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Sacral pain is more common than people realize and can affect your daily life. You are not alone and you don’t have to power through it.

What is the Sacrum?

The sacrum is a small Triangular shaped bone at the end of the spine (the very tip is called the coccyx). The sacrum connects the two pelvic bones and forms the pelvic girdle, an important part of the core.

When this area becomes irritated or dysfunctional, you might feel

  • A dull ache or sharp pain near your tailbone or buttocks
  • Pain when sitting for long periods
  • Discomfort transitioning from sitting to standing
  • Pain during bowel movements or intimacy

Common Causes of Sacral Pain When Sitting

  1. Prolonged Sitting or Poor Posture
    Especially with slouched posture, puts pressure on the sacrum and tailbone area, compressing joints and soft tissues.
  2. Sacroiliac (SI) Joint Dysfunction
    When these joints become hypermobile, it can cause localized pain that worsens with sitting, standing or walking.
  3. Pelvic Floor Dysfunction
    Tight or imbalanced pelvic floor muscles can pull on the sacrum or nearby structures, creating referred pain.
  4. Coccydynia (Tailbone Pain)
    Pain at the tailbone can feel similar and often overlaps. This may be caused by trauma (e.g., a fall), childbirth, or even repetitive strain from cycling or sitting on hard surfaces.
  5. Nerve Entrapment or Referred Pain
    Nerves that pass through or near the sacrum can become irritated, sending pain signals down into the glutes, hips, or legs.

We are here to help!

  • Pelvic Floor Therapy
    That’s where we come in! A pelvic floor therapist can assess how your posture, core strength, and pelvic muscles may be contributing to your pain and develop a personalized treatment plan.
  • Postural Education + Ergonomics
    Sometimes, simple changes to posture make a huge difference. Supportive cushions, lumbar rolls, and sit/stand work setups can all help.
  • Manual Therapy + Myofascial Release
    Hands-on techniques to address tight muscles, restricted joints, and trigger points around the sacrum and pelvis.
  • Movement + Stretching
    Targeted mobility and strengthening exercises can improve alignment and reduce pressure on the sacrum.

Ready to feel better? Give us a call at 908-443-9880, let’s begin your journey to wellness.

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