Coccyx & Tailbone Care with Gentle Methods

The coccyx & Tailbone care, medically termed coccydynia, refers to issues affecting the tailbone area at the spine’s base. This condition can arise from various causes, including falls, prolonged sitting, childbirth, or degenerative changes. Symptoms often manifest as localized discomfort, especially when sitting or transitioning from sitting to standing.

At Chiropractic Specialty Center® (CSC), we emphasize non-invasive coccyx & tailbone care approaches, integrating chiropractic, physiotherapy, and rehabilitation. Our methods avoid rotatory spinal manipulations, focusing instead on gentle techniques like the Activator Method, which targets specific spinal segments without excessive force. Physiotherapy interventions may include tailored exercises, manual techniques, and modalities aimed at enhancing function and reducing discomfort.

For expectant and new mothers, hormonal changes and postural adaptations can contribute to coccyx issues. Our team is adept at addressing these unique challenges, ensuring care plans are safe and effective for both mother and child.

Understanding the root cause is pivotal. Through comprehensive assessments, we aim to identify contributing factors and formulate individualized care strategies. Our goal is to restore function and improve quality of life through evidence-based, non-invasive interventions.

Key Takeaways on Coccyx & Tailbone Care

Top 3 Points:

1. Non-Invasive Approaches: CSC utilizes chiropractic, physiotherapy, and rehabilitation methods, avoiding aggressive techniques.
2. Tailored Care for Mothers: Specialized programs address coccyx issues related to pregnancy and postpartum changes.
3. Comprehensive Assessments: Identifying underlying causes ensures effective, individualized care plans.

Contact Us for Coccyx Discomfort Consultation

If you’re experiencing coccyx discomfort, our team at Chiropractic Specialty Center® is here to assist. Reach out today to schedule a comprehensive evaluation and discuss non-invasive care options tailored to your needs. Contact Us

Tailbone Problems: Coccyx, Coccydynia & Tailbone Discomfort

Coccyx and coccydynia are common disorders affecting millions. Coccyx for coccydynia is impossible without thoroughly addressing issues impacting the coccyx bone. The coccyx bone is the last bony structure in our spinal column. It is the smallest bony segment of the spine, located right below the sacrum.

The tailbone’s bottom tip (coccyx) comprises four bones connected by fused, semi-fused, or disc-like ligaments. In the old days, the coccyx bones were fused, thus inhibiting movements between the bones. However, the latest studies have shown that the coccyx is not a single solid bone but several small bones, permitting the slightest movements because of the fibrous ligaments that connect them.

The coccyx begins with a mass of cartilage at birth, ossifying gradually from the superior to inferior segments. The end of puberty terminates in the ossification process. Coccydynia is a condition that results from prolonged sitting. Prolonged sitting or a poor sitting posture places undue stress on the small bones at the end of your spine (coccyx bone).

Accumulated tensions or sitting for an extended time will worsen an existing coccyx issue or cause one. So, heed our advice and avoid prolonged sitting. Chiropractic Specialty Center® offers non-surgical care for tailbone problems. 

Role Of The Coccyx Discomfort & Problematic Tailbone

Problems in the tailbone area are called Coccydynia. It is the term descriptive of nerve discomfort at or around the tailbone area or coccyx.

The coccyx bone is the last bone at the bottom tip of your tailbone. The coccyx serves as an attachment point for several muscles in the pelvic region; for instance, the gluteus maximus has one of its origins attached along to the coccyx. The notion that the coccyx is entirely useless is false and based on old premises. In addition to providing attachment points for several tendons and muscles, it helps stabilize the spine in a seated position.

CSC offers back discomfort in KL through modern methods incorporating gentle and safe methods and techniques in chiropractic care combined with physiotherapy; WhatsApp us now if you have back problems or tailbone discomfort; we can help. 

The Levator-Ani and other Coccygeus muscles that form the pelvic diaphragm help delay defecation and urination by constricting the pelvic floor’s organs. Lastly, the coccyx supports the anus by holding the external anal sphincter in place through the anococcygeal ligaments.

Where Is The Tailbone & Is The Sacrum Part Of It?

