RubyleeMemberAugust 14, 2012 at 11:07 amPost count: 7
Thank you for considering my question. I previously posted but assumed it would go unanswered. I shortened the info in hopes you could alleviate my fears.
Chronic low dull backache left side, never lets up. VAS 2-5 increases with activity. Moderate paced walking causes pain to radiate in to left buttock VAS 3-6 resulting in an altered gait or slight limp. Occasionally sharp pains wrap around into left knee VAS2-4. Eventually pain reaches into left hip VAS 2-6 causing a throbbing ache that diminishes with rest. During sleep only sharp pain radiates down into posterior part of thighVAS5-7. Also while sleeping hip pain increases to VAS3-7.
Tailbone has excruciating VAS 5-8 upon standing only. Pain immediately goes away upon walking. Tailbone soreness VAS 2-3 while driving longer than 15 min and upon sitting on overly soft cushions. This was ultimately relieved by using coccyx pillow. Although going to standing position still causes pain.
Additionally, chronic neck pain VAS 2-5 accompanied by tightness moves up over skull and behind left eye causing throbbing headache VAS 4-7 that lasts about 10-16 hrs. This sometimes radiates behind left ear and resembles an earache with area just below earlobe sore to touch.
I have periodic numbness and pins and needles in elbow pinky and ring finger left hand. VAS1-4 more annoying than painful and nerve test could not confirm ulnar nerve damage. It did however confirm early onset carpal tunnel syndrome bilaterally .
Initially(4months ago) there was extreme hypersensitivity anterior left thigh that caused intense burning pain just lightly running fingers over the area. That has since dissipated.
New onset symptoms that have started this week are both legs have gone numb from thighs to feet (pins and needles) while sitting on the toilet and passively sitting on a fully supported swing.
My question is could there be an underlying cause to these symptoms other than SOFT TISSUE DAMAGE from MVA? Or if not what are your thoughts on manipulation under anesthia? My family has a history of over producing scar tissue and adhesions.
My current doctors feel I should be progressing faster than I am.Donald Corenman, MD, DCModeratorAugust 14, 2012 at 6:49 pmPost count: 8455
Thank you for shortening the question. I get quite busy and the shorter questions are answered first.
You report pain in the back, coccyx, leg buttocks and leg. This pain increases with walking/standing. The neck pain is unrelated most likely and is from a different source.
You note no imaging studies that can confirm or deny the source of your pain. WIthout knowledge of structural problems, I can only speculate what could be causing pain.
Do not consider manipulation under anesthesia. The risks are greater than the benefits.
Dr. CorenmanRubyleeMemberAugust 15, 2012 at 9:49 amPost count: 7
Thank you for your answer. The coccyx pain is intense when standing from sitting position. Goes away upon walking. Could this be related to lower backache (weakness) and hip pain left side? Would problems with this area show up on an X-ray of lumbar spine, or is an MRI warranted? I’m disinclined to accept what I’m feeling is normal and requires a few more weeks of healing considering it is unchanged in 4 months. Coccyx pain went completely away for about 3 weeks with injection into area, but is back now. Low backache, hip pain, and pain into left buttock increases with activity, but again has never gone away. Burning pain down left thigh wakes me up at night only. Im wondering if this could be a problem with SI JOINT, and how would this be properly diagnosed? Thank you again.Donald Corenman, MD, DCModeratorAugust 15, 2012 at 7:58 pmPost count: 8455
Coccyx pain can be caused by a coccyx disorder (trauma or dislocation), a sacral plexopathy (irritation to the sacral nerves) or by referral pain from the lumbar spine. An injection that caused the pain to temporarily disappear could have been mediated through the steroid effect and is not helpful for diagnosis.
The chance that this coccyx pain is originating from the sacroiliac joint is minimal. You need to see a spine specialist for a thorough work-up and imaging studies.
Dr. CorenmanRubyleeMemberAugust 16, 2012 at 9:23 amPost count: 7
Thank you so much. My Dr. Has finally ordered a weight baring MRI.Donald Corenman, MD, DCModeratorAugust 16, 2012 at 7:19 pmPost count: 8455
Be careful with a “weight bearing MRI”. These examinations are performed on a lower strength MRI machine and the images can be less diagnostic. I prefer a standard MRI machine and then x-rays that are weight bearing.
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