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This educational content is not medical or diagnostic advice. loss of control of their bowels or bladder, weakness, numbness, or tingling in their legs. Herniated disc in the lower back pain may be located in the sacral area or in the left or right buttock and may spread down a leg and possibly causing tingling in the feet. A recent study found that people with coccydynia benefited from performing exercises to increase thoracic spine mobility and to stretch the piriformis and iliopsoas muscles in the buttocks and hips. Another common cause of tailbone pain during pregnancy is the Relaxin hormone. Start in the same position as the kneeling psoas stretch with the front leg bent at a 90-degree angle in front of the body and the knee and shin of the back leg on the ground. In humans, it helps support the pelvis. The joy of pregnancy can unfortunately be decreased in women who suffer from coccyx pain (tailbone pain). A 2016 study found that physical therapy that targets the pelvic floor muscles is a safe and effective treatment for tailbone pain. Pain during bowel movements. In most cases, the best thing you can do is try to rest as much as possible and take over-the-counter pain relievers as needed. Our coccyx foam seat pad features a specially designed cut-out . Following fellowship, Dr. Ormond moved to Phoenix and has been practicing in the Valley for a few years before deciding to start his own practice. and I am 28 weeks with my second child. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://www.nhs.uk/conditions/tailbone-pain-coccydynia/causes/, https://www.ncbi.nlm.nih.gov/books/NBK519497/, https://www.hopkinsmedicine.org/health/conditions-and-diseases/chordoma, https://intermountainhealthcare.org/services/pain-management/conditions/hip-and-leg-pain/coccydynia/, https://www.lahey.org/lhmc/department/orthopaedic-surgery/orthopedic-surgery-conditions-we-treat/coccydynia/, https://books.google.co.uk/books?hl=en&lr=&id=UC4tDwAAQBAJ&oi=fnd&pg=PA539&dq=treatment+of+coccydynia&ots=bwlNYTDJ9R&sig=mBnw62nhYnCHLaKuRPk5Qhvhg3Y&redir_esc=y#v=onepage&q=treatment%20of%20coccydynia&f=false, https://www.ncbi.nlm.nih.gov/labs/pmc/articles/PMC3822321/pdf/jmt-21-04-213.pdf, https://journals.lww.com/acsm-csmr/fulltext/2020/06000/iliopsoas_the_hidden_muscle__anatomy,_diagnosis,.11.aspx, https://www.sciencedirect.com/science/article/abs/pii/S1360859217300499, https://onlinelibrary.wiley.com/doi/abs/10.1002/pmrj.12706, https://pubmed.ncbi.nlm.nih.gov/27565640/, https://www.spine-health.com/conditions/spine-anatomy/anatomy-coccyx-tailbone, https://www.spine-health.com/conditions/lower-back-pain/coccydynia-tailbone-pain. There are several reasons why tailbone pain starts during pregnancy. Learn more here. Coccydynia (tailbone pain). https://www.TailboneDoctor.com. Lower the torso forward and rest on folded arms to increase the stretch if necessary. Repetitive Strain Injury (RSI)/ Repeated trauma: Activities that involve repeated pressure or friction to the coccyx, such as cycling, can cause tailbone pain. If a woman has a positive pregnancy test, but experiences bleeding, she may also have an ultrasound to determine if the baby has died. While sleeping use a pillow between the knees. Apply heat or ice to the affected area. Note that many medical radiology tests such as x-rays and CT scans (CAT scans) are typically avoided during pregnancy since they would cause radiation exposure to the baby (embryo, fetus). Don't suffer unnecessarily when relief and comfort could be yours. These movements during pregnancy time pain the tailbone. If the tailbone is sore and inflamed, overactivity of the pelvic floor and hip-opening muscles will worsen these symptoms. 3) Inhale and pull your abs inward while arching your back. Regular feeds can make cracks, grazes, and blisters difficult to heal. From the torso, rotate slowly toward the left side of the body until the arms are almost in line with the legs. While you can't change the factors that cause your tailbone pain during pregnancy, there are a few things you can do to try to get relief. One common complaint among pregnant women is tailbone pain. While approximately 70% of women experience low-back pain at some point in their lives, 50% - 80% report back pain in pregnancy. However, if you have a longer or shorter cycle, you may want to wait a few days longer or shorter to take the test. The coccyx is in a vulnerable position, subject to many injuries from our day-to-day activities such as simply sitting down. A person usually does this stretch on their knees. Childs Pose is another yoga pose. Continue slowly shifting forward to fully extend the arms. I have sacrum pain (I thought it was my tailbone though until I went to the doc) and they recommended the maternity support belt! Hormones Our team of