My speciality is chiropractic. I am a registered chiropractor and both a Fellow of the [United Kingdom] College and a Fellow of the British Chiropractic association. I have been in practice for 33 years and have over 55,000 patients registered at my clinics in Wilmslow and Manchester. I regularly treat coccydynia - a recent audit found an average of 16 patients per week consulting me suffering from pain in the coccyx and/or the perineal regions.
I have lectured on many occasions to medical audiences on the subject; often travelled abroad to Europe, the Middle East and the USA to diagnose and treat patients; and regularly have patients flying in from abroad for treatment.
Coccydynia is a very painful and distressing condition that affects female patients more than male patients. This is partly because of the link with childbirth and gynaecological examinations and partly because of the anatomical differences. The results can be extremely quick - a few treatments can often make a massive improvement - and although we obviously get our failures, the success rate is remarkably good. I would not recommend anyone to have more than four treatments unless those initial four treatments have already given good relief of symptoms. Fortunately there is very rarely a need for surgery.
(See Dr Middleton's entry in Doctors and specialists in the UK, Lancashire, for contact details.)