrics and Gynecology. ~Member of International Continence Society. ~Member of National Vulvodynia Association. ~Adjunct Clinical Faculty for student affiliation at multiple universities. ~Director of APTA Women's Health Residency since 2007, credentialed in 2008. (only other residency at Duke Unviersity)

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