I’ve seen so much coccyx pain in my practice, and many of these ladies have struggled for years without ever having their pelvic floor muscles assessed.
When you see how many of the pelvic floor muscles attach to the tailbone, it’s no surprise that it’s usually these guys who are the culprit for persistent tailbone pain.
So I wanted to share a few things for you to be aware of if you have coccyx/tailbone pain:
1. Your pelvic floor muscles are probably a little tight. So no kegels or pelvic floor strengthening for now.
2. Avoid constipation. Increased weight on the pelvic floor muscles from 💩 in your rectum can make them tighten.
3. Try and keep a little arch in your lower back when you are sitting on a chair. A rolled towel under your sit bones can help with this. This puts the pelvic floor muscles in a more optimal position so you don’t get that stabbing pain as you stand up!
4. Check you aren’t holding your tummy in all the time. Over gripping the upper abdominals especially can increase intra-abdominal pressure and make the muscles activate in return.
5. See a pelvic health physio! They will check your pelvic floor muscles and ideally do a vaginal or rectal exam to help you to connect to and lengthen the muscles. They will also help to release the internally with a little myofascial release ‘massage’.
As with any pain we always encourage people to get themselves checked out sooner rather than later. The pelvis is integral to all movement and posture and whenever there is pain present, there are a lot of compensatory changes that occur.