Every pregnancy is different, however a common complaint during and after pregnancy is tailbone pain. Here’s what to know about preventing tailbone pain.

The Tailbone

The coccyx, commonly known as the tailbone, sits at the base of the spinal column and is a connection point for many ligaments and muscles (Lirette, 2014; Physiopedia, 2022). The tailbone also helps support the body when sitting.

What Is Tailbone Pain?

Coccydynia, or tailbone pain, differs from person to person. Commonly, it feels like a dull ache in the tailbone region, which often gets worse with sitting or moving.

Common symptoms include:

• Pain or tenderness at the base of the spine
• Pain with sitting, especially when on a hard surface, or slumped or leaning
• Pain that gets worse with movement
• Pain during bowel movements or coughing

What Causes Tailbone Pain?

Tailbone Pain During Pregnancy

During pregnancy, natural changes occur that help prepare the body for childbirth. Hormones are released that soften the connective tissue in the pelvis, allowing it to become more flexible for childbirth. However, this can stress the surrounding joints, resulting in tailbone pain. The growing baby can also put pressure on the tailbone, further stressing the area.

Tailbone Pain After Pregnancy

Injury during delivery can also cause tailbone pain (Maigne et. al, 2012). In rare cases, the tailbone may dislocate or fracture, however more commonly the ligaments are strained when pushing during labour or as the baby passes through the pelvis.

Other Causes Of Pain

Tailbone pain can also be caused by other conditions, so a doctor should assess any symptoms to rule out other causes. It’s always a good idea to speak to a doctor if there are any concerns.

Preventing Tailbone Pain During And After Pregnancy

So, is it possible to prevent tailbone pain from happening? Certain strategies can help reduce the risk of developing symptoms (Lirette et. al, 2014), including:

• Think good posture, by not slouching or leaning when sitting
• Modify any activities, such as prolonged periods of sitting, that may worsen symptoms
• Apply heat or ice packs as they can offer short-term relief for any developing symptoms
• Use supportive cushions, such as a custom wedge-shaped cushion, to reduce pressure on the coccyx area
• Eat a healthy diet to keep bowel movements regular and avoid constipation
• Avoid heavy lifting, and instead ask for help with any lifting tasks
• Prescribed medication from a doctor can help make things more comfortable

Can Physiotherapy Exercises Help?

Absolutely. Physiotherapists trained in women’s health can prescribe specific exercises and treatments to help prevent tailbone pain during and after pregnancy (Physiopedia, 2022). Physiotherapy is a great way to build strength, keep the body active, and prevent symptoms.

Common physiotherapy exercises may include:

• Resistance exercises: To strengthen muscles in the hips and legs
• Aerobic exercises: To preserve fitness during and after the pregnancy
• Pelvic floor exercises: Prescribed to correct pelvic floor dysfunction
• Mat or reformer Pilates: To target specific muscle groups
• Stretching or yoga: To reduce muscle tension or imbalances

It’s important to feel comfortable during each physiotherapy exercise. Always consult a health professional to get individual tailored advice.