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A look back at an international and multidisciplinary coccyx symposium

We look back on an extraordinarily successful symposium that ProFundum Educatie organized in Dordrecht on 29 and 30 June in collaboration with the Proctosclinic.

Prior to the symposium, there was a masterclass in which we, with 35 professionals led by Fetske Hogen Esch, the Dutch Sherlock Holmes when it comes to chronic pelvic pain syndromes (CPPS).

In this masterclass, besides pelvic physiotherapists, medical specialists and osteopaths from different parts of the world were present.

Together with Dr. Jason Woon from New Zealand, who has done a great study on the anatomy of the coccygeal region and Dr. Eric Bautrant from France, who mainly dealt with pudendal neuralgia and confinement, were discussed very complex cases and worked out in small groups. With the subsequent central discussion, clinical reasoning became of the highest level. The evaluations resulted in high scores so that everyone could look back on an inspiring day where new friendships and professional relationships were developed.

The symposium was sold out just like the masterclass! Dutch pelvic physiotherapy was well represented and has been heard. The medical specialists and osteopaths from all over the world have experienced that there was a huge (com) passion in this group of health care providers. Much attention was paid to the NIMOC technique developed by Sytske Lohof in the Netherlands, which in her last presentation was an impressive video of her MS patient who had been treated with the NIMOC. It was quiet in the hall …

Finally, a start was made on working on a guideline for the treatment of coccygodynia. We have learned a lot and the new insights will be included in the new tailbone course. Where the symposium will be organized in two years, is currently under investigation, but will be announced before the end of the year.



Coccygodynia remains a poorly understood condition in which medical care is often deemed unsatisfactory by medical doctors, physiotherapists, osteopaths and patients.

It is, as we all know, the source of considerable low quality of life scores in everyday life. Research and knowledge is progressing but there is so much we still don’t know. In 2016, the first world congress on coccygodynia in Paris was an inspiring experience, meeting dedicated professionals and patients from  17 different nationalities. This inspiration resulted in the obvious decision to organise the follow-up meeting in the Netherlands. Experts from New Zealand to North America, from Asia to Europe will present their knowledge and work in the fields of anatomy, diagnostics and conservative and surgical treatment options. We tried to enroll a program as complete as possible, with ample time-slots for discussion because we believe that everyone’s experience in such a narrow field is of indispensable value. The meeting will take place in the beautiful Historical Museum of Dordrecht, the oldest city of the Netherlands. We look forward to welcome you and your colleagues and hope to see you soon in Dordrecht in the Netherlands!



Grietje Vander Mijnsbrugge, MD,
colorectal surgeon Proctoskliniek

Marijke Slieker-ten Hove, PhD, MA, SPPT
pelvic physiotherapist ProFundum Instituut/ Erasmus MC