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Roel Wilbers

  • - Coaching
  • - Training
  • - Physio

Treatment of tailbone pain

Pain at the tailbone, also known as coccydynia, is a problem that can lead to a lot of discomfort.

Sitting, getting up from a chair and riding a bike become painful activities and also a visit to the toilet or sexual intercourse can become very unpleasant. In this way pain in the tailbone can lead to strong limitations in daily life.

The cause for pain in the tailbone area may vary. Often it is the fall on the buttocks, like demonstrated by my daughter in the video.

Although these problems aren’t rare, little is known about how to deal with them in the medical and paramedical world. The doctor, physiotherapist and manual therapist often is taugth that ‘it is there’ and often that is it. Fortunately the knowledge available about the diagnostics and treatment is growing. For now often only with specialised therapists though.


The tailbone is the last part of the spine and consists of a few vertebrae. There are quit some people that think it is located at the level of the belt, but it is at the bottom of the pelvis, just a few centimeter behind the anus.

Pain at the tailbone often are caused by falling down or child birth and mostly present themselves as pain locally just behind the anus. The pain mostly can easiliy can be triggered by applying pressure at that specific spot. The problems often are because of an increased or decreased mobility, and/or a disposition of the tailbone.

An altered position or functioning of the tailbone can lead to an altered functioning of the muscles of the pelvic floor, that are important for going to the toilet and the stability in the pelvic area. It can also lead to an altered function or position in the surrounding area, like the pelvic joints, the intestants, the lower back, the groin and the hips and even work it’s way to the functioning of the neck and feet.


The most used treatment methods for persistent prolmens of the tailbone were uptil not too long ago a resection through surgery, or internal corection with access by the anus by an osteopath or specialised therapist. Nowadays there are less invasive techniques available to influence the mobility and position of the tailbone and with that often reducing the problems quickly, also if they are present for a long period of time.

I have that specialised training in treating the tailbone. As a manual therapist I am also able to effectively treat the surrounding areas that might be influenced by the problems around the tailbone.

Here a short demonstration of the technique:

Do you like to have some more info about tailbone pain? Watch my video presentation about it below.

I work at Fysiotherapie Van Breestraat in Amsterdam Zuid (just below the Vondelpark).
If you like to make an appointment, feel free to send me an email at roel@roelwilbers.nl.

For now already some tips:

Reduce the pain during sitting

In the seated position there often is direct pressure on the tailbone. That is especially the case sitting slouched and sitting on hard surfaces. Because the pelvis is a bit different for women compared to men, women often experience more problems with this. By sitting upright the pressure often is reduced.

Further decrease of the pressure can be achieved by folding a small towel into a flat roll of around ten centimeters wide. If you place this under the sitting bones, it reduces the pressure on the tailbone. You can locate these sitting bones by sitting on your hands and moving back and forth a bit. You can feel the bony structures easily. This small towel is easier to take with you that for example a sitting ring that is also often used (and effective). The Backjoy Core is a very comfortable sitting device that you can place into your chair and reduces the pressure on the tailbone.

Relax the pelvic floor

The muscles of the pelvic floor attach directly onto the tailbone. When there is an increased tension (often also caused by a dysfunction or dysposition of the tailbone) that can lead to more discomfort because it pulls at a painful spot. The ‘bekkenfysiotherapeut’ is the specialist in training and relaxation of these muscles, but with some simple exercises often can help you already a lot.

One good exercise is the next. Sit down on the inside of your hands in a way that the fingers of both hands point towards eachother and the tips are just at the inside of the sitting bones. This helps you to ‘sit wide’. Now contract the muscles of the pelvic floor and let them relax again. You contract them by ‘holding in your urine’ or actively pulling your anus a little bit inwardly. With the relaxation you can try to ‘let the tailbone go’ completely. Also you can try to breath towards the pelvic floor to relax the area.

