Your Hips Don’t Lie-And Neither Does Your Tailbone: Understanding Musculoskeletal Pain Through a Pelvic Floor Lens
Ah, Shakira... she was right, you know. Your hips don’t lie-and neither does your tailbone.
Fun fact: Your pelvic floor is part of your core. Not just the “core” you think of when doing crunches, but the true core system (which is made up of your diaphragm, abdominal muscles, back muscles, and yes, your pelvic floor). When this system is out of sync, it can contribute to pain in places you might not expect, like your hips, low back, or your tailbone.
At Everbloom Pelvic Health, we specialize in whole-body pelvic floor therapy, because your symptoms often have more to do with alignment, breath, and muscle coordination than isolated joints or single movements. Many of our clients come in thinking they need an orthopedic referral, but find that pelvic floor therapy was the missing piece all along.
Let’s explore how common musculoskeletal complaints-especially hip pain, low back pain, and coccydynia-connect back to pelvic health and how a holistic, hands-on approach can bring real, lasting relief.
The Hidden Link Between Pelvic Floor and Musculoskeletal Pain
Musculoskeletal pain is often thought of in silos. Hip pain? Must be a labral tear. Back pain? Probably poor posture. Tailbone pain? Maybe you fell at some point.
But what if these pain points are actually signaling something deeper like pelvic floor imbalance, core dysfunction, or nervous system overload?
Your pelvic floor works like a shock absorber and stabilizer. When it’s too tight, too weak, or not coordinating properly with your hips and spine, the result can be tension, compression, or asymmetry throughout the whole system.
That’s why we often see hip pain that’s not truly orthopedic, or stubborn low back pain that persists no matter how much you stretch. Even the tailbone-a small but mighty structure-can become irritated or misaligned due to chronic tension or past trauma, creating a ripple effect through your entire pelvis.
Let’s Talk Low Back Pain
Low back pain is one of the most common complaints among adults, and it often shows up postpartum or after prolonged sitting, standing, or lifting. While traditional treatment might focus on strengthening or stretching, we look deeper.
We ask:
How is your core pressure managed during movement?
Is your diaphragm working in harmony with your pelvic floor?
Are you compensating with your glutes or gripping with your abs?
Pelvic floor dysfunction (particularly tension or poor coordination) can disrupt this entire system, contributing to pain that flares up with basic movements or simply won’t go away.
At Everbloom Pelvic Health, our pelvic floor occupational therapy approach assesses your breath, posture, movement habits, and internal balance to restore harmony across your whole system.
The Curious Case of Hip Pain
Hip pain is often diagnosed as bursitis, impingement, or tight rotators. But it can also be linked to overactive pelvic floor muscles, imbalanced hip loading, or instability in the pelvic girdle.
You might notice:
Pain when walking, squatting, or rolling over in bed
A clicking or catching sensation in your hip joint
A deep ache near your sit bones or hip crease
Through manual therapy, movement retraining, and pelvic floor work, we help bring back fluidity, balance, and strength. Many of our clients are surprised to find that their "hip issue" is actually a pelvic floor issue, and once we address the root, the pain finally starts to fade.
Don’t Forget the Tailbone: Coccydynia
Coccydynia, or tailbone pain, is an often-misunderstood condition that can make sitting, driving, or even going to the bathroom uncomfortable. It may stem from a past fall, difficult delivery, or chronic tension patterns that create inflammation and misalignment.
Symptoms can include:
Sharp or aching pain when sitting
Pain with bowel movements or intimacy
A feeling of "pressure" at the base of the spine
We approach coccydynia with gentle internal and external manual therapy, myofascial work, postural retraining, and tools to support the nervous system. In many cases, pain that has lasted for months (or even years) can improve significantly with targeted, trauma-informed care… with noticeable improvement of symptoms in as little as one session.
How We Treat Musculoskeletal Pain at Everbloom
Every body tells a story, and we take the time to listen. Our evaluations go beyond symptoms to uncover patterns in how you move, breathe, and hold tension. Then we build a care plan that supports your goals and daily life.
Our treatment may include:
Manual Therapy for fascia, joints, and soft tissues
Visceral Mobilization to address organ restrictions that affect movement
Core and Breath Integration to restore stability from the inside out
Postural and Alignment Training to reduce compensations
Functional Movement Repatterning for pain-free living
Education and Home Strategies to support long-term change
This work is gentle, consent-driven, and deeply personalized. We don’t just hand you a printout of exercises and send you on your way. We collaborate with you to understand your body and restore ease.
Local Care for Lasting Relief
Located in Sanford, NC, Everbloom Pelvic Health is proud to serve the Sandhills region with specialized pelvic floor therapy that addresses musculoskeletal concerns at their root. Whether you’re postpartum, perimenopausal, or just feeling off in your hips, back, or core, we can help you move better and feel better, without pain dictating your days.
When Should You Reach Out?
If you’ve tried stretching, chiropractic, physical therapy, or massage and still feel “off” in your body, pelvic floor therapy may be the next step. Especially if your symptoms include:
Recurring low back or hip pain
Tailbone discomfort that worsens with sitting
A sense of instability in your core or pelvis
Pain that flares with movement or activity
Book Your Initial Assessment or Free Consult
Healing starts with understanding. Whether you’re looking for answers or simply want to feel better in your body, we’re here to support you with expert care, grounded presence, and whole-person perspective.
Book your 90-minute pelvic health assessment or schedule a free 15-minute virtual consultation to see if Everbloom is the right fit for you, here