specialised physiotherapists are highly skilled and more importantly, have the emotional intelligence to help you through whatever challenges youre facing. Begin in a kneeling position with the knees spread, sitting back on the heels. Welcome to my fertility blog. Approximately one-third of pregnant women experience pain in the tailbone. My OB prescribed a safe anti-inflammatory and a low dose steroid, plus I saw a very trusted chiropractor and PT for a few weeks we got it resolved and it hasnt been an issue since. We are in relentless pursuit of knowledge when it comes to the latest in pain-relieving, Coccyx pain won't go away (Is your tailbone hurting? The coccyx is the anatomical name for the tailbone. Discuss these choices carefully with your healthcare professional. Some things that you can do to keep balance and symmetry include not crossing legs when sitting, step out of bed with one leg, or standing on one leg to put pants on. 1. For pregnant women, keeping a neutral spine (gentle, natural curve in the lower back) is key to relieving tailbone pain at any time. A fall, sitting on a hard or narrow surface, degenerative joint changes or vaginal childbirth can cause tailbone pain. These hip muscles are the main muscles that help the hip to flex. 2 2) Wearing maternity pants with an elastic waist. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. These muscles assist in maintaining healthy bowel and bladder movements and supporting the function of sexual organs. Remember that you should consult your issue with an orthopedist, especially if your tailbone pain is related or caused by some sort of injure or the pain, is just unbearable. When we sit we tend to sit rolled back on our tailbone or sacrum instead of our sit bones which can cause increased pressure to the tailbone and create pain.There is also scenarios where direct pressure can be placed on our tailbone from the growing baby and placenta. think twice before sharing personal details, foster a friendly and supportive environment, remove fake accounts, spam and misinformation, delete posts that violate our community guidelines, reviewed by our medical review board and team of experts. Note that once you confirm, this action cannot be undone. About 30 minutes of walking a day can help the muscles around the tailbone and by strengthening them, reduce the pain of the tailbone. Chiropractic adjustments to the pelvis and lower back can help decrease asymmetry and imbalances and take excess pressure off of the tailbone. Pressure on tailbone. Tailbone Pain (Coccyx Pain) Free Review Article at eMedicine, Tailbone Pain (Coccyx Pain) New Jersey (NJ), Tailbone Pain (Coccyx Pain) New York (NY), Tailbone Pain (Coccyx Pain) New York City (NYC), Tailbone Pain (Coccyx Pain) Pennsylvania (PA), Tailbone Pain (Coccyx Pain) Connecticut (CT) Physical examination typ This is due to the changes in the woman's body that occur during pregnancy. This article will discuss the definition of tailbone and tailbone . Ive been getting tail bone pain and Im a server so my jobs been difficult. Tailbone pain that lasts for a long time may also cause other symptoms like anxiety, depression, back pain, and poor sleep. During the third trimester of pregnancy, a woman's body secretes hormones that soften the area between the sacrum and the coccyx. Your treatment plan should include stretches and breathing exercises. Yes, you can over pee on a pregnancy test. Loose ligaments from your pregnancy or an injury sustained after delivery can contribute to a hurting tailbone after birth. I did not have this pain during my first pregnancy so I was really worried. This answer depends on a few factors, such as the type of pregnancy test you are using and how long you have been trying to conceive. This is caused by the increase in the blood volume and the growth of the uterus. What is the latest research on the form of cancer Jimmy Carter has? It serves as an attachment point for the pelvic floor. When standing, focus on stacking the chest and avoid over arching your back. I have the same. Pregnancy hormones, changes in the bodys center of gravity, and the strain of carrying the baby can all contribute to lower back pain. Ideally, the evaluation and treatment should be done before the condition sets in and becomes chronic. Tailbone pain is often caused by the pelvic ligaments loosening and shifting. Ive been experiencing lower back pain as well. Tailbone pain or coccydynia occurs during pregnancy due to hormones making the ligaments and joints more flexible in the pelvic bowl to prepare for birth. Hi My first pregnancy resulted in a dislocated tailbone and after 8 months of agonizing pain, swollen sacrum, and humming sensations in my feet, i finally got a diagnosis and steroid injections into the first joint of the coccyx. In fact, you can do just about