Are tailbone adjustments "standard/normal" procedure? (Full Version)

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John Doe -> Are tailbone adjustments "standard/normal" procedure? (May 2, 2008 12:28:10 AM)

I'm not in the PT field. I'm a PT patient and am hoping for some professional opinions regarding my recent PT experience.

SITUATION: My PT found it necessary to evaluate my tailbone. This required him to reach down between my buttocks. He said it pointed to the left and was "tucked" under more than normal. His "therapy" was to push it over to the right and then reach under it and pull it from being tucked under.

QUESTION: Is this a "normal/standard" procedure.

BACKSTORY: I recently started running and begun having pain on the outside area of my lower legs. My friend recommended this PT and so I went in. After his initial evaluation (which did not involve the tailbone check) he thought I might have some lower back issue that was causing the pain. He said I need to go to my General Practitioner for a prescription to have physical therapy and recommended an x-ray. I did as he requested. My GP agreed with the x-ray and suggested an EMG to test if I had any nerve damage in my lower leg.

The x-ray came back "normal" and during my first therapy session with the PT he provided pressure to various parts of my ankle (front and sides) to loosen up the muscles in that area. Although the x-ray came back normal, he still felt that my problem could be fixed by also doing some back and hip therapy and would contact my GP for approval to work on these areas.

At my second therapy session, my PT did the tailbone check and adjustment.

Turns out my friend who recommended me to this PT (and her husband) have both gotten the same tailbone adjustment from this guy, even though all our reasons for going to him were slightly different, but back/leg/running pain related. We are wondering if this guy is getting off on this sort of "therapy" or if this is in fact a "normal/standard" procedure.

Thanks for your time and I look forward to your responses.




John Doe -> RE: Are tailbone adjustments "standard/normal" procedure? (May 3, 2008 1:08:58 AM)

Sorry to have been the straw that broke the camel's back in regards to my post above. I did not intend to break this forum's terms of service and apologize if I have done so. I was neither trying to seek medical or legal advice. I simply wanted to know if the "therapy" I received was common practice or not.

I spent a decent amount of time looking for information on the "procedure". However, since I could not find any material that discussed it, I figured I would toss it out here in your Open Forum. With such an active and current group of PT professionals in this forum, I really thought I would get a number of basic replies such as... "I recommend you try another PT" OR "This is not an uncommon procedure".

Anyhow, I think I need to go with my gut here and try another PT and see how it goes. Thank you for your time and take care.




Tom Reeves DPT ATC -> RE: Are tailbone adjustments "standard/normal" procedure? (May 5, 2008 9:56:58 AM)

I wouldn't say that this it is common but its not a sign that your PT is a freak.  Sometimes that is the best treatment.  here is a link to a coccydynia discussion on this board

http://physicaltherapy.rehabedge.com/Coccydynia/m_55867/tm.html




John Doe -> RE: Are tailbone adjustments "standard/normal" procedure? (May 5, 2008 2:37:12 PM)

Tom,

Thank you for the insight. I tried the link you provided, but it appears to be incorrect. Can you double check it?




Tom Reeves DPT ATC -> RE: Are tailbone adjustments "standard/normal" procedure? (May 5, 2008 2:48:00 PM)

http://physicaltherapy.rehabedge.com/Coccydynia/m_55867/tm.htm

I think I added an "l" at the end.  The thread can be found in the Orthopedic discussion group, go the third page of threads and its at the top.




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