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  • RainyDay74
    Post count: 1

    I have had tailbone pain for many years. First xray was in 2007 with no answers to the problem. Just two weeks ago I had another xray and Dr said I had an abnormal coccyx and degenerative disk in lower spine. Went to GP and asked for cortisone shot in back but it did not help at all. Finally requested an MRI and should get results in a couple of days. Even though Dr has not read it, a friend of mine that performed MRI said it looked like a herniated disc. The pain has been horrible especially when sitting even for a short amount of time. Now I also have pain in left calf and back of knees. I have also noticed that my bowel movements have become loose which is not normal for me due to the fact that I’m usually the total opposite. What I’m wondering is that if it is a herniated disc and not degenerative along with the coccyx issue, what are my treatment options?

    Donald Corenman, MD, DC
    Post count: 8465

    Tailbone pain is one of the most difficult symptoms to diagnose and treat. There are times that “tailbone pain” is misunderstood as to the true location of pain and this pain really might be buttocks or sacroiliac pain. Nonetheless, I will assume this is true tailbone pain and we will discuss this symptom.

    Coccyx pain has three different origins; nerve compression pain (herniated disc-HNP), local ligamentous pain (sprain of the coccyx) and sacral or pudendal neuropathy. The way to diagnose these is with nerve blocks (see SNRB on website to understand these blocks) or local blocks (injection into the coccyx ligaments).

    If this is neuropathy type pain, treatment is very different than the other two disorders. See chronic neuropathy on the website.

    If this is HNP mediated pain, a block of the nerve compressed at the herniation should yield temporary relief (see pain diary).

    Loose bowel movements are not related to this disorder.
    Dr. Corenman

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