anything to a pregnancy test to change the results. A woman who already has tailbone pain prior to becoming pregnant should consider completing any testing or treatments for this condition prior to becoming pregnant. Proper sitting posture can be taught by your therapist as well. Constipation. Could it be sciatica? The fetus pushing against it, the hormones, and other issues like constipation can contribute to pain. - you may have adjusted your sitting posture during pregnancy and are sitting more on your sacrum rather than your SIT bones. Most women who experience coccyx pain will complain of an ache through their tailbone area. You notice a mucusy discharge or "bloody show". Place both hands flat on the floor and slowly slide the arms and body forward, keeping the head facing down. Tailbone pain is often caused by the pelvic ligaments loosening and shifting. Walking. Can poor sleep impact your weight loss goals? Other symptoms can include bloating, mild cramping, and an increase in urination. It also increases spine mobility and takes pressure off your tailbone. Although anyone can experience coccydynia, it is more common in women. www.TailbonePain.net. Focus on tucking the shoulder blades down and back to prevent the shoulders from rising. Because of the attachment to the gluteus maximus muscle, it is often important to strengthen this muscle. In most cases, the main cause of tailbone pain in the second trimester is physiological. had to poop 3 times and have a noticeable difference in pressure on my pelvis . Place a pillow between your knees. The tailbone is supported by several muscles, tendons, and ligaments which could also be the trigger point for pain. It can strike at any trimester, and it is usually caused by increased pressure in the lower extremities as the fetus grows in the womb. This stretches the piriformis as well as the glutes. In particular, the hormones relaxin and others are the cause of tailbone . Tailbone pain during pregnancy can also be caused by sitting for long periods of time. Please select a reason for escalating this post to the WTE moderators: Connect with our community members by starting a discussion. As a result, the coccyx's tip is put under increased strain, increasing the likelihood of fracture or dislocation. My OB says it's totally normal. Best food forward: Are algae the future of sustainable nutrition? The tailbone, or coccyx, is the name given to the remaining little bones or ossicles below the sacrum that are likewise fused together. Being overweight puts extra pressure on the coccyx, while being underweight reduces the cushioning that prevents injury to the coccyx. The two things that have helped me the MOST is going to the chiropractor once or twice a week and at night I sleep on my back on a heating pad. These asymmetrical movements can increase the risk of tailbone pain. Acute trauma: A sudden injury to the coccyx can cause acute pain. The . Various stretches, lifestyle, and medical remedies may help address pain that can arise as a result of an injury, pregnancy or prolonged sitting. Pelvic floor physical therapy and chiropractic will help with tailbone pain by focusing on reducing muscle tension while gaining muscle strength.Correcting instability with specific exercises can help reduce the pain. Endometriosis, or endo, is when tissues similar to the lining of the womb grow outside it in other parts of the body like the bladder and bowel. How you can ease tailbone (coccyx) pain yourself. Repeat 10 to 15 times as needed. It gives strength to the lower back and pelvis area of the expectant mother. Use ice or heat on your tailbone. Cat-Cow. I have had a messed up tailbone since I was a child and have had episodes/flare ups of intolerable pain once or twice a year my last was in my first pregnancy, I overcompensated so much trying to live with the pain I ended up with terrible sciatica!! Take over-the-counter pain relievers, such as ibuprofen (Advil, Motrin) or acetaminophen (Tylenol). Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. Additionally, activities that require heavy lifting or twisting can aggravate the pain. The tailbone and rectum are very close in proximity and with pregnancy hormones it can increase your risk for constipation. But there are studies showing some natural alternatives may be as effective in pain reduction. 