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Coccydynia - A Rost Therapy Approach To The Assessment And Treatment Of Tailbone Pain

Coccydynia - A Rost Therapy Approach To The Assessment And Treatment Of Tailbone Pain

Coccydynia - A Rost Therapy Approach To The Assessment And Treatment Of Tailbone Pain

This course includes
7:46:40 of Course Material (View)
2 Years access after purchase
Certificate of completion


Coccydynia is a condition that can seriously impact the quality of life of patients. Fortunately, there are several treatment methods, the least invasive of which is an external correction of the tailbone (coccyx). This is a stand-alone course, but it will also prepare you for the practical coccydynia course, where you will learn how to apply the external correction of the coccyx.

The text and video material cover anatomy and biomechanics of the pelvis (including the sacro-coccygeal and coccygeal joints), current research on coccydynia, assessment, and treatment strategies, including video demonstrations of all basic external correction techniques to reduce or even eliminate symptoms. Case studies and clinical reasoning form an important part of this course.


Reduce Tailbone Pain With Effective, Non-Nociceptive Techniques

Learn the fundamentals of coccydynia management: assessment, treatment, available evidence, self-help techniques, and homework exercise. This entertaining e-learning course will give you insight into the biomechanics behind pain tailbone (coccyx) and current treatments. It will also prepare you for the clinical reasoning exercises we will do on the practical training day when all this knowledge will be translated to hands-on skills and functional advice for coccydynia patients.


Learning Objectives

  • To understand the anatomy and biomechanics of the coccyx bone and its role in coccydynia
  • To effectively and externally treat patients with tailbone pain, with manual techniques, specific exercises, and postural tips and modifications
  • To effectively apply differential diagnosis for coccyx pathology
  • To be current regarding the latest coccydynia guidelines, publications, assessments, and treatments
  • To prepare for the practical course for those who wish to master these external treatment techniques



This online course is for Physiotherapists (Physical Therapists), Chiropractors and Osteopaths.


Online Distance Learning

This online course has approximately 8 hours of learning and continuing education.


Important: Listing On The RTh Database Of Coccydynia Therapists

Once you have completed this online course, you have the option to be listed for 2 years as a schooled therapist in our RTh database of RTh coccydynia therapists, where patients from all over the world can find you. If you wish to extend your membership to 5 years and become an official coccydynia therapist, the practical course is required. 

If you wish to be listed for 2 years, contact us at for more information after you have completed the course. Check our FAQ page for more information.


Overview Of Course Content


Chapter 1: Coccydynia

  1. Anatomy and symptoms
  2. Possible causes
  3. Differential diagnosis
  4. Guidelines
  5. Publications on diagnosis
  6. Publications on treatments
  7. Reviews

Chapter 2: Assessment

  1. SI-joint: clusters of Laslett and van der Wurff
  2. Coccydynia - specific testing

Chapter 3: Treatment

  1. Internal correction
  2. External correction
  3. Mobilize in prone position
  4. Normalizing pelvic floor tone

Chapter 4: Exercise And Advice

  1. Homework exercises
  2. ADL - advice and final test

Chapter 5: Preparation For The Practical Day


By registering for this Course You are Agreeing to the following Copyright, Assumption of Risks and Responsibility and Liability Waiver:


Rost Therapy Course Material Copyright

All Rost Therapy developed course material is protected as Rost Therapy intellectual property. All original course materials, Rost Therapy made videos, tests, and similar materials, are protected by copyright law. Rost Therapy is the exclusive owner of the copyright in those materials Rost Therapy creates. 
You may not reproduce, distribute or display (post/upload) lecture notes or recordings or course materials in any other way without express written consent.  You also may not allow others to do so.


Assumption of Risks and Responsibility

Course attendees freely and voluntarily accept and assume all risks and the possibility of personal injury resulting from the attendance at Rost Therapy courses and any other related activities during this event. Course attendees accept responsibility to abide by the laws of the country, to ensure that they have adequate medical coverage, protect personal possessions, and obey all the rules set out at the courses.


Liability Waiver

It is your responsibility to work within your own professional guidelines and competencies when using any material from this Rost Therapy course. 

