Abstract

Background Coccygodynia is an uncommon disorder characterized by localized pain in the coccyx. Coccygodynia treatments include local remedies; however, there is a gap in the literature regarding the effects of indirect manual treatments to relieve persistent coccygodynia. Case Presentation A 29-year-old man presented with a diagnosis of coccygodynia that had not resolved with pelvic physical therapy. The patient reported persistent pain in the coccygeal region and reproduction of symptoms with cervical and thoracic flexion. Manual joint mobilizations to the thoracic spinal segments and the costotransverse joints were performed with the patient in unloaded (supine) and loaded (sitting) positions, and while in neural tension. Outcome and Follow-Up The patient had complete resolution of coccyx pain, with continued relief 3 months later. Discussion This case demonstrates the use of manual therapy to the thoracic spine to relieve coccygodynia. These findings led us to think more globally about potential contributing factors to symptoms of coccygodynia. JOSPT Cases 2021;1(2):94–98. doi:10.2519/josptcases.2021.10166

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