1) Start on all fours and place your head and chest between your arms. Tailbone pain during pregnancy is typically caused by the added weight and pressure of the baby on the tailbone. Trauma to the tailbone may occur because of: If a person is experiencing tailbone pain and stretching does not relieve the pain, there are other treatment options they may wish to consider. Ultrasounds are most often used to determine the due date, so if the woman is unsure of when her last period was, an ultrasound may be performed to help determine the gestational age. This type of pain can start early in pregnancy and continue throughout the nine months. Pregnancy is an exciting time, but it can also be a time of discomfort and pain. Please specify a reason for deleting this reply from the community. However, if you are trying to get an accurate result, the best thing to do is to follow the directions on the package. If the tailbone is sore and inflamed, overactivity of the pelvic floor and hip-opening muscles can worsen pain symptoms. ++++++++++++++++++++++++++++++++, How to tell if you have aDISLOCATED TAILBONE (COCCYX DISLOCATION), How to tell if you have aBROKEN TAILBONE (FRACTURED COCCYX), How to tell if you haveTAILBONE PAIN (COCCYX PAIN), How todescribe TAILBONE PAIN (COCCYX PAIN), How to Pick aCOCCYX CUSHION (TAILBONE CUSHION)for Coccyx Pain (Tailbone Pain), How to know if yourMRI included the TAILBONE (COCCYX MRI), How to Cope withTAILBONE PAIN DURING PREGNANCY, How to Decide aboutTailbone Removal (Coccyx Removal Surgery, Coccygectomy)for Tailbone Pain, ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++, Copyright 2006, 2007, 2008, 2009, 2013. Follow the same advice for stronger pain medicines containing any opioid (narcotic) substance (such as Percocet, Darvocet, OxyContin, oxycodone, morphine, etc.). 4. The area around the tailbone is usually very tender and causes pain when sitting or getting up from a sitting position. Tailbone injury during childbirth. My son is 19 months old and i am five weeks pregnant. The sacrum is the lowest part of the spine and consists of a number of vertebral bodies that are fused together. Oftentimes the latter stages of pregnancy can become extremely uncomfortable for many pregnant women. There are some stretches you can do & Id call my doctor and look into chiropractic care. Coccydinia is a broad term that encapsulates pain in the inferior sacrum and coccyx region. The risk is increased if the delivery is complicated. Using a soft foam mattress topper or laying on your stomach with your head down on pillows that have a face carved out are options that have worked for others. This article will cover stretches that people can use to relieve pain. Lesson It's your body's way of protecting your baby . Bloating is another common symptom of early pregnancy. One reason for taking care of this prior to the start of pregnancy is that some tests and treatments for tailbone pain can not be safely performed during the pregnancy. A tight, immobile lower back can lead to lower back pain. Ultrasounds are a safe and non-invasive way to help diagnose certain problems during pregnancy. If the hips are not square, tuck the back toe under to correct this. Also, remember not to sit idle in one position for a long span. prolonged sitting. Causes: Coccydynia (tailbone pain). 1. This can lead to instability in the tailbone, and again, pain. However, depending on the reason for the ultrasound, it may be performed earlier or later. If you have been trying to conceive for more than a month and you have not been successful, it is a good idea to consult with your doctor. Injury to the tailbone can include a fracture, bruising, or dislocation. 1. We respect everyones right to express their thoughts and opinions as long as they remain respectful of other community members, and meet What to Expects Terms of Use. First, try to maintain good posture and alignment. It is most commonly aggravated by sitting and getting up from sitting, but can also be aggravated by prolonged periods of standing or bending. The coccyx can be surgically removed through a procedure known as a coccygectomy. If . Sudden sneezing movement. A wedge-shaped cushion with a cutout for the tailbone is highly recommended. try pelvic floor exercises (particularly important during pregnancy) use an ice pack (or a bag of frozen peas) wrapped in a towel on the affected area for 20 to 30 minutes - you can also use a heat pack . There is no evidence that gas relief medication is harmful to pregnant women or their babies, but it is always best to check with your doctor before taking any medication. Raise the knees toward the ceiling, keeping the feet flat on the floor. Tailbone Pain During Pregnancy CanT Walk, What Type Of Discharge Is Normal In Early Pregnancy. The hormones of pregnancy also cause the joints in the pelvis to relax and become more flexible, which can lead to pain and discomfort. Its gone from pain constantly to only off and on every few days :) good luck! The coccyx, or tailbone, is located at the base of your spine, behind your uterus, and above your butt. Learn, There are many possible causes of hip pain. There are some lifestyle habits that may, however, alter our posture in an unnatural way which may lead to coccyx pain. Maternal tailbone injuries may be more common in women who