Physiotherapy will include :-
- Progressive stretching and
- Strengthening programme
- That will be specifically developed by the physiotherapist to suit your needs and goals.
- Other treatments will include massage and soft tissue techniques to reduce any muscle
- Ergonomic adjustments
The initial goal of treatment should be focused on :-
- Providing postural education
- Correct sitting posture
- Sitting more erectly on a firm chair gives a proper sitting posture and ensures weight is taken off the coccyx.
- Recommend the use of Modified wedge-shaped cushions (coccygeal cushions)
- Manual therapy
Mobilizations: This can help realign the posture of the coccyx. Manipulation: It can be done intra-rectal.
Massage: Massaging the coccygeus muscles has also been proven to relieve pain.
- Internal techniques
- Massage of the levator ani muscle or the coccygeus muscle
- Joint mobilization while the coccyx is hyperextended
- To stretch the levator ani, or repeated mobilizations while the coccyx is rotated.
- External techniques
- Manipulations of either the coccyx or sacroiliac joint,
- Mobilizations of the sacrococcygeal or intercoccygeal joints
- Posterior mobilizations to the thoracic spine
- Stretching of the piriformis or iliopsoas.
- Shock wave therapy
- Extracorporeal shockwave therapy show as great result in coccydynia pain management.