Riyad, USA - firstname.lastname@example.org
I have first started to have coccyx pain Feb. 2005. I had no history of trauma or fall, however, I sit a lot in front of computers. I tried coccygeal injections over several years with no lasting positive impact on my pain levels.
Recently, June 2013, I was referred to an orthopedic surgeon at Massachusetts general hospital to physical therapy when I told him I'm not feeling comfortable to go for surgery because of the high infection rate 20% and discouraging 50:50 surgical success rate from coccygectomy. In the physical therapy department, I met a very pleasant therapist who specialises in pelvic massage therapy, Anna Grosslein (see Doctors and specialists in the USA, Massachusetts).
Upon initial assessment by internal manipulation, she told me my left coccygeus muscle which attaches the coccyx to the pelvic floor was very tight, and started working on that tiny stiff muscle. At first to it was sore to mobilize a muscle that was tense for years, but, after 4 sessions, this has calmed down. and I continued to see her for 12 more sessions, and every time she will ask me what area is sore and she spends more time working on it.
During my visits to her, she also teaches about correct posturing on my ischial tuberosities and not to slide over my coccyx or slouch because my stiff lumbar spine has probably contributed to my coccyx pain.
Another important thing she spent sometime teaching me was how to stretch my anterior abdominal muscles and at the same time not to undo her work on my pelvic muscles by drawing the navel in and relaxing pelvic floor at the same time.
Lastly, I have to mention that my spine x-ray including dynamic 'sitting and standing' images were unremarkable, this finding had probably let me stick to manual therapy and not operative one.
I highly recommend therapist Anna Grosslein at Massachusetts general hospital, Boston MA, USA for patients with coccyx pain and leave surgery as a last choice if nothing else help.
Now, Dec 19 2013, I have achieved almost 80% positive impact on my pain levels.
Finally, I hope you all appreciate that this and other posts are personal experiences and every patient's treatment should be tailored to meat each individual's need.
I will keep you updated in case of any new developments.