Pelvic Floor Physiotherapy for Coccyx/Tailbone Pain Relief

Coccyx pain, also known as Coccydynia, can be a debilitating condition causing discomfort and distress. The Coccyx, more commonly known as the tailbone, is a small triangular bone comprised of three to five fused vertebrae located at the base of the spine. When this area becomes inflamed or injured, it can lead to persistent pain and limited mobility. While there are various treatment options available, pelvic floor physiotherapy is the primary approach for managing coccyx pain effectively.

Why does Coccydynia occur?

Coccyx pain can arise from a multitude of factors, including trauma from falls, childbirth, prolonged sitting, or repetitive strain injuries. Additionally, conditions such as arthritis, degenerative disc disease, or anatomical abnormalities can contribute to coccydynia.

Individuals experiencing coccyx pain often describe symptoms such as localized discomfort, tenderness, pain during sitting or movement, and difficulty with bowel movements or intercourse. The impact of coccyx pain on daily activities and quality of life can be significant, necessitating prompt and effective intervention.


How can pelvic floor physiotherapy help with Coccyx pain?

The coccyx serves as the anchoring point for the pelvic floor muscles. Any dysfunction in these muscles, such as overactivity, tension, or discomfort, can directly influence pain experienced in the coccyx region.

Pelvic floor physiotherapy focuses on assessing and addressing dysfunction within the pelvic floor muscles, which are crucial in supporting the coccyx and surrounding structures. Through a comprehensive approach, pelvic floor physiotherapists can target the underlying causes of coccyx pain and facilitate optimal healing.

Here's how pelvic floor physiotherapy can benefit individuals with coccydynia:

  • Evaluation and Diagnosis:

Pelvic floor physiotherapists conduct thorough assessments to identify contributing factors to coccyx pain, such as muscle imbalances, pelvic floor dysfunction, or postural abnormalities. Through manual palpation and specialized tests, they can pinpoint areas of tenderness and dysfunction, guiding personalized treatment plans.

  • Manual Therapy Techniques:

Hands-on techniques, including myofascial release, soft tissue and coccyx mobilization, and tender point therapy, are utilized to alleviate muscle tension, reduce inflammation, and improve pelvic alignment. Manual therapy enhances comfort and mobility in the coccyx region by releasing tightness and restoring flexibility.

  • Targeted Exercises to Improve The Function of the Pelvic Floor Muscles:

Depending on the cause of Coccyx pain, exercises are prescribed to strengthen weakened muscles, relax overactive muscles and improve pelvic stability.

  • Postural Education and Ergonomic Modifications:

Educating individuals on proper sitting mechanics, posture awareness, and ergonomic modifications is crucial for preventing exacerbation of Coccyx pain. Pelvic floor physiotherapists provide guidance on optimal sitting positions, the use of supportive cushions, and workplace ergonomics to reduce pressure on the Coccyx and promote healing.

  • Behavioural and Lifestyle Modifications:

Addressing contributing factors, such as prolonged sitting, poor lifting techniques, or high-impact activities, is essential for the long-term management of Coccydynia. Pelvic floor physiotherapists collaborate with patients to implement lifestyle and activity modifications that support pelvic health and minimize pain triggers.

  • Multidisciplinary Collaboration:

In complex cases of Coccyx pain, pelvic floor physiotherapy may complement other interventions, including pain management strategies, orthopedic interventions, or psychological support. Collaborating with healthcare professionals ensures holistic care and optimized outcomes for individuals with Coccydynia.


Coccyx pain can significantly impact an individual's quality of life, but with the right approach, relief and recovery are possible. Pelvic floor physiotherapy offers a comprehensive and personalized treatment approach that addresses the underlying causes of Coccyx pain, promotes healing, and enhances overall pelvic health. Pelvic floor physiotherapists empower individuals to overcome Coccydynia and reclaim their comfort and mobility.

Remember, if you're experiencing Coccyx pain or discomfort, consulting with a qualified pelvic floor physiotherapist can provide invaluable guidance and support on your journey to recovery.

Why Choose Ova in Burnaby for Tailbone (Coccyx)Pain Relief

We’re not just pelvic floor physiotherapists. We are international experts in complex pelvic pain and coccyx rehabilitation.

At Ova, we understand how coccyx or tailbone pain, known as coccydynia, can make sitting, bending, or even daily movements uncomfortable. With advanced global training and more than 1,000 successfully treated complex pelvic pain cases, our team focuses on finding the true causes of coccyx pain, whether they come from childbirth, trauma, posture, or muscle imbalance, and restoring comfort through precise, evidence-based care.

Our treatment approach blends manual therapy, coccyx mobilization, myofascial release, biofeedback, and postural retraining to release tension and improve alignment of the pelvic floor and tailbone. Every plan is tailored to your individual condition to ensure safe and lasting results that support your overall pelvic health.

Women across Burnaby, Vancouver, and the Lower Mainland trust Ova Women’s Health for compassionate and specialized pelvic floor physiotherapy that helps them move, sit, and live pain-free again.

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