Resources
- Core Assessment: Why Your Core Exercises Aren’t Working & How to Fix It
- The Power of Tremoring: How Tension Release Exercises Support Your Nervous System
- Pelvic Floor Postpartum Exercises for Faster Recovery
- Navigating Coccyx Pain in Pregnancy: A Trimester-by-Trimester Guide
- Understanding Coccyx Pain: Symptoms, Causes, Healing and Prevention
- Pilates and Pelvic Floor Dysfunction: Is It the Solution You’re Seeking?
- 5 Pilates Pelvic Floor Exercises You Don’t Want to Leave Out
- Pelvic Floor Massage: A Comprehensive Guide
- Does Pilates Strengthen Pelvic Floor Muscles? A Comprehensive Guide
- Hypermobility and Pelvic Floor Health: What You Need to Know
- The Foot to Pelvic Floor Connection: A Whole-Body Approach to Movement and Health
- Understanding Pelvic Floor Pain After Running: Causes and Solutions for Professionals
- Top 5 Exercises to Strengthen the Pelvic Floor
- Do Squats Strengthen Pelvic Floor Muscles? Insights for Movement Professionals
- How Pelvic Floor Health Is Related to the Process of Moving from Arousal to Orgasm
- 5 Things I Wish People Knew About Your Pelvic Floor & Orgasm
- Pelvic Floor Tension: Everything You Need to Know
- How Running and Pelvic Floor Health Are Interconnected: What Every Runner Should Know
- Does Running Strengthen Pelvic Floor Muscles? Myths vs. Facts
- Understanding Urine Leakage Causes: Why It Happens and How to Manage It
- How to Strengthen Your Pelvic Floor: The Ultimate Guide
- Strengthening and Restorative Yoga Poses for Full Body Health
- Understanding Queefing: Causes, Symptoms, and Simple Prevention Tips
- How Do You Know if You Have a Weak Pelvic Floor
- What Does Pelvic Floor Pain Feel Like?
- How Can I Strengthen My Pelvic Floor Without Kegels?
- Pelvic Floor Stretches | 5 Quick Ways To Relax Your Pelvis
- Pelvic Floor Specialist | Finding Help To Heal Your Pelvis
- Is Pelvic Floor Repair Major Surgery? | Pelvic Health Guide
- Pelvic Floor Exercise
- How to Strengthen Pelvic Floor
- Pelvic Floor Therapy | Improving Your Pelvic Health
Resources
- Core Assessment: Why Your Core Exercises Aren’t Working & How to Fix It
- The Power of Tremoring: How Tension Release Exercises Support Your Nervous System
- Pelvic Floor Postpartum Exercises for Faster Recovery
- Navigating Coccyx Pain in Pregnancy: A Trimester-by-Trimester Guide
- Understanding Coccyx Pain: Symptoms, Causes, Healing and Prevention
- Pilates and Pelvic Floor Dysfunction: Is It the Solution You’re Seeking?
- 5 Pilates Pelvic Floor Exercises You Don’t Want to Leave Out
- Pelvic Floor Massage: A Comprehensive Guide
- Does Pilates Strengthen Pelvic Floor Muscles? A Comprehensive Guide
- Hypermobility and Pelvic Floor Health: What You Need to Know
- The Foot to Pelvic Floor Connection: A Whole-Body Approach to Movement and Health
- Understanding Pelvic Floor Pain After Running: Causes and Solutions for Professionals
- Top 5 Exercises to Strengthen the Pelvic Floor
- Do Squats Strengthen Pelvic Floor Muscles? Insights for Movement Professionals
- How Pelvic Floor Health Is Related to the Process of Moving from Arousal to Orgasm
- 5 Things I Wish People Knew About Your Pelvic Floor & Orgasm
- Pelvic Floor Tension: Everything You Need to Know
- How Running and Pelvic Floor Health Are Interconnected: What Every Runner Should Know
- Does Running Strengthen Pelvic Floor Muscles? Myths vs. Facts
- Understanding Urine Leakage Causes: Why It Happens and How to Manage It
- How to Strengthen Your Pelvic Floor: The Ultimate Guide
- Strengthening and Restorative Yoga Poses for Full Body Health
- Understanding Queefing: Causes, Symptoms, and Simple Prevention Tips
- How Do You Know if You Have a Weak Pelvic Floor
- What Does Pelvic Floor Pain Feel Like?