Course attendees indemnify and save harmless Susannah Britnell, Cecile Rost, and Rost Therapy from any and all actions, expenses, or losses whatsoever which they may bear as a result of their participation in any Rost Therapy courses and utilization of knowledge and skills gained in Rost Therapy courses, by reason of damage to any and all property and any and all personal injuries.


The instructors
Susannah Britnell
PT, BSc Hons PT, Diploma Advanced Man & Manip Therapy, FCAMPT, CGIMS

Susannah Britnell graduated from Manchester University, England and completed her post graduate education in Canada. She has integrated pelvic floor physiotherapy, pain science (biopsychosocial approach) and manual therapy into her practice. Susannah works in Vancouver, BC, Canada in private practice, primarily in pelvic health. She worked at both the Centre for Pelvic Pain & Endometriosis, an interdisciplinary program for persistent pelvic pain for 8 years and BC Women’s Hospital in Obstetrics physiotherapy for over 15 years. She is an Adjunct Professor at the School of Rehabilitation of UBC and teaches a variety of pelvic health and PGP courses to health professionals.

Susannah’s passion is to help women overcome years of pain and disability. A majority of her patients have had pelvic girdle pain for many years, if not decades. By teaching other therapists the Rost Therapy method, Susannah hopes to break the cycle of persistent pain, by ensuring more and more women have their pelvic girdle pain managed well in pregnancy and postpartum.

Susannah experienced PGP in her first pregnancy and was unfortunately not aware of the Rost Therapy approach at that time. However, the program was very helpful for her even years after her delivery. She still uses the exercises regularly to this day.

Susannah, alongside Cecile Röst, have jointly developed the Rost Therapy website, the online and practical courses, and the Rost Moves Mamas app and have taught Rost Therapy courses as a team for many years in Canada.

Cecile Röst
PT, Orthopaedic Manual Therapist, Clinical Epidemiologist

Cecile (1961) lives and works in Leiden, the Netherlands. She has completed training in Paediatric physiotherapy, sensory integration therapy, Orthopedic medicine and Orthopedic manual therapy. She also completed courses in chronic pain management, fascial therapy and dry needling. Cecile received her Clinical Epidemiology Masters Degree from the University of Amsterdam in February 2017. In 2018 Cecile started teaching dry needling and manual techniques as a complementary treatment for PGP. She continues her career as an advisor in scientific research into treatments and prevention programmes for pelvic pain.

Being both a patient and caregiver has impacted Cecile’s life and way of thinking about healthcare and caregivers. Cecile is open minded and respectful of diversity, cooperative with other therapists and clinicians, and is accepting of life’s difficulties. Cecile’s main focus is to prevent chronic pain syndromes. Her approach is practical and detailed, focussed on identifying the underlying problems of an individual patient’s specific condition in the context of their present circumstances.

Pelvic Girdle Pain: Cecile worked initially as a pediatric physiotherapist, but her career took a different direction after developing her own exercises to mitigate her own pregnancy related PGP. Cecile experienced PGP in and after all three of her pregnancies. In her third pregnancy, using her own instincts rather than traditional treatment, Cecile devised exercises and postures which helped improve her own pelvic girdle pain and quickly reduced physical dysfunction. Soon after childbirth, Cecile treated other pregnant and postpartum women with PGP using her own formula of exercises and therapy. She became inundated with requests for treatments from hundreds of women, both from home and abroad. Cecile then worked on research to determine effectiveness of her approach and to discover how and why this approach worked. International publications, lectures, and many courses followed.

Course Material included in this course
  • Chapter 1: coccydynia
  • Welcome
  • Anatomy and symptoms
  • Possible causes
  • Differential diagnosis
  • Guidelines
  • Publications on diagnosis
  • Publications on treatments
  • Reviews
  • Assessment
  • Assessment overview
  • SI-joint: clusters of Laslett and van der Wurff
  • Coccydynia – specific testing
  • Treatment
  • Treatment overview, effects and contraindications
  • Internal correction
  • External correction
  • Mobilization in prone
  • Normalizing pelvic floor tone
  • Exercise and advice
  • Home exercise program
  • ADLs and advice
  • Preparation for the practical day
  • Video material to prepare for the practical session
  • Final test
  • Multiple choice test
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