have a BMI above the recommended limit. It is one of the points of attachment of your pelvic floor muscles that support your vagina, your expanding uterus and future baby during pregnancy. It may be that the . Pelvic floor rehabilitation programs often use techniques such as down training to promote muscle relaxation. In most cases, the pain will go away . Talk to us today. Unfortunately, there is not a whole lot that can be done to relieve the pain. Im 18 & 6 months pregnant. Sit on a doughnut-shaped pillow or wedge (V-shaped) cushion. Rectal discomfort is a better application for them. Muscles worked: This pelvic tilt moves your spine by . During pregnancy, NSAIDs aren't recommended. It can be prone to pain and discomfort, especially during pregnancy. Lower back pain is a common complaint during early pregnancy. In some cases, surgery may be necessary to correct any damage that has been done to the tailbone. As one would image, this is normal. Ultrasounds can also be used to diagnose certain birth defects. From the 13th to the 26th week, the pelvic bones gradually separate, their position changes, the tailbone returns. An injury that happens by falling from the bicycle or any other vehicle may cause tailbone pain. Causes of tailbone pain. (2017). Sitting on a heating pad or applying a hot compress to the tailbone region 4 times a day for a duration of 20 minutes might ease tailbone pain during pregnancy. Women suffering with tailbone pain are understandably concerned that their symptoms may worsen while pregnant or during childbirth. The exercises outlined above intend to address some of the causes of tailbone pain. On a similar vein, try to get in at least 30 minutes of exercise each day. Then slowly return to the center and rotate toward the right side. A person should contact a doctor immediately if they experience: Tailbone pain can occur for many reasons, and an older study found that conservative management at home is often enough to allow recovery. For pain relief, they may use alternating hot and cold compresses. Pregnancy may worsen the tailbone pain caused by pre-existing conditions, such as: Constipation. Early Signs of Pregnancy Pregnancy Week by Week Rib Pain During Pregnancy Pregnancy Symptoms Pregnancy Sleep Labor & Delivery Birth Stories. The pain occurs because the tailbone or coccyx is located right behind the uterus. Extend the feet straight out, if tolerable. 3 3) Use soft support like the Snoogle or Body Back Buddy in bed. This is a natural process but, unfortunately, such movement may stretch the muscles and ligaments around the coccyx too far, causing additional pain. Many women experience this type of pain during pregnancy, especially as their bellies get bigger. Symptoms are worse while sitting or during transitions from sitting to standing. Important factors could includethe severity of the tailbone pain, the nature of any underlying tailbone injury, any history of tailbone difficulties during previous deliveries, and the size of the baby (fetus) relative to the size of the womans pelvis. Yes I am in horrible pain right at my tailbone! Tailbone pain during pregnancy is typically caused by the added weight and pressure of the baby on the tailbone. Staehler, R. (2017). This is a space where I will be sharing my experiences as I navigate through the world of fertility treatments, as well as provide information and resources about fertility and pregnancy. The most common type of pregnancy test is the home pregnancy test (HPT), which can be taken as early as six days after ovulation. This can sometimes result in altering the position of your coccyx. 6 6) Avoid crossing your legs whenever possible. Heart failure: Could a low sodium diet sometimes do more harm than good? However, gently stretching and exercising the hips can often help relieve this pain. Rest the shin and knee of the back leg on the ground with the toes pointing backward. What to Expect supports Group Black and its mission to increase greater diversity in media voices and media ownership. Exercise regularly. If you are experiencing lower back pain during early pregnancy, there are several things that you can do to help alleviate the pain. Are there any risks associated with taking gas relief medication during pregnancy? If you are pregnant and experiencing tailbone pain, you are not alone. Squeeze the pillow between your thighs and hold for up to 5 seconds. It stretches the iliopsoas as well as the glute muscles on the bent leg. If you are experiencing tailbone pain during pregnancy, rest as much as possible and take over-the-counter pain relievers as needed. But now its getting worse and I feel like I have periods where I cant even walk on that leg. Cushions for the buttocks include a cutout section to ease the strain on the coccyx, which is why they're so popular. The pressure creates sharp pain in a different part of their body, including the waist. However, in some cases it may persist. 