 The coccyx bone is the true tailbone. The coccyx is the bottom tip of the tailbone extending about 15-25 millimeters (less than 1 inch in length) upwards, just beneath the sacrum. The sacrum is the triangular bone that connects to your pelvic bones on each side.

The adult sacrum is a triangular bone that connects to the pelvic bones on the sides of the lumbar spine above and the coccyx below. However, some consider the sacrum part of the tailbone. To avoid confusion, we will refer to tailbone problems as coccydynia and tailbone discomfort involving the sacrum, as seen in patients with malformed or misaligned sacral bones. 

Are There Different Types Of Tailbone Problems?

In general, there are three different types of tailbone discomfort:

1. Congenital tailbone discomfort: Tailbone discomfort caused by a malformed, cracked, or bent coccyx (lower tip of the tailbone) or sacrum (upper more broad part of the sacrum. Spina bifida is another cause of tailbone discomfort, but it is scarce. 
2. Developmental tailbone discomfort: These are the tailbone discomfortthat develop during pregnancy, childbirth, or within the first six months after pregnancy. Developmental issues with the tailbone result from poor posture as it weakens the ligaments and muscles connecting to the sacrum and coccyx (the two prominent bones of the tailbone)
3. Traumatic tailbone discomfort: The slip & falls that most have through life can and often do come back and haunt us with tailbone aches and discomfort, especially during pregnancy or childbirth. 

Tailbone Discomfort During Pregnancy & After Childbirth

Pregnancy comes with changes and challenges that often include discomfort. Tailbone discomfort during pregnancy is a common complaint. Several factors cause tailbone discomfort during pregnancy:

1. Changes in the center of gravity resulting from weight gains 
2. Hormonal changes
3. Poor posture
4. Notation and counternutation

Nutation and counternutation are changes in position or forward and backward movements of the tailbones as it applies during pregnancy, childbirth, and postpartum (after pregnancy). During the second and third trimesters of pregnancy, the tailbone (sacrum and coccyx combined) is under excessive stress due to hormonal and ligamentous softening that widens the pelvis. 

Relaxin and progesterone are two hormones that increase significantly during pregnancy and stay at elevated levels for up to six months after childbirth. The primary role of the progesterone and relaxin hormones is to prepare for gestation (pregnancy) and delivery of the baby.

Most women start developing pregnancy aches and discomfort in the lower back, groin, hips, and tailbone regions during pregnancy, most notably in the second and third trimesters. If you are experiencing pregnancy hip related hip issues, consider getting care at out Bukit Damansara center; contact our main center in Bukit Damansara now.  

The uterus is connected to the pelvic bones, pubic bone, and sacral bone or sacrum. These connections are through a series of six ligaments:

1. Round ligament 
2. Broad ligament
3. Cardinal ligament
4. Infundibulopelvic ligament
5. Pubocervical ligament
6. Uterosacral ligament

What Are the Options For Tailbone Discomfort During Or After Pregnancy?

Chiropractic Specialty Center® in Kuala Lumpur offers the most holistic pregnancy aches and discomfort, including pregnancy tailbone discomfort and non-invasive bcare for ack discomfort during pregnancy, by top-rated chiropractors. Safe and conservative pregnancy-specific physiotherapy and chiropractic methods are ideal for all pregnant women.

What Is Coccydynia (Tailbone Discomfort)?

Unfortunately, many suffer from acute or chronic discomfort around their tailbone, medically termed coccydynia. The discomfort arises from the coccygeal nerve’s impingement that supplies neuronal stimulation to the skin’s part around the tailbone’s very bottom portion.

The most common cause of tailbone discomfort is the slip and falls you had years ago. The hard landing some had years ago on their tailbone often haunts them. Traumatic injuries to the tailbone lead to degenerative changes in joints, ligaments, and muscles attached to the coccyx. As the degenerative changes progress, so will the likelihood of discomfort and symptoms.

Contact us if you have had a few falls and suffer from tailbone discomfort.  Slip, and falls are common causes of degenerative changes in the spine, such as Modic Type-1 or Modic Type 2 changes. These changes can also impact the tailbone area when it involves the sacrum or the L5.  

