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Coccydynia Basics



Michelle Nesin

Pelvic Education Alliance

Contact Hours:

1 hour


Coccydynia and lumbopelvic pain are common presentations experienced by patients in both the orthopedic and pelvic health settings and results in restriction of the most basic functional activities. Often missed as a contributing factor of both lumbosacral pain and pelvic floor dysfunction, coccyx restriction can play a role not only in low back pain, SI joint dysfunction, and sacral pain but also in pelvic and sexual pain, painful voiding, painful defecation and difficulty with bowel and bladder emptying. Due to the attachment of the pelvic floor onto the coccyx and its relationship to the sacrum, it is essential that pelvic floor and orthopedic PTs manifest a solid understanding of the evaluation and treatment of the sacrococcygeal region and be able to treat it effectively. This educational session will provide an up-to-date solid foundation for the PT, PTA to understand the anatomy of the coccyx as well as analyze the role of the coccyx in pelvic floor dysfunction.<

Course Objectives:

  • Understand the anatomy of the coccyx and associated structures.

  • Analyze the role of the coccyx relating to the sacrum, innominate, lumbar spine, and pelvic floor.

  • Formulate an understanding of the coccyx’s role in pelvic floor function.

  • Identify normal and abnormal coccyx positioning.

  • Apply the principles of functional mobilization™, joint mobilization, strain-counter strain, myofascial release, and visceral mobilization in coccyx treatment.

  • Create a basic care plan relating to the patient’s symptoms and exam findings.

Your Instructor:

Michelle Nesin is co-owner and education director of Nesin Therapy Services in Huntsville, Alabama and a co-founder of the Pelvic Education Alliance. Outside of her 30+ years of experience in treatment, her passion has always been in the field of teaching. She taught for the Institute of Physical Art for more than 25 years. In 2017 she was invited to work with the Chinese Olympic Medical Staff and Athletes in Beijing China. By combining her teaching experiences and extensive hands on clinical knowledge of pelvic health, she is excited to bring these two worlds of therapy together to better enhance treatment strategies for this underserved patient population.


This is a live virtual course that will be recorded for your review and viewing convenience for 1 year from the date of the course. After purchasing the event you will receive an email with how to access the course.

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