Coccydynia worsening?

I am a 23-year-old female student. 3 years ago I started to have chronic back pain, in which I sought help from many doctors before finally getting the diagnosis of coccydynia. After taking diclofenac sodium for a while the pain went away. However currently the pain came back, accompanied by a radiation to the right side of the groin and inner thigh. I wonder what has happened?

Hello Penelope,
There seems to be more than one thing going on here, and that's not unusual in the lower back and pelvis.
Firstly, you say you had chronic low back pain. Now that's different to coccydynia.

The latter is deep down in the buttock crease. If you slide your finger upwards from the anus, you would have felt /be feeling tenderness on deep palpation much lower than the back. Sitting on hard surfaces is often very sore. It's not usually affected by bending and twisting, either forwards or backwards.

However, lower back pain would probably be worse with one or other movement of the back, either bending forwards or backwards, or to the side.

The "Slump Test" would be positive if there is any disc involvement. Try it (type slump test into the search this site function in the navigation bar at C-H) and let me know the result.

Now we come to the groin and inner thigh pain. This points either to a hip condition such as Femero Acetabular Impingement Syndrome or Hip dysplasia (again type these terms into the search function). Or, a pinched nerve high in the lumbar spine would follow the Femoral nerve (or one of its branches: the ilio-inguinal or genito-femoral nerves that go to the groin and even the labia) into the groin and inner thigh. These muscles often become very tender with all these groin/hip/high lumbar spine conditions.

Pull your knee to the chest, and then towards the opposite shoulder. Does it hurt in the groin? A hip condition.

As you see this is all very complex, and what's needed is a careful and very thorough chiropractic examination to find the real source of your pain.

Start by doing the lower back exercises at C-H very faithfully every morning before getting out of bed.

Next, get copies of your X-rays. You can take a photo of them if they are on plain film with your digi camera, with the flash off. If they were digitally made, ask for a copy on CD. Jump up and down and perform hysterically if they refuse at the radiological dept for you to see, have a copy, of your X-rays. It is your body after all!

Then, starting looking for a thorough experienced chiropractor. Ask friends, family, tell your doctor of your frustrations, s/he may be able to recommend someone. Take a copy of this letter.

Good luck, I hope this has contributed. By all means ask more questions.

Dr Barrie Lewis

> > Coccydynia worsening?

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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. X-rays 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 few months 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 is a non-complicated upper cervical facet syndrome, and she is doing well.

12. Mr D is a 38-year 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 could not 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 should not be treating the elderly most medical sites state but that is so much bunkum.

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