TAILBONE
PAIN
Tailbone pain makes sitting, standing up and driving difficult. With Dr. Verbitskiy in Maribor, after a medical assessment, we use gentle manual therapy to ease tension in the muscles and ligaments around the tailbone and improve pelvic mobility.
The tailbone is the lower end of the spine, where the muscles and ligaments of the pelvic floor attach. Pain in this area (coccydynia) is often the result of a fall onto the buttocks, childbirth, prolonged sitting on a hard surface or tension in the pelvic floor muscles. The problem can be long-lasting and very unpleasant, so it makes sense to treat it early.
Why tailbone pain occurs
Common causes are:
- 🔹 A fall onto the buttocks or a blow to the tailbone area
- 🔹 Childbirth, during which the tailbone is displaced or overloaded
- 🔹 Prolonged sitting, especially on a hard or unsuitable surface
- 🔹 Tension in the pelvic floor and buttock muscles and in the ligaments
- 🔹 Restricted mobility of the sacrum and pelvis
- 🔹 Rapid weight loss, which reduces the natural padding around the tailbone
How tailbone pain presents
Common signs are:
- 🔹 Pain at the lower end of the spine that worsens when sitting
- 🔹 Pain when standing up from a seat
- 🔹 Pain when bending forward or on a long drive
- 🔹 Tenderness when pressing on the tailbone area
- 🔹 Pain that worsens during a bowel movement
- 🔹 Pain that eases when standing or walking
How we treat tailbone pain
Treatment is gentle and adapted to your problems. The aim is to reduce tension, improve mobility and show you how to offload the tailbone area when sitting.
1. Assessment of condition
A conversation, examination of posture, sacrum and pelvis, and an assessment of which structures are causing the pain.
2. Manual therapy
Release of tight buttock muscles and the area around the tailbone, and gentle improvement of pelvic mobility.
3. Guidance
Guidance on sitting, suitable cushions and exercises to offload the pelvic area.
Tailbone pain we help with
People most often come to us with these problems:
- 🔹 Tailbone pain when sitting
- 🔹 Pain after a fall onto the buttocks
- 🔹 Pain when getting up from sitting
- 🔹 Tailbone pain after childbirth
- 🔹 Tension in the pelvic muscles and lower back
- 🔹 Long-lasting or recurring pain in the tailbone area
Signs that require immediate attention
Seek medical help if the pain appears after a hard blow or fall, if it is accompanied by fever, swelling, redness or discharge in the tailbone and buttock area, if you have problems with bladder or bowel control, or if the pain increases for no reason. These may be signs of a fracture, an infection or another problem that requires a medical assessment.
With long-lasting or unexplained pain, it makes sense to first rule out other causes with a doctor. Manual therapy is a complement to medical care, not a replacement, and it is suitable once dangerous causes have been excluded.
What our patients say
Verbitskiy, Manualna terapija - Osteopatija, diagnostika, rehabilitacija, d.o.o. · Maribor
Watch videos about manual therapy and osteopathy on our YouTube channel.
Visit YouTube channel →Tailbone treatment and falling on the tailbone
Fall on the tailbone
Pain is common after a fall on the tailbone, including when sitting and standing up. If the pain is severe or there is bruising, it is sensible to see a doctor first to rule out a fracture. After a medical assessment, gentle manual treatment may help with tension in the pelvic muscles.
How tailbone treatment works
We use gentle manual techniques and explain every step in advance. During the examination we check the sacrum, pelvis and the muscles around the tailbone.
Frequently asked questions about tailbone pain
What should I do after falling on my tailbone?
If the pain is severe or there is bruising, see a doctor first to rule out a fracture. For milder pain, avoid sitting for long on hard surfaces. After a medical assessment, gentle manual treatment may help.
How does tailbone treatment work?
We use gentle manual techniques and explain every step in advance. We examine the sacrum, pelvis and the muscles around the tailbone.
Why does my tailbone hurt mainly when sitting?
When sitting, body weight is transferred to the tailbone and the pelvic bones, so the pain worsens. When standing up, muscle tension changes suddenly, which can increase the pain further.
What kind of cushion helps?
A cushion with a cut-out or a shape that offloads the tailbone area often helps. We adapt the recommendation after the examination.
Does pain after a fall mean a fracture?
It can. With pain after a hard fall or blow, a medical assessment is needed first, with imaging if necessary.
Does manual therapy help with tailbone pain?
It can reduce tension in the muscles and ligaments around the tailbone and improve pelvic mobility. In many people the pain decreases after treatment, but the response is not the same for everyone.
Can the pain be a result of childbirth?
Yes, the tailbone can be overloaded or displaced during birth. Even after several months the problems can be improved with gentle treatment, in agreement with the gynaecologist.
How many treatments do I need?
It depends on the cause and duration; many patients feel relief after the first visits, while long-standing problems require a longer programme.
Contact us
Get in touch with any questions or to book an appointment.
Please bring one large towel with you to your appointment.
Please confirm your appointment by phone or WhatsApp one hour beforehand, or two hours beforehand if you are travelling a long way. This way you avoid a wasted trip if an appointment has to be rescheduled at short notice.