Coccygeus (Musculus coccygeus)

Layer: Muscles

Educational content only — not medical advice.

Anatomy

The coccygeus (or ischiococcygeus) is a triangular pelvic floor muscle situated posterior to the levator ani. It extends from the ischial spine to the lateral margins of the sacrum and coccyx, lying in intimate contact with the sacrospinous ligament. Together with the levator ani and piriformis, it forms the pelvic diaphragm that supports the pelvic viscera.

Origin & insertion

From the ischial spine and sacrospinous ligament to the lateral margin of the coccyx and adjacent lower border of the sacrum.

Action

Pulls the coccyx anteriorly and supports the pelvic floor and pelvic viscera against intra-abdominal pressure.

Innervation

Anterior rami of sacral spinal nerves S4 and S5.

Clinical notes

Spasm or hypertonicity of the coccygeus contributes to coccydynia and levator ani syndrome, presenting as chronic deep pelvic and tailbone pain.

Related structures

Educational references

FAQ

What is the role of the Coccygeus?

The coccygeus (or ischiococcygeus) is a triangular pelvic floor muscle situated posterior to the levator ani. It extends from the ischial spine to the lateral margins of the sacrum and coccyx, lying in intimate contact with the sacrospinous ligament. Together with the levator ani and piriformis, it forms the pelvic diaphragm that supports the pelvic viscera.

Why is the Coccygeus clinically important?

Spasm or hypertonicity of the coccygeus contributes to coccydynia and levator ani syndrome, presenting as chronic deep pelvic and tailbone pain.

Source & license

BodyParts3D, © The Database Center for Life Science licensed under CC Attribution 4.0 International (https://creativecommons.org/licenses/by/4.0/). license details