I firmly believe that if you catch your coccydynia soon enough and get the correct diagnosis and treatment you will help stop it becoming a chronic condition. Early intervention is an absolute must in my opinion. Obviously coccydynia has many different causes which I have discussed at length before, so every approach needs to be different and aimed at the individual.
I also firmly believe that if you have no particular reason for your tailbone pain, no cause can be found, then a specialist physio may be the way to go. For you it may be as simple as that. But it needs to be a specialist physio that is knowledgable of the condition and able to use pressure point therapy and massage correctly, and manipulation if required.
This is what my physio has been doing. I had not been for about a month due to surgery and work. Today she felt internally and was pleased that things had stayed the same. My pelvic floor muscles were working well, and I was able to relax that whole area. There were some sore pressure points externally. This did not surprise me as I have been uncomfortable lately, and sitting lopsided again. She worked on these areas.
I'm not returning for about a month. This is due mostly to work commitments, and also holiday. I also feel I need to try and reduce her input now. It's also costing me time and money. I will get my husband to do the massage and pressure points twice a week, and I need to concentrate on strengthening my pelvic floor. This is largely because I need to help support my distended bowel as much as is possible,so it is less likely to press on my coccyx. With this in mind I am also going to take linseed so that constipation and a full bowel do not press on it. Strengthening the muscles will also help hold my coccyx correctly.
She has instructed pelvic floor exercises 3 x a day- to tighten and hold eight times for a count of ten. Then to do 5 quick squeezes after. I am also to do my relaxation technique at the end of each day for 2-3 minutes.
Of course pelvic floor exercises are also important for men!!
I do find it really hard to sit correctly. I seem to naturally favour sitting on my left but cheek. What coccyx pain I have seems to often focus on the right side, so I assume this is why.
As I have said before I need to accept that unless I am prepared to undergo further surgery I am always going to have some pain. I am not prepared to have bowel surgery, I do not want my Varices treated, and I certainly do not want a coccygectomy. Maybe if I could be given guarantees these would work 100% I'd do it. But there are no guarantees sadly. Coccyx I need to learn to love you!