Sitting is miserable. Standing up from a chair makes you wince. That sharp ache right at the base of your spine started during pregnancy or after a hard delivery — and it hasn't let go. Tailbone pain (coccydynia) is common after childbirth, but you don't have to live on a donut cushion. Dr. Loretta Barry, DPT helps Sacramento-area moms get out of pain and back to sitting, driving, and lifting comfortably.
These are the tailbone pain complaints Dr. Loretta Barry hears most often from Sacramento-area moms. If you recognize yourself here, your coccyx pain has a physical cause — and a treatable one.
Hard chairs, leaning back, long car rides, and desk work all turn sitting into something you dread.
That first move out of a chair sends a sharp jolt straight through your tailbone.
It began in pregnancy or after delivery, and it hasn't settled on its own — that's more common than you think.
You can put a finger right on the spot that hurts — the pain lives at the tip of your tailbone.
The coccyx and pelvic floor share the same neighborhood, so pain refers back and forth between them.
It takes the edge off, but the ache is right back the moment you shift or stand — you deserve better than a workaround.
Tailbone pain is one of the most satisfying conditions to treat, because it responds so directly to skilled, hands-on care. The key is understanding that the coccyx never works alone — the pelvic floor muscles attach right to it. Treat only the bone and you miss half the picture. Dr. Loretta Barry addresses both.
Coccyx mobilization. After childbirth, the tailbone can become stiff, hypermobile, or held out of its normal alignment. Dr. Loretta Barry uses gentle, precise manual techniques to restore healthy movement and position to the coccyx itself.
Pelvic floor release. The muscles that attach to the tailbone often clamp down in protection after birth, pulling on the coccyx and keeping it irritated. Using internal and external manual therapy — always with your consent and comfort first — Dr. Loretta Barry releases that tension so the tailbone is no longer being tugged out of place.
Sitting and posture strategy. How you sit, stand, feed your baby, and move through the day can either calm your tailbone down or keep re-aggravating it. Dr. Loretta Barry gives you specific cushion, positioning, and movement guidance so you stop reloading the painful tissue between sessions.
Progressive return to activity. Once pain settles, the goal is making sure it stays gone. Dr. Loretta Barry retrains how you load your pelvis through lifting, exercise, and daily life so the tailbone stays comfortable when you get back to a full, active life with your kids.
Resolving tailbone pain follows a clear three-phase arc — from calming the irritated coccyx and surrounding muscles to rebuilding function to returning to sitting, lifting, and moving without a second thought.
Release pelvic floor tension, mobilize the coccyx, and calm the irritated tissue around your tailbone. Build a baseline where sitting and standing no longer trigger sharp pain.
Correct the sitting, posture, and movement patterns that keep re-loading the tailbone. Restore normal pelvic floor coordination so the coccyx stays in a comfortable, well-supported position.
Sit through a meal, a movie, or a car ride without dreading it. Return to exercise, lifting your kids, and daily life with a tailbone that no longer runs the show.
Three ways to get care — all personally guided by Dr. Loretta Barry. Choose what fits your life.
Our primary location — 583 F St, Suite 112, Lincoln, CA. A beautiful new building with a private, fully equipped treatment room. The most effective setting for hands-on coccyx and pelvic floor manual therapy.
583 F St Suite 112 · Lincoln, CA 95648
Remote 1-on-1 care via video — ideal for sitting and posture coaching, self-mobilization guidance, exercise programming, and follow-up. Available to patients anywhere in California.
A guided 12-week recovery program with live web call sessions. Dr. Loretta still comes to you — through live video — to address tailbone pain, leaking, and core weakness step by step. See the Program
Every session is 1-on-1 with Dr. Loretta Barry — no aides, no techs, no handoffs. Learn more about our Lincoln clinic →
"I developed severe tailbone pain during pregnancy and sitting was impossible. She is incredibly sweet, down to earth, and knowledgeable. After about six sessions I already feel a huge difference."
"Loretta helped me discover that my pelvic floor issues were due to an overly tight pelvic floor that had affected my life for years. Now my pelvic floor is the strongest it's been in over a decade."
Why does my tailbone hurt after giving birth?
Tailbone pain (coccydynia) after birth is usually caused by the forces placed on the coccyx during delivery — it can be bruised, hypermobile, or pushed out of its normal alignment — or by the pelvic floor muscles that attach to the tailbone going into protective tension. Both respond well to physical therapy. Dr. Loretta Barry treats the coccyx and the surrounding pelvic floor muscles directly with gentle manual therapy.
How long does postpartum tailbone pain last?
Mild tailbone pain often eases within a few weeks postpartum. But when it lingers for months, it usually means the coccyx alignment or the pelvic floor muscles around it need help resolving — it rarely fixes itself at that point. Most patients who start pelvic floor PT for coccydynia notice meaningful improvement within a few sessions rather than waiting and hoping it fades.
Can physical therapy actually fix tailbone pain?
Yes. Tailbone pain is one of the most treatable conditions Dr. Loretta Barry sees, because it responds so directly to hands-on care. Treatment includes coccyx mobilization, internal and external release of the pelvic floor muscles that attach to the tailbone, and changes to how you sit and move. This addresses the actual source rather than just masking the pain with a cushion or medication.
What's the best way to sit with tailbone pain?
Leaning slightly forward, sitting on firm rather than soft surfaces, and using a wedge cushion with the tailbone area cut out can all reduce pressure on the coccyx. But these are comfort strategies, not a cure — they help you get through the day while the underlying cause is treated. Dr. Loretta Barry gives you specific sitting and positioning guidance tailored to your body during your first visit.
Do I need an internal exam to treat tailbone pain?
Not always — treatment always starts with your comfort and consent. Because the pelvic floor muscles attach directly to the coccyx, internal manual therapy can be the most effective way to release tailbone pain, but Dr. Loretta Barry also uses external techniques and will never perform an assessment you're not comfortable with. Everything is explained and agreed on before it happens.
The Postpartum Solution™ is Dr. Loretta Barry's structured 12-week program that addresses tailbone pain, leaking, pain, diastasis, and return to exercise all at once — live coaching sessions, a progressive curriculum, and a full recording library.
A free discovery call is 15 minutes. Share what's going on, get your questions answered, and find out exactly how Floora can help you sit, stand, and move without pain — no pressure, no commitment.
Sit Without Pain — Book a Free Call"I developed severe tailbone pain during pregnancy and sitting was impossible. After about six sessions I already feel a huge difference."