Réhabital
Tailbone Pain (Coccydynia) Treatment
Sitting becomes an ordeal and standing up makes you wince: coccydynia is a very localised pain that seriously disrupts daily life. In Cote Saint Luc, osteopathy and physiotherapy often bring quick relief.
Book an AppointmentUnderstanding This Condition
The coccyx is the small terminal segment of the spine, made of three to five partly fused vertebrae. It anchors several pelvic floor muscles, the sacrotuberous ligament and part of the gluteus maximus. A fall onto the buttocks, a difficult delivery, prolonged sitting on hard surfaces or hypermobility of the sacrococcygeal joint can create persistent pain. Often the pain is not purely bony: pelvic floor and levator ani tension sustain the sensitivity, which is why cushion-only strategies frequently fail.
Common Symptoms
Common Causes
Direct trauma
A fall onto the buttocks — on ice or down stairs — is the most common cause.
Childbirth
Delivery can stretch or displace the sacrococcygeal segment, particularly with instrumented births.
Prolonged sitting
Long sitting with a posteriorly tilted pelvis concentrates pressure on the coccyx.
Pelvic floor tension
A hypertonic pelvic floor pulls on the coccyx and sustains pain even without trauma.
Our Treatment Approach
Osteopathic assessment examines sacrum, coccyx, hip and pelvis mobility along with gluteal and externally accessible pelvic floor tension. Techniques are gentle: external myofascial release, sacral mobilisation, work on the sacrotuberous ligament and pelvic diaphragm. Physiotherapy adds pelvic floor down-training, diaphragmatic breathing and sitting posture correction. Massage therapy reduces gluteal and hamstring tension. We also advise on cushion type — U-shaped or wedge — and how to sit to avoid direct pressure.
What to Expect at Your First Visit
The first session lasts about 60 minutes. No internal technique is performed without explicit consent and prior discussion; most work is external. Improvement is often seen within three to five sessions.
At-Home Self-Care Tips
- Use a U-shaped cushion that leaves the coccyx pressure-free.
- Stand and move every 30 minutes.
- Avoid soft, deep seats that tilt the pelvis backwards.
- Practise diaphragmatic breathing to relax the pelvic floor.
- Apply heat to the glutes before gentle stretching.
Prognosis & Recovery Timeline
Most coccydynia improves substantially within weeks to a few months with manual treatment and seating changes. Post-traumatic cases with fracture take longer.
When to See Us at Réhabital
Come in if pain persists more than three weeks after a fall or interferes with work. Progressive night pain, unexplained weight loss or fever needs medical assessment.
Why Réhabital Clinic
We treat the coccyx in context — pelvis, hips, pelvic floor and sitting posture — rather than as an isolated point, which produces better lasting results.
Recommended Services for This Condition
Our Core Treatments in Côte Saint-Luc
Related Conditions
Why Choose Réhabital?
Frequently Asked Questions
Address
D4-5800 Cavendish Blvd
Côte Saint-Luc, QC H4W 2T5
Phone
(438) 842-3550Hours
Mon–Fri: 10AM–8PM
Sun: 10AM–4PM
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