Tailbone Pain: What We’ve Been Getting Wrong with Dr. Patrick Foye Artwork

Pelvic PT Rising

Helping pelvic physical therapists improve as clinicians, in their careers or business, and their lives. Hosted by Dr. Nicole Cozean and Jesse Cozean, the founders of PelvicSanity physical therapy and the Pelvic PT Huddle, the podcast explores all aspects of pelvic physical therapy. You'll find the clinical pearls that Dr. Nicole teaches in her continuing education courses, the business and career advice that catapulted PelvicSanity into one of the largest cash-based physical therapy practices in the country, and living life as business owners and pelvic health advocates. And we'll be keeping it 100% real - and having some fun - along the way!

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Pelvic PT Rising

Tailbone Pain: What We’ve Been Getting Wrong with Dr. Patrick Foye

March 30, 2026 • Nicole Cozean, PT, DPT, WCS & Jesse Cozean

0:00 | 1:04:09

Tailbone pain is one of the most misunderstood — and underdiagnosed — conditions we see.

In this episode, we sit down with Dr. Patrick Foye, one of the leading experts in coccyx pain, to break down what clinicians are missing and how we can do better.

We cover:

Why tailbone pain is rarely a fracture (and what it usually is instead)
The concept of dynamic instability — and why it’s often missed
How to think about imaging (and why sit-to-stand X-rays matter)
Red flags you actually need to worry about
How injections and pelvic rehab can work together, not separately
And why collaboration is the key to better outcomes

This is a must-listen if you’ve ever felt unsure treating coccyx pain — or if your patients aren’t getting better the way you’d expect.

About Dr. Patrick Foye

Dr. Patrick Foye is a leading expert in non-surgical treatment of tailbone pain and Director of the Coccyx Pain Center at Rutgers New Jersey Medical School. He is the author of Tailbone Pain Relief Now! and has published extensively while teaching and lecturing internationally.

Website: https://tailbonedoctor.com/

YouTube: https://www.youtube.com/@TailbonePainDoctor

Book: https://a.co/d/04s0eU2g

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health. PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016. It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes. Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!