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Coccydynia and Painful Sitting - Boston, MA - May 2-3, 2020 (Rescheduled)

Update 04/08/2020: As a precaution against the spread of COVID-19, this course has been postponed. Once we have a new date confirmed, we will update our website and make the event available for registration. We appreciate your understanding during this difficult time. Please practice good hygiene, and be safe!

  • Description

  • Schedule

  • Objectives

  • Location/Lodging

  • Instructors

  • Discounts

Price: $495 (Early Registrant Price $475)
Experience Level: Intermediate
Contact Hours: 14

Coccyx pain is a common, frustrating condition for the patient who often has difficulty sitting, one of the most important tasks necessary for daily activity. Patients who find help from a pelvic rehabilitation provider have often experienced pain near the tailbone for long periods of time, leading to chronic pain in addition to neuromusculoskeletal dysfunctions. This two-day continuing education course allows the therapist to focus on this vital, sensitive area to learn and refine skills in assessment and treatment. Anatomy, pathology, and detailed palpation skills of the coccyx region is instructed. Evidence is utilized to provide a solid foundation in current evaluation and interventions for coccyx pain. Tools ranging from manual (both external and internal) therapies, taping, therapeutic exercise, sitting modifications, modalities, and outcomes surveys will be included in the course.

In addition to learning local evaluation and treatment of the coccyx, participants will learn how to apply principles of biomechanics to the pelvis as they relate to the trunk, spine, and lower extremities. Sacral dysfunction, which can also be a main contributor to coccydynia, will be addressed with various mechanical approaches. The coccyx has a critical relationship to the pelvic floor muscles, and coccygeal pain can create or perpetuate pelvic floor dysfunction such as painful voiding or defecation and difficulty emptying the bladder or bowels. This course instructs the attendee in the functional movement patterns of the coccyx.

Medical testing and medical interventions including pharmacology and surgical approaches are discussed. At the conclusion of this training a therapist will have the ability to communicate with a provider about clinical findings and perform appropriate examination skills and treatments for the patient who has coccyx pain. The class was written specifically for therapists who are interested in refining skills for treating coccydynia. Lila Abbate, course instructor, shares her extensive experience in clinical care and teaching so that therapists can help patients recovery effectively and efficiently. 



This continuing education seminar is targeted to physical therapists, occupational therapists, physical therapist assistants, occupational therapist assistants, registered nurses, nurse midwives, and other rehabilitation professionals. Content is not intended for use outside the scope of the learner's license or regulation. Physical therapy continuing education courses should not be taken by indivuals who are not licensed or otherwise regulated, except, as they are involved in a specific plan of care.


Lab Attire:

Participants are encouraged to wear loose fitting shorts to the course. There is external palpation and internal palpation and treatment labs.


Recommended Prior Coursework:

PF2A - Pelvic Floor Function, Dysfunction and Treatment (Level 2A) or prior experience with internal rectal evaluations is strongly recommended.

Day One:
8:00 Introduction/Course Objectives
8:45 Anatomy and Biomechanics of the Coccyx & Pelvic Girdle
10:00 Break
10:15 Medical Treatment of Coccydynia: Review of the Literature
12:00 Lunch
1:00 Physical Therapy Treatment of Coccydynia: Review of the Literature
2:00 External palpation lab of pelvis and its relationship to the coccyx position. Introduction to Hesch Method in treating coccyx pain
3:00 Break
3:15 External Strain-Counter Strain external techniques for lower quarter muscles and their relationship to the coccyx
5:00 Adjourn

Day Two:
8:00 Review
8:30 Internal rectal lab: internal treatment palpation and mobilization of the coccyx including Strain-Counter Strain, Theile’s massage
9:45 Break
10:00 Internal vaginal lab: internal treatment palpation and mobilization of the coccyx
12:00 Lunch
1:00 External coccyx neuromuscular taping lab
2:15 Break
2:30 Seating Options
2:45 Home Exercise Program and Case Studies
4:00 Adjourn


Upon completion of this continuing education seminar, participants will be able to:

1. Identify the structures of the coccyx and understand the anatomy and nerve innervation to the coccyx and its adjacent structures.
2. Explain the basic function of the coccyx and the role of the coccyx relating to the sacrum, inominates and lumbar spine during sitting, standing and walking.
3. Understand normal coccyx placement, displacement, and deviation.
4. Explain the function of the coccyx and how it relates to sitting, bowel function and the birthing process.
5. Review of the literature regarding coccyx pain and medical testing, medical treatments, medications and surgical techniques.
6. Apply the principles of joint mobilization, muscle energy techniques, Hesch Method, Strain-Counterstrain and Theile’s massage to change coccyx position.
7. Effectively apply an up- or downtraining program for patients with coccyx dysfunction.
8. Effective use of modalities and taping techniques for neuromuscular re-education.
9. Create an appropriate plan of care relating to a patient’s symptoms and physical examination.
10. Select the most appropriate physical findings and use of validated questionnaires to determine a treatment plan.
11. Learn basic treatment options to relieve the patient of coccyx pain during defecation and sitting.

