Burning in coccyx

by Chris
(Regina Saskatchewan Canada)

> > Burning in coccyx

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 Barrie Lewis

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Jun 22, 2018
Finally pain management
by: Anonymous

I was given every opiate on the market and finally put on methadone for pain management ..increased dosage 3 times and still pain was 8 to 9 out of 10 and I wasn't eating or sleeping and went to 85 lbs. Then a new doctor put me on CBD oil with 20 to 1 CBD TO THC ratio and within days my pain started to stop and now I am back to work after 3 years on disability and my pain level dropped to 1 or 2 on pain scale. CBD oil gave me quality of life again..it is a Godsend. I am so grateful to have my pain virtually gone.

Wonderful that it's working for you. Still, take care how you sit.

Dr Barrie Lewis

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 Barrie Lewis

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 Barrie Lewis

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