LEARNING OBJECTIVES

1. Detailed anatomy and biomechanics of the pelvis, coccyx and pelvic floor

2. Understand the functions of the coccyx and how a dysfunctional coccyx can present.

3. Understand the fascial lines within the body and how the can impact function of the coccyx

4. Understand the risk factors for coccyx pain, including pregnancy, child birth  and both physical and psychological trauma

5. Understand the inter relationship between coccyx pain and pelvic floor muscle function

6. Understand the indications, precautions, contraindications for internal rectal examination  (Digital Rectal Examination) and treatment, including consent.

7. Brief understanding of trauma and stress and the impact on both the pelvic floor function and coccyx pain

8. Perform a physical examination of a patient presenting with coccyx pain. This includes both external and internal assessment

9. Develop confidence in myofascial release techniques both internal and external to be used in the treatment coccyx pain

10. Confident in prescribing a self-management program (including pain relief strategies and mobility exercises) for coccyx pain

11. Develop a whole-person clinical management framework for the management of coccyx pain