Prolonged and improper sitting postures may lead to increased stresses on the tailbone. The improper loading may stress the coccyx’s nerves (coccygeal nerves), leading to nerve irritation and inflammation. Tailbone nerve discomfort(called coccydynia) is relatively common during pregnancy. We will cover the pregnancy causes of the tailbone in a separate heading.

Acute Coccyx Or Tailbone Discomfort

Acute coccydynia is often due to micro or macro trauma. Micro-traumatic injuries are related to improper sitting postures, while macro-traumatic events involve landing on the buttocks following a fall. In both cases, the coccyx may misalign at either the sacrococcygeal junction or between the coccyx’s four bones.

Studies have shown that the activities that require prolonged sitting, such as biking and cycling, have a higher tendency to cause coccydynia due to repetitive micro traumatic events involving the tailbone and sacrococcygeal segments. So, avoid prolonged sitting and opt for our non-invasive physiotherapy and chiropractic care of the tailbone today.

Inflammatory processes following a traumatic event and pinched nerves are the culprits that produce discomfort. Axial loading or repetitive micro traumatic events (cycling) may place undue amounts of pressure on the coccyx, resulting in misalignment in the coccyx and compression of the nerve. The compressed nerve can generate a burning or tingling sensation in that area, and some report numbness around the coccyx, with moderate compression of the coccygeal nerves. You may even experience leg discomfort.

What Are The Causes of Coccyx Discomfort Or Tailbone Problems During Pregnancy?

Tailbone discomfort is an exceedingly common complaint during pregnancy. It is the most common complaint in the later stages of gestation or pregnancy. As you progress through the gestation periods, your body goes through changes. These are the needed changes to make room for your growing baby and prepare your body for delivery. The uterus grows exponentially during pregnancy.

Your rib cage, abdominal muscles, and pelvic griddle need stretching and widening to accommodate this growth. And that is where the Relaxin hormone comes in. Relaxin is the hormone that prepares your muscles, ligaments, ribcage, and pelvis for your growing baby and, of course, the delivery process.

The Relaxin hormone is present at high levels throughout the entire pregnancy. Your body maintains and secretes high levels of this hormone after delivering your baby. The presence of the Relaxin hormone after the delivery enables milk letdown during breastfeeding. High levels are present four months after you have stopped breastfeeding.

Tailbone Discomfort Caused By Sciatica & Slipped disc.

Sciatica and slipped discs are common causes of discomfort in the tailbone area. A slipped disc and sciatica cause nerve impingement in the lower portions of the lumbar spine (lower back). A pinched nerve in the lower back involving the L4-L5 or L5 S1 causes nerve irritation, leading to muscle tension around the tailbone.

A large slipped disc, such as an extruded or a fragmented disc, can pinch the traversing nerve root. Traversing nerve roots are the nerves that exit at lower segments. A large extruded disc at the L5-S1 segment can impinge the exiting l5 nerve or the traversing S1 & S2 nerves. Impingement of these nerves is a common cause of tailbone discomfort.

At CSC, we assess the entire spine for patients with coccyx, coccydynia & tailbone discomfort. If the cause is identified as sciatica or a slipped disc, focused and gentle chiropractic care are given to rectify them. 

NSD Therapy® is a state-of-the-art spine care through the combined efforts of CSC’s clinical physiotherapists & chiropractors in Malaysia. 

Coccydynia & Its Link to Pinched Nerve Symptoms

Coccydynia—pain at the tailbone—can result from inflammation, trauma, or abnormal coccygeal alignment, and may irritate nearby coccygeal nerves, causing localized or radiating pain when sitting or standing Conservative care, especially physiotherapy, has shown significant short-term pain relief and improved function for adults with coccydynia.

If nerve irritation occurs alongside coccyx pain—common in patients with tailbone sensitivity—addressing both structural alignment and nerve decompression is key. Our gentle chiropractic adjustments, posture-focused rehab, and decompression techniques aim to reduce nerve tension while improving coccyx mobility. Learn more about Pinched Nerve causes and care options here.