2005-2023Everyday Health, Inc., a Ziff Davis company. The tailbone is the bottom of the spine. Vaginal Pain. This pose is not suitable for people with knee problems. Vaginal childbirth: The coccyx can be put under pressure during childbirth, especially during difficult deliveries. This is a common occurrence after pregnancy as the pregnancy backward tilt is maintained after birth, causing the woman to sit on her sacrum which in turn aggravates the tailbone pain. It is done through the rectum. This includes looking for other probable explanations, such as a tumor or an ingrown hair cyst that may have caused the discomfort. Our New Address:18205 N 51st Ave STE 125, Glendale, AZ 85308. Fatigue is one of the most common symptoms of early pregnancy. The pelvic floor muscles are connected to the tailbone, leading to pain. When your lower back aches or pains every time you get up, it's difficult to focus on your infant. Some of the most typical signs of a tailbone injury are as follows: Pain that worsens during activities such as sitting down, standing up, bending forward, or defecation. Dr. Sean Ormond is dual board-certified in Anesthesiology and Interventional Pain Management. This can lead to pain, discomfort, and even difficulty walking. 5 5) Rest on your side with pillows supporting your belly, back, and head. Any remedies? The pain can range from a mild ache to a sharp, stabbing sensation. Additionally, you can try taking over-the-counter pain relievers, such as ibuprofen or acetaminophen. Coccyx pressure is increased by circular (doughnut-shaped) cushions, which are not recommended. If you are experiencing tailbone pain during your pregnancy, be sure to talk to your doctor about the best way to manage the pain. Yep sciatia. Some home pregnancy tests are more sensitive than others and can be taken earlier. Tailbone pain is also common in women who have given birth. Pain during sex. Find advice, support and good company (and some stuff just for fun). Pregnant women should try to take frequent breaks from sitting and avoid sitting in the same position for too long. People who are obese are three times more likely to develop coccydynia than those who are normal weight. If I get too comfy on the couch then get up sometimes Im stuck bent over cause it hurts!! This can be a common area of discomfort during pregnancy due to this. It acts as an attachment point for the pelvic floor muscles that . Scott, K. M., . Take the pressure off those painful points by getting custom-produced pillows or cushions especially created by expecting or nursing moms. While you dont talk about pelvic health every day, we do. Pain medication also helps improve other forms of treatment, such as physical therapy. 2) Inhale, then exhale while you round your spine, looking towards the ceiling. The piriformis originates from the tailbone and can irritate the sciatic nerve if it becomes inflamed. Can Your Breasts Stop Hurting In Early Pregnancy, Are Fertility Specialists Covered By Insurance, When Can You Start Feeling Pregnancy Symptoms, How Soon Can I Take A Pregnancy Test After Ovulation, How Early Can You See Pregnancy On Ultrasound, What Should Pregnancy Discharge Smell Like, Can U Take A Pregnancy Test On Your Period, How Late In Pregnancy Can You Fly Internationally. Loop the hands around the right thigh and gently pull it toward the chest for 30 seconds. (2020). Some people describe it as a tingling, pulsating sensation, while others experience excruciating pain that radiates to other parts of their body. There are a few things you can do to help ease the pain associated with tailbone pain during pregnancy. Occasionally, the baby passing through the birth canal may cause an injury . Various stretches, lifestyle, and medical remedies may help address pain that can arise as a result of an injury, pregnancy or prolonged sitting. What can I do to relieve gas pain during pregnancy? Patrick Foye, M.D. You can learn more about how we ensure our content is accurate and current by reading our. Stand up and walk around frequently . Repetitive stress: If the tailbone has been injured previously and stress is applied to it . Suffering with tailbone pain in pregnancy? If you don't want to do swimming, you can opt for various water exercises to relax and strengthen the body. Tailbone pain can be due to a bruise or another injury, such as a fall. I'm due in 9 days and was 2 cm dialated as of yesterday's appointment. The symptoms of a broken tailbone are similar to those of a bruised tailbone, so it can sometimes be difficult to diagnose. Joint hypermobility: The joint between the sacrum and the coccyx and the coccyx itself is put under additional stress by hypermobility or excessive movement of the coccyx.