By Sophia McLean – PT, DPT

The tailbone, or coccyx, is a small triangular bone at the very end of your spine. It attaches to the bottom of the sacrum, the large bone in your lower back that connects the sides of the pelvis, through the sacrococcygeal joint.

More common in women versus men, tailbone pain, or coccydynia, occurs as a result of excessive force from a fall or repetitive falling and/or sports that involve constant pressure on the area (i.e. cycling, horseback riding, rowing). It is also caused by excessive pressure from childbirth (primarily vaginal deliveries) and/or chronic straining to have a bowel movement.

Most people with tailbone pain report pain with sitting, getting up from sitting, bending, having sex, going to the bathroom, any type of touch or pressure, or simply throughout the day. Pain can be felt right at the tailbone, and/or refer upward or downward. Someone’s experience of tailbone pain can range from somewhat bothersome to extremely debilitating depending on the nature of the injury.

Like the top of a tent is to the fabric around it, the tailbone is the connection point for a number of pelvic floor muscles – a group of muscles that control pee and poo, support your organs, work with your core to give you control and stability as you move, play a role in sexual function, and help with circulation.

When the pelvic floor contracts, as they should when you stand up f