Stretching the deep pelvic floor muscles

The deep pelvic floor muscles, like of the anus, pull directly on the tailbone when there is a lot of tension. By stretching them you can create some relaxation of these forces.

Sit down on your hands and knees and make sure that your knees are spread apart. Also your feet are wide apart so you can sit inbetween them. The arms aim forward so it is like the child pose in yoga. Now you can stretch the deep pelvic floor muscles by (aim with the anus) moving to the left and right. You will feel yourself when there is stretch. By bringing your pelvis a bit up or down to the floor or arching or hollowing your back a bit, you can increase the stretch.

Sit on the rear end of your saddle while biking

Riding a bike often is painful with people that experience pain at their tailbone. Make sure you aren’t siting too much on the front part of your saddle (like most people do).

The more you position yourself toward the rear end, the less pressure there is on the tailbone and you use the saddle like it is meant to be used. The wide back part of the T-shaped saddle is what is supposed to support the sitting bones.


from Zorgkaart Nederland 9/2/2022

For years I had problems in my lower back and tailbone and I visited multiple physiotherapists and chiropractors for it. Roel made the right diagnose at the first appointment and after already 3 sessions the problems were gone. This was beyond all expectations. I thought I had to accept my pain but it turned out to be easily solvable. State of the art and treatments in a pleasant atmosphere.

from Zorgkaart Nederland 6/11/2021

After I fell at the iceskating track, I walked around with persistent tailbone pain for around 9 months. Through referral I ended up at Roel Wilbers. Where my GP told me there was nothing to do about tailbone pain, Roel helped me a lot within a few sessions. Already after the first treatment I had a significantly less pain at the tailbone. Also he is an extremely nice and friendly person. Tailbone pain? Don’t keep walking around with it, there are ways to treat it!

from Zorgkaart Nederland 7/5/2021

Treatment of tailbone pain. I got the tip to consult Roel for this and that’s something I am grateful for. Very professional and adequate treatment. After first a few questions about how the pain started, he figured out quickly what was wrong. And also how to directly fix it. I was impressed and felt immediate relief. The pain quickly decreased and after two days it was back to normal. Top! Kind regards, Tim

from Zorgkaart Nederland 5/5/2021

The therapists I was looking for for a long time! Not only he helped me surprisingly quick to get rid of my long lasting tailbone pain, he also gave me a broader perspective about how they occurred and why they didn’t go away. He goes beyond the just western approach and that’s what gave me a lot of insight. Thank you Roel!


from Zorgkaart Nederland 24/3/2021

Very good and knowledgeable therapist. He treated me for tailbone pain and sensed the problem and all around it very well. He listens carefully and looks beyond the just mechanical and treats it effective and adequate. Within three sessions I was problem free. I am very satisfied with Roel and can recommend him to everybody.

from Zorgkaart Nederland 2/4/2020

I went to Roel with tailbone problems and pain. After the first treatment the problems already reduced significantly and the pain was gone. After the second treatment the problems were completely gone. Roel is one of the few therapists that is able to correct the tailbone from externally. Next to his quick and effective treatment, he is a nice and friendly therapist.

from Zorgkaart Nederland 29/7/2019

I ended up with Roel for my (spontaneous) tailbone pain because he specializes in this. I was very satisfied with the treatment and Roel listens very well to what you say and also to what the body communicates in the pain. The tailbone pain reduced significantly after each session. He is next to a professional and knowledgeable physiotherapist, someone that thinks with you, is empathetic and nice to communicate with; wherefore I can really recommend him.

from Zorgkaart Nederland 21/12/2018

Roel treated the problems in my tailbone very well and is next to a very good physio, also a very nice person!

from Zorgkaart Nederland 28/3/2022

After mora than a year of pain in my tailbone after mainly long sitting, I visited Roel 4 months ago. Already after 1 treatment I was able to sit again and my problems disappeared for 70%! After a few (painfree) treatments with a pleasant and clear communication I am painfree now. I am very satisfied and super happy!