- How Can I Strengthen My Pelvic Floor Without Kegels?
- Pelvic Floor Stretches | 5 Quick Ways To Relax Your Pelvis
- Pelvic Floor Specialist | Finding Help To Heal Your Pelvis
- Is Pelvic Floor Repair Major Surgery? | Pelvic Health Guide
- Pelvic Floor Exercise
- How to Strengthen Pelvic Floor
- Pelvic Floor Therapy | Improving Your Pelvic Health
Tailbone Wagging for Tailbone Pain Relief and Pelvic Floor Mobility
By Lauren Ohayon 05/07/2025
4 Min Read
When working with clients experiencing tailbone pain, many professionals focus solely on the pelvic floor muscles without addressing a crucial component – the tailbone itself. Understanding how to guide your clients through tailbone mobility exercises can transform your approach to pelvic health and provide relief from persistent discomfort.
Table of Contents
Understanding Tailbone Pain and Its Impact on Pelvic Health
What is the Tailbone, and How Does It Affect Your Body?
The tailbone (coccyx) is the very bottom of the spine, not just a part of the pelvis as many believe. This distinction is important because the tailbone plays a role in both spinal movement and stability, as well as pelvic floor function [1]. Surrounding the tailbone are pelvic floor muscles that control essential functions, including urination, defecation, sexual function, and childbirth.
What many practitioners overlook is that the tailbone contains a tiny joint capable of movement. While this movement is subtle, it’s significant due to the numerous muscles connected to this area. Even a slight improvement in mobility in the tailbone can have substantial effects on overall pelvic floor function.
Why Tailbone Mobility Matters for Pelvic Floor Function
Restricted tailbone mobility can be both a cause and a consequence of pelvic floor dysfunction. Understanding the difference between what’s driving the issue and what symptoms may arise is key to effective treatment.
Common Causes of Restricted Tailbone Mobility:
Habitual postures that push the hips forward, locking the tailbone in place
Chronic glute or butt gripping
Muscle tension or guarding in the pelvic floor
Lack of movement or awareness in the tailbone area
Symptoms That May Be Linked to Tailbone Immobility:
Tailbone pain
Hemorrhoids
Hypertonic (overactive) pelvic floor muscles
Postural imbalances
Discomfort or compensation patterns during movement
As pelvic health professionals, addressing tailbone mobility should be a vital part of a comprehensive pelvic floor approach. Ignoring it means we may miss a critical contributor to our clients’ symptoms.
The Benefits of Tailbone Wagging for Pain Relief and Mobility
Tailbone wagging – sometimes I refer to it as “unraveling the anus”– is a gentle movement practice that helps create awareness, sensation, and connection to a part of the body often ignored. This approach facilitates function through movement – allowing the pelvic floor to respond naturally rather than being forced into engagement.
Emerging research highlights the benefits of targeting the sacrococcygeal joint through mobility exercises and manual techniques. These strategies have been shown to significantly reduce pain and improve function in individuals with coccydynia (tailbone pain) [2]. By fostering a deeper connection to this region, clients can better map and understand their pelvic floor and lower spine.
How Tailbone Wagging Improves Pelvic Floor Awareness
The benefits extend beyond pain relief. When clients learn to isolate and move their tailbone, they often experience:
Enhanced proprioception and body awareness
Improved ability to relax tight pelvic floor muscles
Greater distinction between different parts of the pelvic floor
Better coordination and integration of the entire core system
These improvements can be particularly valuable for professionals in our Restore Your Core® Professional Training who are learning to integrate a whole-body approach when working with clients who have pelvic health concerns.
