Developed and taught by a Specialist Pelvic Health Physiotherapist, this course supports clinicians to confidently assess and manage endometriosis and pelvic pain using a practical, whole-person approach.
Coccyx & Perianal Pain
with Dr Angela James FACP
Enrol Now
This workshop is available on-demand.
Purchase Course On-Demand
Cost: $440 AUD
Notes:
For Australian customers GST is included in the price of this course
For Australian health professionals: Completion of this course will earn 8 CPD points.
Access: 12 months from purchase
Description
Do you feel confident assessing and treating coccyx and perianal pain—and knowing what is driving the pain in the person in front of you?
Coccyx and perianal pain can be challenging to assess and manage. Presentations may involve local musculoskeletal and pelvic floor dysfunction, altered biomechanics, bowel dysfunction, neural involvement, pain sensitisation and psychosocial factors—often in combination.
This course equips pelvic health physiotherapists with an evidence-informed, biopsychosocial framework to confidently assess, clinically reason and manage coccyx and perianal pain.
Moving beyond a purely tissue-based approach, you will learn how to differentiate local, regional and central contributors to pain, recognise important differential diagnoses and red flags, and determine which findings are clinically meaningful. You will then apply a structured clinical consultation framework to translate your assessment findings into an individualised, multimodal management plan.
What’s Included
Alongside the comprehensive course content, you will receive practical resources designed to support immediate clinical translation, including:
- Structured clinical consultation framework to guide assessment, clinical reasoning and management
- Video demonstrations of clinical assessment techniques, including coccyx and pelvic floor assessment
- Practical exercise therapy demonstrations and progressions
- Clinical assessment forms to support use in practice
- Case-based learning demonstrating the progression from assessment and clinical reasoning through to management and outcomes
- Practical treatment strategies across education, manual therapy, pelvic floor rehabilitation, exercise and self-management
- Resources to revisit in clinical practice, supporting ongoing application beyond completion of the course
Course Modules
CPD Points
For Australian health professionals: Completion of this course will earn 8 CPD points.
Learning Objectives
- On completion of this course, participants will be able to:
- Describe contemporary terminology, anatomy, biomechanics and function relevant to coccyx and perianal pain
- Understand common mechanisms and risk factors associated with coccyx pain, including trauma, vaginal birth and postpartum presentations
- Differentiate nociceptive, neuropathic and nociplastic pain presentations and understand their implications for clinical management
- Recognise red flags and differentiate coccyx pain from other musculoskeletal, neurological, pelvic floor and anorectal presentations
- Apply a structured biopsychosocial clinical reasoning framework to the assessment of coccyx and perianal pain
- Conduct a comprehensive patient history incorporating pain, bowel, bladder, sexual, obstetric/gynaecological, musculoskeletal and psychosocial factors
- Select and interpret relevant patient-reported outcome measures and screening tools
- Perform appropriate musculoskeletal, functional, external coccyx and pelvic floor assessment
- Assess coccyx mobility and relevant pelvic floor and deep pelvic musculature using appropriate clinical examination techniques
- Identify local, regional and central contributors to an individual’s pain presentation
- Integrate assessment findings to develop a clinical impression and individualised treatment plan
- Apply multimodal physiotherapy management including education, manual therapy, pelvic floor rehabilitation, sitting modification, exercise therapy and self-management strategies
- Prescribe and progress exercise therapy according to the individual’s impairments, functional goals and pain presentation
- Integrate psychologically informed, trauma-informed and person-centred approaches into clinical management
- Recognise when further investigation, medical management or interdisciplinary referral is indicated
- Translate clinical reasoning into practice using structured assessment resources, clinical demonstrations and case-based learning
Course Access
Learn at your own pace and revisit the course content, demonstrations and clinical resources throughout your access period.
Dr Angela James FACP
Dr Angela James FACP is a Specialist Pelvic Health Physiotherapist, as awarded by the Australian College of Physiotherapists, and Founder of Sydney Pelvic Clinic—a leading centre of excellence for pelvic health in Australia.
With over 20 years of clinical experience, Angela has developed extensive expertise across pelvic health, including endometriosis, pelvic pain, bladder and bowel dysfunction, and pregnancy and postnatal care. Her work is grounded in a biopsychosocial, whole-person approach, integrating pelvic health, musculoskeletal physiotherapy, and contemporary pain science to support meaningful, lasting outcomes for patients.
Angela teaches nationally and internationally, supporting clinicians to translate evidence into clinical practice and deliver high-quality, patient-centred care. She is passionate about equipping clinicians with clear frameworks, practical strategies, and clinical reasoning skills to confidently manage both straightforward and complex presentations.
She is the National Chair of the Australian Physiotherapy Association Women’s, Men’s and Pelvic Health Group and is actively involved in advancing clinical standards, education, and advocacy within the profession. Angela regularly presents at national and international conferences and contributes to the ongoing development of pelvic health physiotherapy practice.
Her work is driven by a commitment to improving access to high-quality pelvic healthcare and supporting clinicians to deliver care that is evidence-based, integrated, and truly patient-centred.
Enrol Now
This workshop is available on-demand.
Purchase Course On-Demand
Cost: $440 AUD
Notes:
For Australian customers GST is included in the price of this course
For Australian health professionals: Completion of this course will earn 8 CPD points.
Access: 12 months from purchase