Coccyx pain (coccydynia)

This can be linked with both PGP and pelvic floor symptoms.

Where is your coccyx?

The coccyx is a small bone at the bottom of your sacrum, and there is a small joint between the two bones.

What are the symptoms of coccydynia?

You may have sharp pain in your coccyx when you sit down, and may also have this pain when you stand and walk. Often, women find that they have to sit on a special coccyx cushion with a hole cut out at the back to allow them to sit without the coccyx coming in contact with the chair.

What can I do about it?

As with PGP, coccyx pain usually responds well to manual therapy. This may be carried out by moving or manipulating the joint from outside (externally) or your therapist may need to examine you internally through your rectum to move the joint and relieve the pain.

Women are frequently offered painkillers or painkilling injections, but these often provide only temporary improvement in the pain and the problem comes back when they wear off. Women may be told it is something they just have to put up with, or that it will get better with time. However, this is not usually the case, and it can go on for years without treatment. Most women find that the manual therapy, although it may be uncomfortable at the time, gives the best long-term results.

Content reviewed and updated in 2017.

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Please note, the Pelvic Partnership consists of volunteers who have had Pelvic Girdle Pain and wish to support other women. We aim to pass on information based on research evidence where available. We are not medical professionals and cannot offer medical advice. The Pelvic Partnership takes no responsibility for any action you do or do not take as a result of reading this information.

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