How to Guide Clients Through Tailbone Wagging Exercises
Step 1: Locating the Tailbone and Building Awareness
Before introducing movement, they need to first locate and connect with their tailbone:
While standing, have them place one foot on a stool for easier access
Encourage them to feel along their lower spine to find the tailbone
Guide them to slide their hand down the middle of their buttocks
The tailbone is the hard bony structure just before the soft tissue begins
Encourage gentle massage of the tailbone area to create sensory input and awareness
Note: This area can feel sensitive, unfamiliar, or even emotionally charged for some clients. Encourage light, gentle touch, and remind them to move slowly, stay curious, and approach the process with compassion.
This practice helps establish a clear neural map, giving the brain clear evidence that the tailbone exists, has mobility, and can be consciously engaged.
Step 2: Tailbone Wagging Movements for Relief
Once a client has identified their tailbone, explore one or more of the following movement options:
Option 1: Standing Tailbone Wagging
Stand upright and visualize a yoga strap attached to the tailbone
Imagine swinging the strap gently forward and backward
Start with larger movements (involving the pelvis)
Gradually make the movement smaller, until only the tailbone is shifting
Key Reminder: The goal is to quiet the movement and isolate the tailbone – not to rock the whole pelvis.
Option 2: Supine Tailbone Wagging
Lie on your back with knees bent and feet flat on the floor
Begin with gentle pelvic tilts – tucking and untucking the pelvis
Gradually reduce the range of motion until only the tailbone is wagging
This position provides better feedback and support, making it easier for some clients to sense the movement.
Option 3: Seated Tailbone Wagging
Sit upright on a firm chair, yoga block, or other stable surface with feet flat on the floor
It’s important to maintain a neutral spine – no rounding of the lower back
Begin to tuck and untuck the pelvis, gradually reducing the range of motion until only the tailbone is moving
When to Use Tailbone Wagging for Clients
Tailbone wagging exercises are particularly effective for clients who:
Have hypertonic (tight) pelvic floor muscles
Struggle to feel or connect with their pelvic floor
Find it difficult to fully contract and release their pelvic floor
Experience tailbone pain from prolonged sitting
Experience tailbone pain after childbirth
Feel generally disconnected from their pelvic region
While this technique may feel unconventional — since it brings awareness to a subtle and often overlooked area—it can be deeply transformative when approached with consistency and care.
Integrating Tailbone Wagging into Your Practice
Using Tailbone Wagging to Address Postural Imbalances and Muscle Tension
Tailbone mobility work can be a valuable addition to pelvic health and whole-body movement sessions. Consider integrating it:
As part of your initial assessment to gauge pelvic floor mobility
During sessions focused on releasing tight pelvic floor muscles
In combination with breath work to enhance the mind-body connection
As a take-home exercise to encourage regular practice and reinforce neuromuscular connection
Encouraging Patience and Consistency
Like any movement skill, tailbone wagging takes practice. Clients may require multiple sessions before they can effectively isolate and move their tailbone.
To support their progress, create a gradual, step-by-step practice schedule:
Start with sensory awareness – help clients find and gently touch the tailbone to build a neural map
Begin with larger pelvic movements – encourage tucking and untucking to introduce tailbone motion
Refine to isolated tailbone movement – reduce the range of motion until only the tailbone is moving
Apply awareness to daily life – integrate tailbone mobility into posture, breath, and functional activities
Evidence supports this approach: A study on manual therapy interventions for coccydynia found that consistent mobilization of the tailbone region over several weeks led to significant reductions in pain and improvements in function [3].
Final Thoughts on Tailbone Wagging and Pelvic Floor Mobility
Teaching clients to wag their tailbone is a powerful tool for unlocking pelvic floor mobility, relieving tailbone pain, and restoring functional movement. This approach views the body as an integrated system, with the tailbone serving as an important gateway to pelvic floor function.
