One structure that is a common cause of tailbone pain is the anococcygeal ligament. This ligament attaches the anal sphincter to the coccyx. Your physical therapist should be palpating for pain, tension, thickening, and integrity. Many times this ligament is damaged or sprained from a fall or other trauma and can be a causative or perpetuating factor in coccydynia, chronic pelvic pain, sexual pain or pelvic floor overactivity in men and women. Here we are performing a palpation assessment of the ligament and if needed manual therapies such as cross friction massage and myofascial release will be applied. We also “stack” other manual techniques such as release of the sacrococcygeal joint or sacrotuberous ligament releases. Pelvic floor physical therapy (external and internal) may also be a key to resolving coccyx pain. Coccyx misalignment can be corrected via manual mobilization. Having a overly flexed tailbone may hinder labor and delivery. These techniques also prevent coccyx fractures during labor and delivery. See a highly skilled physical therapist at our office for a consultation. #coccyx #coccydynia #coccyxpain #pelvicfloor #manualtherapy #orthopedics #sittingpain #laborpreparation #spine# physicaltherapy #expertcare #avoidcoccygectomy #coccygectomy #tailboneremoval #tailbonepain #pregnancy #laborprep#chronicpelvicpain #pudendalneuralgia #womenshealth #coccyxmobs #pelvicfloorrehab