This course will enable practitioners of all disciplines to treat coccygeal pain effectively, using a variety of modalities in their practices. You will be shown how to take a comprehensive, relevant case history and how to examine the coccyx and related structures.  From this, you will learn how formulate your differential diagnoses and treatment plan. This will include specific testing, developed by Dr Sandler, for use in his private practice.  Treatment will be demonstrated and practised using a per rectal approach as well as other techniques. You will also receive the results from an as-yet unpublished audit,  showing the results and effectiveness of the procedures in a population of more than 400 patients.