Weeks 1–2
Pain
Take the pressure off it.
Hands-on release for the muscles pulling on your coccyx, plus sitting changes that stop reloading the sore spot between visits.
What We Treat
Sitting through a whole workday on one hip because the other way hurts too much. Tailbone pain has causes, and most of them respond to treatment.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
The coccyx sits at the very base of your spine, and it is where a lot of things attach. Pelvic floor muscles anchor onto it. So do ligaments and part of your glutes. It is supposed to move a little, tucking under as you sit and releasing as you stand. Tailbone pain usually means one of two things went wrong. Either the joint stopped moving well, often after a fall backwards or a difficult delivery. Or the muscles attached to it are pulling hard and never letting go.
Those two feed each other. A bruised or irritated coccyx makes everything around it grip to protect it, and gripping muscles keep tugging on the sore spot. Sitting compresses the whole arrangement, which is why the pain has a schedule: long meetings, long drives, hard chairs. A cushion takes pressure off, and that is worth doing, but it is a workaround. A cause-first evaluation checks how the joint actually moves, what the pelvic floor is doing around it, and how you sit and stand, so the thing driving it gets treated instead of avoided.
The Honest Truth
You have been quietly working around this, which is what capable people do. Nobody regrets starting too early. Plenty of people regret waiting.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like for coccyx pain.
Weeks 1–2
Pain
Hands-on release for the muscles pulling on your coccyx, plus sitting changes that stop reloading the sore spot between visits.
Weeks 2–6
Prime
Gentle mobilization and pelvic floor release restore movement at the base of the spine, so the tailbone can tuck when you sit instead of getting pinched.
Weeks 6–10
Perform
Glute, hip and deep core strength take the work off your tailbone when you stand up, lift, and sit for long stretches.
Weeks 10+
Prevent
Hard chairs, long drives and floor time with the kids get tested before you finish, and you keep the cushion because you want it, not because you need it.
She was immensely helpful in helping me rebuild my core and pelvic floor after having my son. She allowed me to feel comfortable working with her right away and truly listened to, and addressed, my concerns.
Shared by Sara L. · Postpartum core and pelvic floor
Questions, Answered
Most of it is talking and outside assessment. How you sit, how you get out of a chair, how your hips and back move, and where the pain is when the area is checked from the outside. A lot can be sorted out that way. An internal exam gives the clearest reading of how the coccyx joint moves and what your pelvic floor is doing around it, because those muscles attach to the tailbone from the inside. That means one gloved, lubricated finger, and it gets explained fully before it happens. You can decline it, you can postpone it, and you can stop at any point. The room is a private treatment room with the door closed, and Dr. Namrata is the only person who will be in it with you.
No. Delivery can bruise the coccyx, stretch the tissue around it, and leave the pelvic floor bracing long after the birth itself. That is an injury with a mechanism, not a permanent new setting for your body. Injured tissue answers to the same things it always answers to: getting the joint moving, releasing what is gripping, and rebuilding strength around it. That is true a few months after birth and it is still true years later. Being told to sit on a cushion and get on with it was never good advice.
That gets answered at your evaluation, because it depends on what is driving the pain. A stiff coccyx joint behaves differently from a pelvic floor that has been gripping for years, and how long you have had it matters too. What does not change is the structure. Your plan runs through four phases, Pain, Prime, Perform, and Prevent, and you always know which phase you are in and what is left in it. You work one-on-one with a Doctor of Physical Therapy, every visit, so the plan gets adjusted by the person who examined you.
Book Your Visit
Request a time and a real person calls you back, usually within one business day. No phone tree. No ‘someone will reach out.’ Just a plan.
5.0 · 33 Google reviews
Typical response: within one business day
Step 1 of 5
That’s the hard part done. We’ll call during business hours to lock in your time and find you the earliest one that works.
Visit Us