Plus, Sitting increases the pain associated with coccygodynia, so his symptoms will likely increase with sitting (part of the reason it is prudent to rule out discal origins of pain). Stress can increase the pain too. We all know, that patients can manifest their stress in specific areas (i.e. chronic cervical or lumbar pain patients have increased pain in these areas when they increase their stress). Pelvic patients are not exclusive of this. These patients are unaware of tightening and of the spasms of their pelvic muscles, and it becomes almost natural for them to tighten during increased stress levels. Believe me, I see it all the time and it is one of the hardest changes to facilitate, as itis behavoiral.

OK- I think I have now written everything I wanted!

aletta