 NameStreet Address (Links to Map)
Course Location

Marathon Physical Therapy

99 Vanderbilt Ave
Norwood MA 02062
Recommended Lodging

Courtyard Boston Norwood
(781) 762-4700

300 River Ridge Dr
Norwood, MA 02062
Nearest Airport

Logan International Airport
Airport Code: BOS

1 Harborside Dr
Boston, MA 02128


Directions from Recommended Lodging to Course Location: (click here if no map appears below)

Lila Abbate, PT, DPT, MS, OCS, PRPC

Lila Abbate, PT, DPT, MS, OCS, PRPCLila Abbate graduated from Touro College in Dix Hills, NY with a Bachelors of Science (BS) in Health Sciences and a Masters of Arts (MA) in Physical Therapy in 1997. Lila completed her Advanced Masters in Manual Orthopedic Physical Therapy (MS) at Touro College, Bayshore, NY in 2003 and continued to obtain her Doctor of Physical Therapy (DPT) in 2005. Currently, Dr. Abbate is pursuing her PhD at Nova Southeastern University in Ft. Lauderdale, Florida and plans to conduct research in Women’s and Men’s Pelvic Health. Dr. Abbate is also a Physical Therapy Board-Certified Specialist in Orthopedics (OCS) deemed by the American Physical Therapy Association in 2004.

Dr. Abbate has been faculty at Touro College (2003 – 2006), Manhattan Campus, teaching the biomechanical approach to orthopedic dysfunction, therapeutic exercise as well as massage/soft tissues work that highlighted trigger point work, scar management and myofascial release.

Currently, Dr. Abbate currently owns a private practice in Manhasset, NY specializing in complex orthopedic conditions and pelvic floor dysfunction.

Attention: We are unable to offer "retro-active" discounts (i.e. applying a discount to a transaction after the transaction takes place), so if you are interested in exploring discount options and you are unsure if your transactions is eligible for a discount, please contact us to inquire.

Multi-Course Discount

This 10% discount is available for a single registrant who wishes to enroll in 3 or more courses, and pay in one transaction. Registrants wishing to enroll in 5 or more courses should contact us for a customized quote. We can also apply this discount if 2 therapists from a single clinic/hospital enroll in 3 or more courses (ie Registrant A enrolls in Course X and Course Y, Registrant B enrolls in Course X, and Registrants A and B both work at Clinic Z). This discount cannot be used in combination with any other discounts. Registration and payment must be received at the same time in one credit card payment, one check or one envelop with multiple checks. This type of registration cannot be completed online, if you are wishing to receive the Multi-Course discount please call or email us directly for assistance.

Group Discount

This discount is available for a group of three or more registrants, who all work at the same clinic/hospital, enroll in a single course, and pay in a single transaction or mail in multiple checks in a single envelope. This discount cannot be used in combination with any other discounts.

Groups of 3-5 receive a 10% discount off the combined price of their group's registrations.
Groups of 6 or more should call or Contact Us so that we can properly create an invoice for your registration.

Student Discount

This 10% discount is available to current students who have yet to earn a license to practice at the time of course registration. This discount is not available to those therapists who have previously held a license, and are currently enrolled in a doctoral, or other post-graduate, program. This discount cannot be used in combination with any other discounts.


To get this discount when checking out online, use the code 2020Student. (Note, this code is only valid for non-licensed students. The H&W admin team will verify that registrants signed up with this code are, indeed, current students prior to their attendance of the course).

First-Time Registrant Discount

This $50.00 discount is available to any therapist who has never before taken a Herman & Wallace course (no previous registrations) and can be used towards the registrant's first Herman & Wallace course (not applicable to Pelvic Floor Level 1/2A/2B or Capstone).

To apply this discount, please use the code FirstTimer2020 during check out. (H&W will check records to verify past attendance.)

Referral Credit/Discount

Any therapist who has already taken a Herman & Wallace course will earn a $50.00 "referral credit" if:

1. A therapist who has never taken a Herman & Wallace course successfully registers for his or her first course(s); AND
2. In the registration process, the first-time registrant gives the name and clinic/hospital of the therapist who referred them to Herman & Wallace.

A therapist who has earned a $50.00 "referral credit" may use this credit toward any course that is eligible for a "referral discount".

Guest Blogger Credit/Discount

Any therapist who completes a qualifying guest blog post on the Herman & Wallace blog will earn a $50.00 "guest blogger credit". This credit may be applied toward any course eligible for a "guest blogger discount".