Coccyx mobilization

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Hello Ted,

Most coccygeal pains are caused by fifth lumbar subluxation. However if it is

indeed a true coccygeal subluxation then I found the best way to treat that

is place the patient on the adjusting table in a prone position with the

pelvis slightly elevated to make the coccyx accessible, stand on either side

of the patient using your dominant hand, if you are on the right side of the

patient you use the right hand to make the contact, and if you are standing

on the left side use your left hand. Then using your thumb place it on the

posterior surface of the coccyx so that the tip of the thumb is about one

inch below the sacral-coccygeal joint. The pisiform is then placed on top of

the thumb slightly below the metacarpophalangeal joint, then apply very

slight pressure to the thumb by the pisiform of the other hand and stretch

the skin superiorly very gently with the thumb of the contact hand until the

slack is removed, then deliver a light toggle thrust through a combined

motion of both the contact and stabilization hands with the direction of the

thrust being superiorly. You should feel a joint release. By setting the

coccygeal base anterior the coccygeal apex will move posterior relieving the

subluxation. Darald Bolin