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  • Writer's pictureNicole Cozean

Tailbone Pain: A Missing Piece

Updated: Feb 14

What's something we overlook or miss when it comes to treating tailbone pain?

Remember that tailbone pain is a non-specific diagnosis. It's just as description of symptoms!

So it's up to us to do a true differential diagnosis and understand the 'why' of what is going on.

But something I think we miss is treating rectally in quadruped.

Tailbone Pain: A Missing Piece

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The missing piece for treating tailbone pain is treating rectally in quadruped.

Why quadruped? Well, it's the best position - in my opinion - to approximate the hip flexion and position where most patients experience their tailbone pain.

It gives us a lot of control over their positioning in non-weight bearing position.

Also, there are some major limitations with treating rectally in side-lying and supine that we get into within this 'sode.

As Nicole said in the full 'sode of the podcast on this topic...

"We need to figure out the source of the tailbone pain, you can't do it it very well unless you're assessing it rectally". -Nicole Cozean, Pelvic PT Rising Podcast

If you want to learn more about rectal treatment - for all different diagnoses - check out the Rectal Evaluation and Treatment course as well! (

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Nicole Cozean, PT, DPT, WCS

Founder of Pelvic PT Rising and PelvicSanity Physical Therapy in Southern California.

Dedicated to forever changing pelvic health with online clinical courses to help you be more confident in your practice and business resources to help start and grow pelvic health businesses.

Jesse Cozean, MBA

Co-founder of the Pelvic PT Rising and the Rising Podcast.

Jesse uses his business experience to help pelvic health business owners start and grow their practices so they can build a practice that truly works for them. From website design, SEO, conversions, marketing, finance and money mindset, he wants to make the process of owning your own practice easier and fun.

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