Crushed coccyx with pain and sexual issues

by Jennifer F
(Salem, Oregon)

Thank you for your time. I hope you can help.
When I was nine years old, I crushed my tailbone while at the roller rink. At the time, it was believed there was nothing you could do for such an injury.
As I grew, the pain worsened and I developed scoliosis. The doctors believed it was directly connected to my coccyx injury.
In my adult years, my darn tailbone has caused more hassles and headaches. I require frequent visits to the chiropractor and my lower back is in constant pain. But the worst of the consequences are sexual. I had to deliver my daughter via c-section because my crushed tailbone was blocking the birth canal and what's worse, it's incredibly difficult for me to achieve orgasm, which I recently discovered is also a result of a broken tailbone severing or intruding upon the muscles and nerves in that area.
After all these years, I understand that the broken bones are now fused, but could you please tell me if there is anything a chiropractor can do to relieve the constant pain and side effects of this injury?
Jennifer F.
Salem, OR

Hello Jennifer,
It's a nasty injury, more usually caused by a prankster pulling out a chair as one is about to sit.

It's hard to be sure about that causing the scoliosis. Do you have any curvature in the family? More usually, the cause is a short leg. Have your husband stand behind you, place both hands on the crests of the hips (look up "iliac crest" at our sacroiliac joint anatomy page.) Are they obviously unlevel. Ask your chiropractor to check too. If there are xrays taken standing, they will give an indication too.

There are three ways to treat the coccyx. Firstly a donut cushion of some sort; it takes the weight of the nether region. Then there's an external technique that I always use first. It's simple and often effective in acute injuries.

However, in a chronic case like this, I find the internal coccygeal technique much more effective. It's not really painful, but it is awkward. Take your husband along with you. Not all chiropractors will do it.

Are you doing lower back exercises? That's important too, and you'll find them in the navigation bar at Chiropractic Help.

It's tough treating any chronic injury, doubly so when it has such deeper ramifications. But that's what I would do; I give you a fair chance of achieving fifty percent, perhaps more, pain.

Try not to have it surgically removed. There are important muscles attached to the coccyx.

I hope this contributes.

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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