What is Coccydynia?
Coccydynia, commonly known as tailbone pain, involves discomfort at the very bottom of the spine (coccyx). This condition can be caused by various factors, including a fall onto the tailbone, prolonged sitting on hard or narrow surfaces, childbirth, or repetitive strain. Symptoms typically include localized pain and tenderness at the tailbone area, which is often exacerbated by sitting or when transitioning from sitting to standing.
Physical Therapy for Coccydynia
Physical therapy is an effective treatment for coccydynia, focusing on relieving pain and improving pelvic floor function. The initial approach often includes techniques to reduce inflammation and alleviate pain, such as the application of ice or heat, ultrasound therapy, or gentle manual manipulation. Since prolonged sitting often exacerbates coccydynia, therapists may also provide guidance on proper sitting postures and recommend using a cushion or a wedge to offload pressure from the coccyx.
As pain management progresses, physical therapy incorporates specific exercises to strengthen the pelvic floor muscles, improve pelvic alignment, and enhance overall stability. Stretching exercises for the hip flexors, gluteal muscles, and lower back can also help reduce tension in the pelvic region. Additionally, patients are often taught relaxation techniques to help ease muscle spasms that contribute to coccydynia. Education about body mechanics and strategies for pain management during daily activities is another crucial aspect of therapy. With a personalized treatment plan, physical therapy can effectively manage coccydynia, allowing patients to engage in daily activities with reduced discomfort.