For professionals seeking to expand their skills in this area, the Restore Your Core® Professional Training offers comprehensive education and innovative techniques for addressing pelvic floor dysfunction.
By incorporating tailbone mobility work into your sessions, you can help clients move beyond symptom relief and toward long-term recovery, addressing not just what hurts but why it’s happening.
FAQ
1. What is tailbone pain, and how does it affect your pelvic health?
Tailbone pain (coccydynia) is discomfort at the base of the spine that can radiate to surrounding areas. It impacts pelvic health by causing compensatory tension in the pelvic floor muscles, potentially leading to issues like incontinence, pain during intercourse, and constipation. Since the tailbone is directly connected to the pelvic floor muscles, pain in this area can disrupt normal pelvic function.
2. How can tailbone pain exercises help relieve discomfort in the lower spine?
Tailbone pain exercises improve mobility of the sacrococcygeal joint, reduce muscle tension in surrounding tissues, and promote proper alignment. These exercises restore movement patterns that may have been altered due to pain or immobility, allowing the affected area to heal while improving circulation and reducing inflammation.
3. What are the most effective tailbone moves for improving mobility?
The most effective tailbone moves include gentle pelvic tilts while sitting or lying down, gradually isolating the movement to just the tailbone; visualization exercises that help clients connect with this often-neglected area; and progressive mobility work that starts with larger movements and refines to smaller, more precise ones.
4. How does human tail wagging impact spinal and pelvic floor function?
Tailbone wagging improves spinal and pelvic floor function by creating mobility at the sacrococcygeal junction, allowing for better coordination between the spine and pelvis. This improved coordination helps distribute forces throughout the body more efficiently, reduces tension in the pelvic floor muscles, and creates more balanced movement patterns.
5. Can tailbone wagging exercises improve pelvic floor strength?
Tailbone wagging isn’t a traditional strength exercise, but it plays a crucial role in improving pelvic floor function. By enhancing neuromuscular awareness, coordination, and the ability to engage and release the pelvic floor consciously, this movement lays the foundation for effective strengthening. In many cases, better awareness and control are the missing pieces needed before true strength can be built.
6. How can tail wagging movements in yoga support pelvic floor awareness?
In yoga, tail wagging practices enhance pelvic floor awareness by bringing consciousness to a typically neglected area. These subtle movements help practitioners develop proprioception and body mapping of the pelvic floor, integrate breath with pelvic floor movement, and create a foundation for more advanced practices.
7. How can tailbone pain relief exercises contribute to overall body alignment?
Tailbone pain relief exercises contribute to overall body alignment by addressing a key junction point between the spine and pelvis. When the tailbone moves properly, it allows for more natural spinal curves, better weight distribution through the pelvis, and improved coordination between upper and lower body movements, positively affecting posture, gait, and functional movement.
References
[1] Fujisaki, A., Shigeta, M., Shimoinaba, M., & Yoshimura, Y. (2018). Influence of adequate pelvic floor muscle contraction on the movement of the coccyx during pelvic floor muscle training. Journal of Physical Therapy Science, 30(4), 544–548. https://doi.org/10.1589/jpts.30.544
[2] Tufekci, O., Yilmaz, K., Gercek, H., & Sonmez Unuvar, B. (2024). The effectiveness of manipulation in combination with exercise for patients with coccydynia: Six months follow-up of a randomized controlled trial. International Journal of Osteopathic Medicine, 51, 100711. https://doi.org/10.1016/j.ijosm.2024.100711
[3] Scott, K. M., Fisher, L. W., Bernstein, I. H., & Bradley, M. H. (2017). The treatment of chronic coccydynia and postcoccygectomy pain with pelvic floor physical therapy. PM&R, 9(4), 367–376. https://doi.org/10.1016/j.pmrj.2016.08.007