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  • Donald Corenman
    Post count: 52

    I was looking for MRI subjects and came up with your web site. I have had back problems since I was 21, am 74 now. My problem is at the very base of my spine. Had hemmeroids (wrong spelling, sorry) which have been removed. But when sitting, I still have problems at the very base of my spine. It seems like it could be a the last bone of the spine or a soft tissue issue. I believe it could be the latter or both.
    An xray and MRI have been ordered. Will this show the lowest part of the spine as well as the soft tissue in that area? This is “my main” question!

    Donald Corenman, MD, DC
    Post count: 8459

    The lowest part of the spine is the coccyx attached to the sacrum. The coccyx or “tailbone” can cause pain or pain can be referred by the nerves in the sacrum (sacral plexopathy) or occasionally by the nerves in the lumbar spine.

    Coccygodynia is pain in the coccyx caused by tear of the ligamentous attachments to the sacrum (somewhat like tennis elbow of the “butt”). This can be treated by PT and injections.

    Sacral plexopathy can be treated with epidural injections and an occasional implanted stimulator.

    Lumbar origin of this pain is treated with the typical agents; injections, PT and possible surgery.

    The diagnosis of the origin of this pain through a good history and physical examination is your next step.

    Dr. Corenman

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