Coccyx Pain (Coccydynia)
What our patient’s say…
“I damaged my coccyx while snowboarding last year. I couldn’t sit for long periods and flying internationally (which I had to do a lot for work) was a nightmare. My trainer recommended Robert Griffiths. I liked that he has all the new technology, new ideas and know-how. After 8 treatments, using various methods, my injury was 90% better. Now months later, it doesn’t bother me at all anymore. Thank you.” Andrea
There is very limited large scale evidence regarding coccyx pain. However, Robert Griffiths (Chiropractor) has over ten years experience helping individuals with coccyx pain, using manual treatment methods, weight loss planning, ergonomic chair adjustments, home stretching, lifestyle and exercise advice. Please read their personal reports on www.coccyx.org.
We see a huge number of patients who have been to their GP and are told there is little they can do except take painkillers and avoid sitting down. We find a number of these patients are prescribed increasingly stronger painkillers, anti-inflammatories and even anti-depressants to ‘manage’ their pain.
In our opinion, it is common sense to manage the painful area using a provisional course of low-risk manual treatments and lifestyle changes, rather than taking painkillers for a prolonged period of time, without considering your posture, workstation, weight, exercise regime etc.
Before opening Pro Performance Clinics, Robert Griffiths (Chiropractor), worked at the Sayer Clinics in Kensington and The City, where he worked with Michael Durtnall (Chiropractor), treating many coccyx pain patients. Some of the testimonials are written by patients he helped during his six years working at Sayer Clinics.
Mild to severe pain in the tailbone and buttock area. There is often tension and a tight knotted feeling around the buttock muscles and the tailbone is sensitive when touched. Sitting aggravates the pain, although some patients find that only certain chairs affect them. For example, some people dislike soft chairs, sofas or car seats, whilst others find hard chairs, such as public transport or work chairs uncomfortable. Often standing will be the only way to relieve the discomfort, although there will sometimes be residual pain in the area for a few hours afterwards.
The pain is caused by excessive pressure around the coccyx, which irritates the joint and surrounding soft tissues.
There are two main ways the joint can become irritated:
Traumatic: This is when a patient lands heavily on the coccyx. It can occur accidentally or during sports such as rugby, ice skating or cycling.
Non-Traumatic: This is more common, most people suffering non-traumatic coccyx pain work in office jobs, have sedentary lifestyles, weak pelvic floor and core muscles, weight issues, poor workplace ergonomics and bad posture.
Diagnosis can be made following a full case history and physical examination. X-rays will be ordered if a fracture is suspected or the coccyx does not respond to manual treatment. MRI scans are not usually necessary for this condition.
Please note that treatment for coccyx pain has had limited large scale research, here we explain the methods previously used by us to relieve patients of their pain. Please see www.coccyx.org for testimonials from patients we have successfully helped.
Before any treatment program for coccyx pain, our experienced clinicians will explain your symptoms, diagnosis and chances of recovery. We will explain what to expect from your treatment and you will have the opportunity to ask any questions. Coccyx problems can improve quickly with treatment, but more often, it takes time and repeated sessions. As with most injuries, the sooner you seek treatment, the better your chances of recovery.
With coccyx pain we usually like to see at least some improvement within 4-6 treatments. If there are no clear signs of improvement, we will refer you to one of our leading specialists for further examination.
1. Treatment is focussed on relaxing the tender and tight soft tissues surrounding the coccyx, using soft tissue massage, stretching, ultrasound and medical acupuncture.
2. We gently mobilise the painful joint (internally or externally) to ensure there is natural movement of the coccyx.
3. We use specific home stretches and exercises to improve your chances of recovery.
4. We explain your aggravating factors and how to manage them, e.g. obesity, poor work chair, sedentary lifestyle and bad posture.
Your coccyx pain is very different to everyone else’s, so your treatment plan will be uniquely tailored to suit your individual condition.
Internal joint mobilisation: Many patients come to see us, requesting internal joint mobilisation because they have heard of other patients experiencing results with it. We have successfully used this treatment on many patients, however, we do understand that this is a sensitive and personal area for many people, which can naturally lead to feelings of anxiety before treatment. Therefore, we always discuss the need, the risks and the likely outcomes of the procedure beforehand, giving you ample opportunity to ask questions and obtaining your consent. It is always your choice and if you prefer not to have this form of treatment, then we will happily suggest an alternative.
We help prevent your coccyx pain from coming back in a number of ways. We will improve your posture, change your chair at work, suggest appropriate coccyx cushions, give you home symptom management advice and help you with weight loss/exercise. We guide you through everything you need, to ensure you have the best chance of recovery.
See other conditions we treat.