Coccydynia (Tailbone Pain)
Definition
Coccydynia is pain felt in or around the coccyx (tailbone), typically when sitting, rising from a seated position, or during activities that place pressure on the base of the spine. Coccydynia can arise from trauma, prolonged sitting, childbirth, or pelvic floor dysfunction, and may become persistent if not properly managed.
Symptoms
People with coccydynia often describe:
Localised pain or tenderness at the base of the spine
Pain that worsens when sitting, especially on firm surfaces
Discomfort when standing up after sitting
Pain with bowel movements or sexual intercourse
Sensitivity or pressure over the coccyx region
Sometimes, radiating pain into the sacrum, buttocks, or pelvic floor
Who is Most Affected
Coccydynia can affect anyone, but is more common in:
Women, particularly after childbirth
Individuals who have fallen or experienced trauma to the tailbone
Desk-based workers, cyclists, or drivers with long sitting hours
Those with poor posture or pelvic floor muscle overactivity
Common Causes
The main causes of coccydynia include:
Direct trauma – falls, blows, or fractures to the coccyx
Childbirth strain – displacement or ligament injury during delivery
Repetitive pressure – cycling, rowing, or sitting on hard surfaces
Postural issues – slumping or leaning back when seated
Pelvic floor dysfunction – tight or imbalanced muscles pulling on coccyx attachments
Idiopathic coccydynia – where no clear cause is found
Management Approaches
Pelvic Floor Osteopathy can help manage coccydynia through:
Gentle mobilisation of the coccyx, sacrum, and pelvic joints
Soft tissue and pelvic floor release to reduce muscle tension
Postural retraining to minimise pressure on the coccyx
Breathing and relaxation techniques to calm pelvic muscle overactivity
Education on sitting positions, supportive cushions, and self-care
Other management strategies for coccydynia may include:
Use of wedge or donut cushions
Anti-inflammatory or pain-relief medication
Local injections for persistent cases
Key Point
Coccydynia is often multifactorial, involving posture, trauma, and pelvic floor tension. With tailored pelvic floor osteopathy, ergonomic support, and movement retraining, most people experience significant relief and a return to comfortable sitting and daily function.
