Understanding Coccygodynia (Tailbone Pain): How Pelvic Floor Physical Therapy Can Help
Coccygodynia is the medical term for pain in the tailbone, or coccyx. This condition can cause sharp, aching, or persistent discomfort at the base of the spine, often made worse by sitting, transitioning from sitting to standing, or prolonged pressure on the area. Coccygodynia affects people of all ages and genders, and while it’s sometimes linked to a fall, childbirth, or prolonged sitting, it can also develop without a clear cause.
Tailbone pain can be surprisingly disruptive. Many people adjust how they sit, avoid activities they enjoy, or struggle through workdays without relief. When imaging looks normal or rest hasn’t helped, it can feel discouraging—but effective treatment options do exist.
The Pelvic Floor and Tailbone Pain
The coccyx is closely connected to the pelvic floor muscles, ligaments, and surrounding soft tissues. When these muscles become tight, imbalanced, or irritated, they can pull on the tailbone and contribute to ongoing pain. Nerve sensitivity and protective muscle guarding can also develop, keeping the area in a cycle of discomfort.
Pelvic floor physical therapy addresses these underlying contributors rather than focusing only on the tailbone itself.
How Pelvic Floor Physical Therapy Helps
Pelvic floor physical therapy at Progressive Pelvis offers a gentle, targeted approach to reducing tailbone pain and improving comfort. Treatment may include:
Hands-on techniques to reduce muscle tension and improve tissue mobility
Assessment and treatment of pelvic floor, hip, and lower back mechanics
Postural and sitting modifications to reduce pressure on the coccyx
Breathing and relaxation strategies to calm the nervous system
Guided movement and exercises to restore balanced support to the pelvis
Care is always individualized, respectful, and designed to move at a pace that feels safe and comfortable.
A Supportive, Whole-Body Approach
Coccygodynia often improves when treatment looks beyond the site of pain and addresses how the pelvis and surrounding structures work together. Pelvic floor physical therapy can be an effective, noninvasive option either on its own or alongside medical care.
Relief Is Possible
If tailbone pain is affecting your ability to sit, move, or focus on daily life, help is available now. Pelvic floor physical therapy provides a proactive approach to easing pain and restoring function.
If you’re ready to take the next step, we invite you to schedule a consultation today. You don’t have to live with persistent tailbone pain—support and effective care are available, and we’re here to help.