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  • Writer's pictureNicole Cozean

Is my tailbone causing pelvic floor symptoms?

Tailbone pain is a common symptom and is integrally related to the pelvic floor.

Do I need to avoid acidic foods with IC?

Finding Pelvic Sanity Group - Have you joined Finding Pelvic Sanity yet? It's a totally free, supportive online group of 5,000+ members dealing with pelvic floor dysfunction. It's moderated by the team at PelvicSanity, so you'll know you're getting great information a positive environment. Make sure to join here


All muscles of the pelvic floor attach at the tailbone.

When these are tight and irritated they can radiate or refer pain to the tailbone itself. The vast majority of the time there’s nothing wrong with the tailbone itself. It’s actually a pelvic floor issue masquerading as a tailbone problem.

Because of all the attachment to the pelvic floor, a hard fall on the tailbone or injury during childbirth can also be the initial cause of pelvic floor dysfunction.

In research we’ve done at PelvicSanity, we’ve demonstrated a significant fall on the tailbone (enough that you still remember it years later) is linked to pelvic floor dysfunction later in life.

This also brings up the importance of working with a pelvic floor therapist who is qualified to perform a rectal evaluation and treatment.

Issues like tailbone pain, constipation, pain or straining with pooping, SI joint pain, and more are much more easily assessed and treated rectally. Unfortunately many pelvic floor therapists haven’t received training in rectal treatment, and if you’ve been going to pelvic PT and aren’t seeing results, it’s often because this area is being overlooked.

Do I need to avoid acidic foods with IC?

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

"With tailbone pain, the vast majority of the time there’s nothing wrong with the tailbone itself. It’s actually a pelvic floor issue masquerading as a tailbone problem." -Nicole Cozean, Pelvic Sanity

If you’re dealing with pelvic health issues, make sure you join our free FB support group (Finding Pelvic Sanity), follow us for more information on Instagram (@pelvicsanity) and subscribe on Apple Podcasts, Spotify for wherever you get your podcasts!


Who are we at PelvicSanity?

At PelvicSanity, it's our mission to support patients with pelvic pain and pelvic floor symptoms, regardless of where you live. We can help with:

- In-person treatment for those in Southern California at the PelvicSanity clinic

- Immersive Out-of-Town program for those able to travel

- Remote Consultations to get you expert 1:1 help, advice and an action plan

- Online patient courses on Interstitial Cystitis and Movement for Pelvic Health

- A Facebook support group for patients called Finding Pelvic Sanity.


Nicole Cozean

Dr. Nicole Cozean is the founder of PelvicSanity Physical Therapy in Orange County, CA. PelvicSanity treats patients from all over the world with remote consultations and the Immersive Out of Town Program. She also runs Pelvic PT Rising, training other pelvic PTs to better serve patients.

Named Physical Therapist of the Year, Dr. Nicole is author of the award-winning book The Interstitial Cystitis Solution and the first PT to serve on the ICA Board of Directors, Her passion is helping those with pelvic health issues - regardless of where they live - find lasting relief.

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