Research, Articles, Case Study

  • Retrospective: “Lumbopelvic flexibility is more closely related to coccygeal range of motion that previously thought.”
  • Prospective: “Medication-Assisted Manipulation appears to offer some patients increased improvment in low back pain and disability.”
  • Coccyx Dystocia: Outlet Anterior Posterior Diameter. The role the coccyx may play in vaginal deliveries.
  • Coccyx Dysfunction: A clinical profile for coccydynia and chronic pelvic pain.
  • Case Study: Manipulation of an asymptomatic coccyx in a patient with chronic low back and sacroiliac joint pain

Frequently Asked Questions

What is Coccydynia?

Pronounced “Cox-eh-din’-ee-ah,” literally means coccyx pain. It is a common condition experienced by millions. It ranges from an annoying pain while sitting to a disabling condition known as the SacroCoccygeal syndrome. Coccydynia has many causes ranging from hard falls directly onto the buttocks while skating or slipping on ice, to kicks sustained during karate or soccer. Coccydynia may not appear until many years after a childhood injury when an adult gains weight, delivers a baby, or is stuck behind a desk for too many hours.

What is the SacroCoccygeal Syndrome?

Pronounced “Say-crow-cock-sig-el,” the syndrome typically results after the coccyx loses its natural flexibility which can negatively affect the spinal cord and its many nerves. The syndrome causes excessive tension of the lower back and pelvic floor muscles reducing one’s ability to bend or stride freely. It can also impair flexion of the hips or thighs affecting many activities at work and at home. It feels a bit like having a board glued to your back or buttocks. The syndrome also causes a dramatic weakness of the pelvic floor and thigh muscles. Due to the manner in which the spinal cord is anchored to the coccyx, the SacroCoccygeal Syndrome can affect nerves throughout pelvic organs or extend into the legs and spine to varying degrees.

How does the Wooley-Kemper Procedure work?

The Kemper-Wooley procedure works by freeing the coccyx back into a more normal function with a non-surgical procedure. Each patient is first assessed for restricted back flexibility and thigh strength. Next, a local anesthetic or general sedation is provided as needed. Then, the physician makes an internal rectal contact with the coccyx. Along with one or two assistants, the patient’s spine and coccyx are flexed back and forth until improved function is achieved. After the procedure the patient is assessed again for back flexibility and thigh strength. Results vary, but most patients who regain coccygeal function will rapidly improve and will usually retain their improvement with regular exercise.

Is the Wooley-Kemper Procedure right for me?

Each patient is screened to determine if they have the syndrome. Patients may not have any colorectal disease or be more than 50 pounds over weight. Each patient must be willing to perform simple exercise each day before and after the procedure, as directed.

What results can I expect?

Results are directly proportional to the degree the coccyx can be freed back into motion. Each procedure typically improves coccygeal motion by 20-30%. Once measurable motion has been restored most people feel as though years of strain have been removed from their spines. Reports of improved spine and pelvic flexibility, reduced pain and greater strength are routine. The best results occur when patients commit to low impact exercise and regular stretching, a small price to pay for a more youthful and vital spinal column.

End the Confusion: There is Relief for a Fractured Tailbone!

If you fractured your finger, you would want it to heal with full motion like it had before it was fractured or dislocated. As a writer, baseball pitcher, artist, musician or surgeon, a fractured finger must regain its full motion as it heals or pain and impairment results. For the same reasons, a fractured coccyx needs treatment to heal with full motion. The Wooley- Kemper Procedure carefully and effectively restores natural motion to the fractured or dislocated coccyx. With coccyx motion restored, tailbone pain, loss of back flexibility, and sore or weak hips recover measurably.

Do you have any of these symptoms following a tailbone/coccyx injury?

  • pain with sitting

  • pain from rising from a sitting position

  • loss of flexibility

  • chronic pelvic pain

  • ache into thighs and/or legs

  • sharp pain up spine

  • chronic lowback pain

  • leg weakness, inability to stand for long periods

  • chronic pain following child birth

  • inability to deliver vaginally

You may have been diagnosed as having coccydynia. However, if you have any combination of the above symptoms, it may actually be SacroCoccygeal Syndrome.

Xray Findings

  • A bent, hooked, displaced, misalighned, irregular, fractured, or otherwised injured appearance suggests that the tailbone may have lost its natural motion.

  • Deterioration, degeneration, arthritis or fusion of one or more of the coccygeal joints.

  • Absence of dislocation, fracture or arthritis does NOT mean that the coccygeal motion is normal. The tailbone can become “jammed” in its normal position, causing most doctors to state that it is normal and asymptomatic.

Diagnosing the SacroCoccygeal Syndrome

  • History: Have you suffered an injury to your coccyx at any time in your life?
  • Range of Motion: An S/C Syndrome examination involves an intra-rectal assessment of the coccyx motion with careful but firm pressure forwards and backwards.

  • Weakness: Approximately 90% of patients with a dislocated, broken or restricted tailbone will have weak thigh muscles. Most people will be unaware that the weakness is so severe. The internal and external thigh rotator muscles are most often affected.

  • Reduced Spine and/or Thigh Flexibility: Many patients with injured tailbones will not be able to freely touch the floor when they stand with their feet together and with their knees locked.

Action Steps to Relief:

Action step 1. Fill out History & Symptom form (Located on the right)

Action step 2. Email, fax, or mail the form to the KTIF specialist of your choice

Action step 3. Once recieved, the selected KTIF clinic will contact you to set up a 15 minute, no charge phone consultation to let you know if you appear have the SacroCoccygeal Syndrome and are a good candidate for treatment.

History & Symptom form.pdf