Physical Treatment of Coccydynia
In patients with coccydynia, a specialized physiotherapeutic assessment of sacrococcygeal joint mobility and alignment is a crucial first step. For this purpose, NIMOC mobilization is frequently applied. Restoration of joint position and mobility often results in substantial symptom improvement or complete recovery. However, in a subset of patients, symptoms persist or improvement remains incomplete, and in some cases no sacrococcygeal joint dysfunction can be identified.
This presentation explores alternative causal and perpetuating factors contributing to persistent coccydynia that are amenable to physiotherapeutic intervention. These factors are discussed across multiple levels, including behavioral influences and tissue-related mechanisms. The lecture concludes with practical, clinically applicable strategies that clinicians can integrate into daily practice when treating patients with coccydynia.