Coccyx Discomfort During Pregnancy

Coccyx discomfort in expecting mothers and mothers with newborns is often the result of hormonal changes coupled with poor posture. Back problems and tailbone discomfort during pregnancy are everyday occurrences. All expecting mothers go through it. Unfortunately, for some, it becomes disabling to the point where they are bedridden.

Chiropractic and physiotherapy combined is the preferred method in non-invasive care when it comes to a  tailbone discomfort. But, for the expecting and new mothers, the type of chiropractic or physiotherapy you get matters. Relaxin letdown is the main culprit in tailbone discomfort or back problems during pregnancy.

What Type Of Care Is Good? And What Should You Avoid?

You must avoid the rotatory methods of spine manipulations or adjustments provided by chiropractors and physiotherapists.

The rotatory techniques are those where you lie down on your side with a knee bent, and the chiropractor or physiotherapist turns or rotates you, emitting a popping sound. While it may feel beautiful, it could harm you more.

You can learn more about our tailbone discomfort care for expecting mothers and mothers of newborns by visiting the CSC in KL (Bukit Damansara) where chiropractic and physiotherapy is non rotatory.

Can The Coccygeal Bone Misalignment Lead To Tailbone Discomfort?

These misalignments are referred to as “Subluxations” in chiropractic practice. Chiropractors have provided the highest benefits to those suffering from tailbone discomfort.

The primary reason for our chiros’ clinical success is the coccyx bone’s targeted realignment. Generally speaking, there are two distinct methods of realigning the coccyx bone through targeted chiropractic care called “adjustments.” Sufferers can have either an internal coccygeal adjustment (that realigns the coccyx) or external chiropractic adjustment.

We have discovered that chiropractic tailbone alignment is most safest through the “Activator Chiropractic Methods.” Another way of managing a malpositioned tailbone is through an internal coccyx adjustment.

Internal coccyx adjustments are somewhat intrusive. As such, we do not provide them. We get better results through targeted methods that don’t involve internal coccyx care. 

What Are The Non-Surgical Options For Discomfort In The Tailbone?

Conservative tailbone care of coccydynia are beneficial. Clinical studies have published a success rate of 90% with focused, appropriate care coupled with a modification of daily activities.

What Should You Do For Coccyx Discomfort?

Well, the first thing you must change is your sitting posture. Aside from falling on the buttocks, an improper sitting position is the leading cause of discomfort at the bottom of the spine. Chronic discomfort in the tailbone or the coccyx is often the result of weakness present in the pelvic floor muscles. The Pelvic floor muscles provide the support and stability that your spine needs.

More importantly, they support organs such as the urinary bladder, bowels, and reproductive systems. Therefore, having great pelvic floor muscles is crucial for the bottom of the spine and the internal organs. Sitting in a poor posture for long periods can impact the pelvic floor muscles. Slouching forward in a seated position stresses the muscles of the pelvic floor.

Tailbone Discomfort Could Be Due To Pelvic Floor Muscle Weakness Or Atrophy

A tired or achy discomfort in the tailbone or bottom of the spine is related to pelvic floor muscles’ weakness. Like other muscles in your body, pelvic floor muscles can weaken and even degenerate. However, degenerative changes in the pelvic floor tissues can lead to discomfort at the bottom of the spine, constipation, incontinence, infertility in females, and erectile dysfunctions in men.

The need for a targeted, holistic approach addresses the issues presented comprehensively. The first step is a proper assessment of all causes. Our centers assess the spine, nerves, muscles, ligaments, and joints. In short, we will evaluate all tissues or structures known to cause dull and achy discomfort at the bottom of the spine.

Coccydynia Exercises Of The Pelvic Floor Muscles

Exercise programs for coccydynia are essential to a speedy recovery. However, for exercises to be practical, they must be targeted and diagnosis-specific. Generally speaking, there are times when aggressive exercise programs are better. But a milder coccydynia exercise program is better for those with associated conditions such as spinal canal stenosis, sciatica, slipped disc (slip-disc), degenerative changes, and injuries.

