Burning in coccyx
(Regina Saskatchewan Canada)
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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.
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 Barrie Lewis