Indications for coccyx adjustment: restricted coccyx movement, malposition of the coccyx, coccygodynia, coccyx pain


External coccyx push (adjustment)

Patient position: Patient lies prone (face down), thoracic and pelvic drop pieces raised or rolled towel/ Dutchman’s roll under ASIS, Buttock appropriately draped

Doctors position: Stand at the side of the table, fencers stance, facing cephalically (towards head patients head)

Contact point: Thumb contact of cephalic hand (hand towards head)

Segmental contact point: Base of the coccyx

Indifferent hand: Pisiform-hypothenar (palm of hand) contact of the caudal hand (away from the head ) over the thumbnail of the contact hand, with fingers loose over the dorsum ( back) of the contact hand. 

Vector: Inferior- superior

Thrust: Draw tissue/skin slack cephalad direction (towards the head) with both hands. At tension deliver cephalad and slight P-A (posterior to anterior/ back to front) impulse thrust over the coccygeal base. A mixed tissue pull and osseous adjustive technique is produced. 

Internal coccyx adjustment

Patient position: Patient lies prone, thoracic and pelvic drop pieces raised or rolled towel/ Dutchman’s roll under ASIS ( hip bones in front), Buttock appropriately draped

Doctors position: Stand at the side of the table, fencers stance, facing cephalically (towards the head)

Contact point: A digital contact with gloved, lubricated middle finger of the caudal hand (hand away from head). A palmer calcaneal contact of the cephalic hand (hand closest to head) over the upper half of the sacrum.

Segmental contact point: Anterior (front) surface of coccyx, intrarectally (internally thru anus).

Indifferent hand: Palmar calcaneal hand contact of the cephalic hand/ top hand over the upper half of the sacrum.

Vector: Superior- inferior (head to toe) and posterior- anterior (back to front).

Thrust: Intrarectal contact applies tension to the coccyx inferiorly (downwards) and slightly posteriorly (backwards ). Gentle impulse thrust through the contact on the sacrum while simultaneously delivering a gentle and shallow posterior thrust against the coccyx. The thrust is delivered S-I and P-A -Superior- inferior (head to toe) and posterior- anterior (back to front, which creates a long axis distraction at the sacrococcygeal joint. 

For more information on coccyx adjustments please call us on 9300 0095 or book an appointment via our “Book Online Now” tab on our website.

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