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  • irelandigo
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    Post count: 7

    Dr Corenman

    I think I tried to post this the other day but not sure it went though and I was probably too wordy.

    I tore my intergluteal cleft from my coccyx. When it tore I was unable to walk effecting both legs, and I have lost function of the lower sacral nerves as well as the lower buttocks, glutes and all the tissue and muscles wasted. It is now effecting the nerves up to my belly button and if I even touch belly button the pain radiates to my back, down my thighs, pelvis and up to my chest. Very odd. Two days ago, a muscle or ligament tore more from the left pelvic floor /rectal area over to the inner thigh and under side that helps hold the buttocks up, at about the same time the pain sheered from back of my pelvis to the hip and over to the attaches to this area, if that makes sense. , got so bad I cold not stand or control left leg and hip and pain down to my foot. And it almost feels like the prudential nerve is now effecting. .

    I have been told I need a dedicated perennial MRI that will also include the pelvic floor, and eh lower sacral nerves but no one knows how to order it correctly and a reg pelvis scan does not show this area .

    Do you know the technical terms to order the correct MRIs. I am flabbergasted I have been in this decline since July 2nd all with that are tore.

    I am probably asked a loaded question, but have finally found a PA who will order the MRi if we know the how too. Obviously a reg pelvis MRi is not the go too.

    Any help appreciated. I am also happy to do a virtual visit with you if that helps

    Hope you are well.
    Mary

    Donald Corenman, MD, DC
    Moderator
    Post count: 8427

    I’m unclear how you tore your intergluteal cleft from the coccyx and how that diagnosis was made without imaging. You then note “When it tore I was unable to walk effecting both legs”. Was walking painful? If so, where was the pain? If it was weakness, what muscles were weak?

    You note “I have lost function of the lower sacral nerves”. I am unclear why that would be as these nerves serve sensory to the rectal area and nerve loss would affect bowel and bladder function.

    You then note “if I even touch belly button the pain radiates to my back, down my thighs, pelvis and up to my chest”. The belly button is supplied by the T10 nerves and below so you could have lower thoracic problems as an origin of your symptoms.

    You certainly need to start with a lumber spine MRI that covers the lower thoracic spine to at least T8-9 based upon your symptoms. A pelvis MRI might be necessary but I would hold off until the lumbar MRI is performed. A pelvis MRI would cover what your complaints are but remind the technician that the posterior buttocks region and sacrum need to have close attention.

    Dr. Corenman

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