To avoid damage, we encourage you to visit our center for a detailed assessment, and only then would we be able to recommend focused coccydynia exercises for faster recovery. The care we provide may include manual therapies, modern technology, chiropractic, physical management, physiotherapy, and targeted exercises for the pelvic floor and spine. In our centers, the pelvic floor exercises given to patients are specific to their therapeutic needs.

Non Invasive Tailbone Care In Kuala Lumpur

Backache and tailbone discomfort patients can rest assured as their condition is treatable without injections or surgery. CSC provides holistic and non-invasive back care for slipped discs, backaches, and tailbone discomfort. Contact CSC for combined care through modern chiropractic & clinical physiotherapy today. 

The icing of the affected area is crucial when one has discomfort, as discomfort is one of the cardinal symptoms of inflammation. Thus, icing the bottom parts of the tailbone (coccygeal area) for 10 to 15 minutes five times a day can reduce swelling. However, we encourage all patients to avoid icing the areas unless they have been instructed by a healthcare professional.

There are conditions in which icing may be contraindicated. Also, there is a right and wrong method of icing. These must be well understood before icing an injured joint. Therefore, we encourage all discomfort sufferers and those with coccyx discomfort to attend a consultation with one of our clinical teams before employing any home remedies.

Pelvic Floor Exercises & Strengthen Praogs

In addition to icing and chiropractic care, our clinical teams may prescribe specific exercises. Exercises are essential in strengthening the pelvic floor after the inflammation subsides to prevent a recurrence.

At CSC, our team may recommend that you initiate a focused and targeted exercise and strengthening program at our physiotherapy gym. CSC’s physiotherapy gym is in the premisses of our main center in Bukit Damansara. All exercises in our physiotherapy gym is 1 on 1 and provided by our physiotherapists. 

Rest assured, when you visit a Chiropractic Specialty Center®, you will be in great hands. Home care instruction is also an essential part of our care.

We may ask you to purchase special pillows to alleviate pressures and stresses on the tailbone. Special pads with customized shapes, such as O-shape, V-shape, and U-shape, can mitigate the coccyx pressure and, thus, alleviate the discomfort. If coccydynia is worsened by poor bowel movement or constipation, one must increase dietary fiber and water intake to ease defecation.

Serving Nearby Communities for Coccyx (Tailbone) Care

• Taman Tun Dr Ismail (TTDI): Residents in TTDI can find targeted, non-invasive care for tailbone pain, using posture alignment and physiotherapy to ease coccygeal stress and nerve irritation.
• Bangsar & Bangsar South: We serve Bangsar & Bangsar South patients with gentle coccyx realignment and tailored muscle training to reduce nerve pressure and improve sitting comfort.
• Mont Kiara: Mont Kiara locals benefit from structured physiotherapy and decompression techniques aimed at restoring coccygeal function and reducing nerve-related discomfort.
• Sri Hartamas: Our Sri Hartamas clinic provides tailored rehab exercises and spinal adjustment to support coccyx healing and reduce associated nerve sensitivity.
• Mid Valley & KL Eco City: Mid Valley & KL Eco City residents gain access to non-force coccyx care, using decompression and muscle activation techniques to support nerve relief and tailbone alignment.
• Solaris Mont Kiara & Publika: Near Solaris & Publika, our gentle chiropractic and physiotherapy plans help clients recover coccyx mobility and ease nerve irritation from prolonged sitting.

Care at Our Main Centers in Greater Kuala Lumpur

1. Bukit Damansara – Kuala Lumpur: Our Bukit Damansara team offers evidence-based coccyx pain care, combining spinal adjustments, decompression, and core-strengthening to support tailbone alignment and nerve relief.
2. Sri Petaling & Bukit Jalil – Kuala Lumpur: In Sri Petaling & Bukit Jalil, we provide targeted coccyx care through conservative spine techniques and physio-led rehab to ease nerve compression near the tailbone.
3. Bandar Sri Damansara – Serving Northwest KL: Our Bandar Sri Damansara clinic supports coccyx recovery with non-invasive methods and therapeutic exercises designed to ease nerve tension and promote stability.
4. Petaling Jaya – PJ Spine & Disc Center: In PJ, we offer safe and structured coccyx pain care—including decompression and posture training—to relieve nerve irritation and improve sitting comfort.