We do not recommend this program after coccygectomy or tailbone removal as some movements might cause more pain. Meanwhile, pelvic floor exercises are recommended. This is due to part of your pelvic floor muscles attach to your coccyx and the pelvic floor is important in supporting the pelvic contents (bladder, bowel etc.) and ensuring normal control of urination and defecation. It is therefore advised that you do exercises to strengthen the pelvic floor following your surgery.
- Lying or sitting – tighten and lift the muscles around your back passage as if trying not to break wind. At the same time, tighten and lift the muscles at the front as if trying to prevent urination. Tighten and release. Repeat 10 times. Do throughout the day as comfortable.
- Tighten and lift the muscles as in previous exercise, this time hold for 5 seconds and release. Repeat 10 times. Do throughout the day as comfortable.
In addition, you need to avoid sitting directly on hard and solid surfaces, such as a wooden bench. Sit on a ring or donut-shaped cushion to decrease pressure on the area where the surgery was done. This should be used for six weeks after your surgery. Lie down on one side instead of on your back to decrease pressure on the surgery area. Ask your caregiver for other ways to prevent pressure on your wound site. You may need to allow the wound to heal for a time before going back to your usual activities.