And 'yes' I left early, (thanks for pointing that out at work). It was in the diary, and it was discussed.
The physiotherapist is NHS so I'm confident she is above board. She certainly seemed to know her stuff regarding coccydynia, which is reassuring.
She does not feel manipulation under anaesthetic (MUA) is the way to go, and removal is also not what she would advocate (unless an absolute last resort). The problem with removal is that you can get 'phantom' coccyx pain- like those who have limbs removed that get phantom limb pain. You can also get bony spurs growing back.
So she works internally on pressure points, with some external work too. She avoids the coccyx itself.
She has recommended Voltarol or Naproxen to be taken regularly, to use my coccyx cushion as if it is stuck to my bum, and to practice relaxation techniques in the meantime (to help when she works on my pressure points). Staying off it as much as possible,is also obviously recommended.
I think the logic is that it relaxes all the supporting pelvic floor muscles that hold the coccyx in place; and which over time become distorted and overworked/tense. I have to confess, I didn't take all the information in!
So Day One of treatment today, and we shall see. She's thinking 8-12 sessions. (Work will love that! Although if I had the surgery I'd potentially be off for 8 months or longer).