Burning in coccyx

by Chris
(Regina Saskatchewan Canada)

My name is Chris and I am 59 year old female 5'2 105 lbs. I have been off work for eight months. I am currently on 6 mg of Hydromorph and 75 mg of Lyrica. This is a low dose and does little for my pain; but unfortunately I have been on the medication for eight months and have had to decrease the medication due to side effects.

I suffer from burning pain at coccyx when seated, standing and walking for more than 15 minutes. I have constant burning pain at coccyx but when you manually press on the coccyx it doesn't hurt; just a referral pain. I awake in the morning with bilateral aching pain in hips, gluteals and often referring into pelvis. I am in constant burning and aching pain with occasional shooting pain across my sacrum. I used to get pain relief by laying down but that is no longer. I am progressively getting worse and have been seeking Chiropractic, Physiotherapy, Massage Therapy, Pain Specialist all along.

My Sacroiliac joints tend to stick back and forth; changes from treatment to treatment. MRI showed small disc herniation at L4-L5 but Dr's believe this is too small for the cause of my pain. I have had MRI'S, CAT scans, blood work, XRAYS, Cortisone injection in coccyx, Colonoscopy and Pelvic ultrasound.

Currently seeing a Chiropractor three times a week; he utilizes a flexion-distraction table, adjustments, Graston Technique, Voodo Floss, Active Release Technique are some of his modalities that I am being treated with currently. Through recent research of the Cluneal Nerve entrapment I would be interested in using the "Activator" for treatment.

Hello Chris,
Mm, this is difficult, and it would seem that folk have missed the diagnosis if none of the treatments are helping.
If there is absolutely no tenderness on deep pressure on the coccyx then I'd think it unlikely that you are suffering from coccydynia.

I'm assuming xrays do not show sharply orientated anteriorally? Also, having pain when walking doesn't fit. Does it make a difference if you walk slowly, stand around, or walk fast?

If you lie on your back and pull each knee to the chest, then the opposite shoulder, and then make a circle, you get no pain in the groin, hip or sacroiliac joints?

Seen a urologist and gynae?

I'm sorry, but I have little to contribute. I have had similar cases, with no diagnosis, and the only treatment that seem to help was deep soft tissue therapy around the sacrum, coccyx and gluteal folds. It's helps a bit but was not really satisfactory long term.

Dr B

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Dec 08, 2015
Reply to leg length discrepancy
by: Chris Gavin

Chiro measured with tape...leg length equal.

One thing I missed telling you was when I am in the supine position and testing rotation of the hip; I have full mobility; lateral and medial. When I am in the prone position I have no mobility in lateral rotation of the hip; L worse than R currently but have full mobility of medial rotation.

It is a hard end feel with hip drag. Even if you hold down the sacrum the femur doesn't rotate laterally. I can get there with post isometric relaxation technique but the technique doesn't last. My chiropractor says my R SIJ is stuck; lack of spring. Internal assessment of pelvic floor is "like guitar strings." I have taken a break from all treatments for they are becoming aggravating and am focusing on diaphragmatic breathing with pelvic floor release and relaxation.

Hello again, Chris,
I have little faith in measuring leg length with a tape; ask your husband to stand behind you, placing a hang on each iliac crest. Are they level? A few millimetres is difficult, but anything over five usually is fairly obvious.

I frankly don't understand that internal hip rotation is lost lying prone, but normal when supine. If you press deep in the groin, and run the thumb down the inner thigh is it inordinately tender?

Swimming might help.

Let me know please if there are any new developments.

Dr B

Nov 20, 2015
by: Chris Gavin

I had xrays taken and only thing noted was ala's of sacrum were irregular shape..nothing abnormal in coccyx noted. I don't have pain walking but can't walk for more than 15 mins because I get back pain because my innominates aren't moving properly which stresses my back. It is more comfortable to walk briskly..I can't stand around or walk slow as it is painful..I can't stand in one place long and the pain increases.

My lumber has very little lordotic curve. An MRI shows small disc herniation at L4 L5 but surgeon says too small to operate on. My psoas doesn't test tight in passive range of motion nor my ham strings but my glute max has sag..when test active hip extension my glutes fire before my hamstrings. Seeking 2nd opinion on pelvic floor.

Hello Chris,
This suggests that you must be examined for a short leg; it's very typical that you can walk fast, but standing and walking slowly are difficult. Use our search engine at chiropractic help to find the pages with leg length inequality in.

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.

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