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Coccydynia (Tail bone Pain)

What is Coccydynia (Tail bone Pain)?

It refers to pain that occurs in or around the bony structure at the bottom of the spine (coccyx).

How can physiotherapy help people with Coccydynia?

The focus of physiotherapy is pain reduction, ergonomic adjustments and postural correction.

What are the main causes of Coccydynia?

  • Vaginal childbirth

  • Falling backwards or a hard impact at the base of your spine from accidental kick during contact sports

  • Repetitive strain injury which is quite common in people who participate in sports like rowing and cycling

  • Poor posture – sitting in an awkward position for a long period of time at work or while driving

  • Being overweight (leads to excessive pressure on the coccyx) or underweight (with not enough buttock fat to prevent friction)

  • Ageing – degenerative changes place more stress on the coccyx leading to pain

  • Infection

  • Cancer

What symptoms will I experience if I have Coccydynia?

  • A dull and achy pain

  • Pain will be localised to the coccyx (tail bone)

  • Tenderness at the coccyx (tail bone)

  • Difficulty sitting or leaning against the buttocks

  • Pain while sitting

  • Pain may refer to the perineum, pelvic floor and scrotum

  • Pain may become severe when you stand from a sitting position

  • Pain may occur during sexual intercourse

  • Pain increases in women during their menstrual cycles

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