Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
Opening Hours
Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Coccydynia
What is coccydynia?
Coccydynia refers to pain in the coccyx, or tailbone, located at the base of the spine. This condition can result from trauma, prolonged sitting, or repetitive strain. Physiotherapy is often highly effective in managing and relieving the symptoms of coccydynia through targeted treatment strategies.
How does coccydyniahappen?
There are several potential causes of coccydynia. The most common is direct trauma to the tailbone, such as falling and landing on a hard surface. Other causes include overuse or dysfunction of muscles surrounding the coccyx, particularly the gluteals, piriformis, and adductors. When these muscles go into severe spasm, they can place abnormal tension on the coccyx, leading to pain and inflammation.
What are the symptoms of coccydynia?
The main symptom of coccydynia is a sharp or aching pain at the base of the spine, which typically worsens when sitting for prolonged periods. Movements such as standing up from a seated position or climbing stairs may also become difficult due to discomfort. Other symptoms may include:
- Tenderness or sensitivity around the coccyx area
- Pain during bowel movements
- Discomfort during sexual intercourse
- Increased pain when leaning back while sitting
- Localised swelling or bruising (in cases of trauma)
- Radiating pain into the lower back, buttocks, or legs in some cases
What should I do if I have coccydynia?
If you are experiencing symptoms of coccydynia, it is important to consult a physiotherapist as early as possible. A physiotherapist will perform a comprehensive assessment and provide an accurate diagnosis to guide your treatment. In the meantime, applying ice—such as a bag of frozen peas wrapped in a damp towel or a commercial ice pack—can help reduce pain and swelling in the affected area. It is also recommended to avoid activities that aggravate your symptoms, which may include temporarily stopping certain sports or hobbies during your recovery period.
Physiotherapy treatment for coccydynia
Your physiotherapy program will include a progressive stretching and strengthening routine, carefully tailored by your physiotherapist to meet your individual needs and recovery goals. Treatment may also involve massage and soft tissue techniques to relieve muscle spasms and improve mobility. Further physiotherapy options may include:
- Postural correction – to reduce strain on the coccyx during daily activities
- Core stability training – to support the pelvis and lower spine
- Pelvic floor exercises – especially if surrounding muscle tension is contributing to pain
- Manual therapy – to address joint stiffness in the lower spine or sacrum
- Ergonomic advice – including recommendations for seating and cushioning to relieve pressure on the tailbone
- Education on activity modification – to help avoid symptom aggravation during daily tasks
What shouldn’t I do if I have coccydynia?
You should avoid continuing with activities or sports that worsen your symptoms, as this may lead to flare-ups, delay recovery, and make it more difficult to return to your usual hobbies. However, complete rest is also not recommended. Striking the right balance is essential—this is where physiotherapy plays a key role, helping you pace your rehabilitation with safe, guided exercises that promote healing while preventing re-injury.
Could there be any long-term effects from coccydynia?
If your symptoms do not improve after a period of physiotherapy, a corticosteroid injection may be recommended to help reduce pain and inflammation around the coccyx. However, even if an injection is required, it is essential to continue with your physiotherapy program. Ongoing physiotherapy will help maximise the benefits of the injection by addressing underlying issues, improving mobility, and supporting long-term recovery.
To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.
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