FAI and Coccydynia correlation?

by Kimberly

FAI and Coccydynia correlation?

I have been dealing with severe pain in my left hip for several years. I attributed it to an injury. After 5 years I finally saw a orthopedic surgeon. After some x rays and an MRI he diagnosed me with FAI. I have yet to do anything about it as I don't have insurance and can't afford the $10,000 surgery out of pocket. So my plan is to wait until I can't wait anymore and then figure something out.
(Terrible, I know, but I'm just low on options) I'm VERY active. I swim, bike run, lift weights, Crossfit, etc. So it's only getting worse.
However, about 3 weeks ago I began to develop something new. High levels of pain at the very tip of my tailbone. If I sit for even 5 minutes on a soft or hard surface, my tailbone hurts VERY badly. It's also sore to the touch. My sister had a Pilonidal cyst. So I thought perhaps I'm developing that? But I don't feel any growth as of now. Just soreness.
Is there anyway that the tailbone soreness could be related to my FAI? I know I should probably get more x rays. Just trying to avoid that right now.

Hello Kimberley,
Have you got the X-rays and MRI? Could you send me single view of the pelvis? Either as a digital attachment here, or to contact.

FAI is sooooo treatable with conservative means. You don't have to, and shouldn't live with this pain. It's trying to tell you something. Daily exercises are vital.

Your age?

Untreated, unmanaged, unexercised FAI leads unerringly to hip arthritis, and that will cost you a lot more pain and suffering than $10,000.

What I need to know is after five years of pain how much arthritic development is occurring. At this stage you probably don't need new X-rays.

There's no direct connection that I know of between the coccyx and FAI. But because the latter affects your gait, it certainly has a knock on effect on everything in the area, including the coccyx.

In all probability you've bumped your coccyx, and what's needed is a donut cushion for a few weeks or months. Coccyx pillow ... you read about the chiropractic help for coccyx pain. Mostly it can be done externally, though internally via the rectum is more effective, not painful, but obviously not pleasant.

I would modify your exercise program until we've established how bad your hip is. More emphasis on non weight bearing exercise like swimming and cycling. And run short distances only on grass or soft surface, and perhaps not at all. You don't want a hip replacement at fifty.

Send me that pic, and we'll talk further. Meantime do more reading about Femoro Acetabular Impingement Syndrome Pincer

Go from FAI and Coccydynia correlation to Chiropractic Tips …

I hope this has contributed.

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 have left alone. After seven treatments his pain and stiffness is 50 percent better, and he is 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 is 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 pain-free. 

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 is well pleased; sixty-five percent better after three treatments.

5. Mr T is a wise man; he has 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 stroll 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; he has a short leg.

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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