Symptoms
Coccyx pain (coccydynia)
Tail-bone pain with sitting often has a contributing trigger point in gluteus maximus, obturator internus and pelvic floor.
Overview
Tail-bone pain with sitting often has a contributing trigger point in gluteus maximus, obturator internus and pelvic floor. Identifying which muscle reproduces the patient's familiar pain on palpation guides treatment and often produces meaningful change alongside standard care.
Clinical notes
Coordinate with pelvic floor physiotherapy when persistent.
Red flags — when to refer
Trauma with fracture suspicion — refer.
Muscles often involved
References
- • Travell & Simons — Myofascial Pain and Dysfunction