In this paper, use of manipulation therapy in coccydenia is discussed Coccydynia is a term that refers to pain in the region of the coccyx which is typically triggered by or occurs while sitting. The intensity of the pain varies and sometimes is aggravated by arising from position or injecting the painful area with local anesthetic or corticosteroids. In most cases, abnormal mobility is seen on dynamic standing and seated radiographs. The cause of pain is unknown in most of the patients. Non surgical management remain the gold standard treatment for coccydynia, consisting of decreased sitting, seat cushioning, coccygeal massage, stretching, manipulations, local injections of steroids or anesthetics and postural adjustments. In this article we will focus on the use of manipulations to treat the coccydynia.

Keywords: coccydynia, manipulation therapy.