I have been dealing with tailbone pain for a very long time, only affects me when sitting for a prolonged period of time; I have no issues with my pouch. I recently had a mri on my pelvic area which showed inflammation around the coccyx bone, so doctor sent me to physical therapy. Upon evaluating me it turns out that All the pelvic floor muscles/ligaments are tight;, thus making my tailbone out of place and painful. Now physical therapist wants to do internal manipulation of the tailbone via the rectum. Is it ok if they go into my rectum to do this, or am I going to jeopardize my pouch?
As long as this therapist understands that you do not have a rectum and ileal tissue is less sturdy than rectal tissue, it might be OK. I’d get it cleared by your GI first. Another thing I would be concerned about is how effective this would be. But, if it does provide some temporary relief, you’ll know the tailbone position is the cause. This is done under anesthesia sometimes, so don’t put up with more pain than you are willing to tolerate.
Let us know how it turns out.