Standing or standing with one foot supported on a chair or sidelying with the top hip flexed.
If you wish to palpate on the skin, provide a private room for assessment. The patient is asked
if he/she is willing to lower pants/shorts/skirt, if needed, for direct palpation on the skin. While
the skin can not be viewed with clothes covering the area, the coccyx usually can be palpated to assess
pain response over clothing.
Posterior to the patient.
(After explaining the need to palpate on the skin, if needed, ask the patient if he/she is willing to lower
pants/shorts/skirt while being covered on the anterior pelvic area. e.g..). Possible trauma or damage to the tailbone
can be evaluated more accurately if you lower your pants/shorts/skirt Ö (and demonstrate the level, which is to the
level of the coccyx). Would you feel comfortable doing this? If not, I can assess some things without moving your
clothing and with pressure from my fingers. Please stand or put one foot on the chair or lie on your side and bend your
hip. May I place my fingers on your tailbone?
(You can use a skeleton if available).
Guide the patient to drape and be in the position you want. If given permission, place your fingers on
the patientís coccyx. Assess symmetry, normal placement, stability, pain, etc. of the coccyx.
This area of the body is very sensitive related to modesty. Allow adequate time for explanation and
to request permission to touch and then to drape.
VH - Coccyx