Pelvic Floor Muscle Release
Targeted manual therapy to release the pelvic floor muscles that attach directly to the coccyx. When this tension releases, the constant irritation driving the pain reduces significantly.
Tailbone Pain
Tailbone pain that won't go away (whether it started after a fall, a difficult delivery, or for no clear reason) is almost always a pelvic floor problem in disguise. And it's very treatable.
You Shouldn't Still Be Hurting
Coccydynia (tailbone pain) is often dismissed as something you just have to wait out. Most cases that stick around past a few weeks have a muscular component, tight pelvic floor muscles that attach to the coccyx and keep it in a constant state of irritation. That's not a waiting-out problem. That's a treatment problem.
Signs and Symptoms
Does Any of This Sound Familiar?
If you’re nodding at more than a few of these, your pelvic floor is asking for attention.
Pain directly at the tailbone with sitting
Worse pain when going from sitting to standing
Pain that gets worse on hard surfaces
Discomfort or pain during or after sex
Pain with bowel movements
Aching that radiates into the low back, hips, or buttocks
Chronic low-grade discomfort that flares up unpredictably
History of a fall, vaginal delivery, or prolonged labor
Root Cause
What's Actually Causing It
The tailbone (coccyx) is the attachment point for several pelvic floor muscles and ligaments. When these muscles are chronically tight (which is extremely common) they create constant tension on the coccyx, preventing it from moving freely and keeping it in a state of ongoing irritation.
This can develop after a direct fall or impact, after vaginal delivery (especially with prolonged pushing or a malpositioned baby), after prolonged sitting, or gradually over time without any clear injury.
Sometimes the coccyx itself becomes slightly displaced, which further aggravates the attached muscles. In other cases, the bone is fine but the surrounding muscle and fascial tension is driving all the symptoms. A proper assessment distinguishes between these patterns.
Your Treatment
How Pelvic Floor Therapy Helps
Pelvic floor PT is one of the most effective treatments for chronic tailbone pain because it addresses the muscle tension that most other treatments overlook. Your doctor uses a combination of internal and external manual techniques to release the muscles attached to the coccyx, restore mobility, and break the pain cycle.
Postural and Movement Education
How you sit, stand, and move affects how much pressure is on the tailbone daily. Small changes in posture and body mechanics take load off the coccyx while the tissue heals.Stabilization and Strengthening
Rebuilding the strength to support normal pelvic mechanics so the system stops defaulting to the guarded, compressed pattern that perpetuates the pain.Comfort Modifications
Guidance on seat cushions, sitting positions, and daily activity modifications to reduce tailbone irritation while treatment is in progress.
Your Path to Relief
How Treatment Works
A clear, supportive process designed to meet you where you are with guidance every step of the way
Our Services
Pelvic Physical Therapy That Fits Your Lifestyle
We offer a flexible approach to pelvic health that adapts to your life. Each service is designed to address root causes and build lasting strength.
Virtual Pelvic Physical Therapy
One-on-one virtual pelvic floor physical therapy for women who want expert care and accountability from anywhere.
In-Person Pelvic Floor Physical Therapy
Hands-on pelvic floor physical therapy in Orange County for those ready to resolve pain, bladder issues, and pelvic dysfunction.
Evidence-based strength and nutrition coaching designed to help you improve body composition and rebuild confidence, without sacrificing your hormones, gut health, or your social life.
Frequently Asked Questions
Very much so. Vaginal delivery (especially with prolonged pushing or a difficult labor) frequently causes pelvic floor muscle strain and can alter the position of the coccyx. Addressing the pelvic floor muscles is the key to resolving postpartum tailbone pain.
For tailbone pain, internal assessment and treatment is often the most direct path to relief because the muscles that attach to the coccyx are most accessible that way. However, it’s never required and is always done with your full informed consent. Many people see good progress with external approaches as well.
Because X-rays show bone, not muscle. A structurally normal coccyx can still be chronically painful if the surrounding musculature is tight and pulling on it. Normal imaging is actually very common with coccydynia.
Yes, tailbone pain can be treated online. Your doctor will have you work on movement retraining, positioning education, external exercises, and breathing techniques.
You Don't Have to Keep Sitting on a Donut Forever
Tailbone pain that’s been hanging around for weeks or months is treatable. Book a free consultation to find out what’s actually keeping it there.