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Symptoms of coccydynia

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  • Symptoms of coccydynia

    I went to Dr. Evans today and I have to have an MRI to see if I have this I thought that someone might be interested in the following.

    The symtoms are as follows of Coccydynia:Pain during or after sitting, the level of pain depending on how long you sit. This is the main problem caused by coccydynia. How painful it is also depends on the design of the chair and the padding. The increased pain and sensitivity caused by having to sit for a long period may continue for days afterwards.
    Acute pain while moving from sitting to standing. This symptom is particularly interesting, as Dr Maigne found that all of the patients he tested who had this particular symptom had a coccyx that partially dislocated or moved abnormally when the patient sat down. This was reported in the medical paper, Treatment strategies for coccydynia. The reason for the pain is thought to be that there are various muscles you use for rising which are also attached to the coccyx. When you go to rise, the muscles pull on the coccyx, pulling it out of position if the joint is damaged. Note - Sally Cowell wrote: To avoid this pain, try sitting leaning forward a bit and hollow your back a lot. This got rid of pain going from sitting to standing for me.
    Pain caused by sitting on a soft, but not a hard surface. As I understand it, this is usually happens when the joint between the sacrum and coccyx is unstable, so that the coccyx can be pushed out of place when you put pressure on it by sitting or lying. When you sit on a hard surface, most of your weight is taken on your 'sit-bones' (ischial tuberosities), the hard bits at the bottom of your pelvis. But when you sit on a soft surface, the foam rubber pushes up between the bones, increasing the pressure inside you and pushing the coccyx out of place.
    Deep ache around the coccyx
    Sensitivity to finger pressure on the tip or edges of the coccyx
    Shooting pains down the leg
    Like sitting on a marble that moves around
    Like sitting on a knife
    Like being impaled on a garden cane, with or without chilli peppers
    Pain during bowel movements, and sometimes before
    Pain during sexual intercourse, either in men or women. One woman reported that the doctors didn't take her pain seriously, even though she could not sit, until she told them that the pain meant that she was unable to have intercourse with her husband. They then believed that intervention was essential.
    Increased pain around the time of a woman's monthly period - this may be due to variations in the levels of estradiol
    Increased pain around the time of a woman's monthly period - this may be due to variations in the levels of estradiol
    If the pain was caused by trauma, then there may be other parts of the body damaged as well. If this damage includes the sacrum, hips or legs, it may be very difficult to sort out what is causing the most pain. An injection of local anesthetic to the coccyx area helps to find out how much of the pain is caused by the coccyx.

    Secondary symptoms
    If the pain persists for a long time, it is common for people to get secondary symptoms, such as:

    Painful feet, from standing too much. One particular problem that can develop is plantar fasciitis. Plantar means the foot, and fasciitis is inflammation of the fascia, or fibrous tissue enclosing and connecting muscles. It is a common problem with people who work standing up, particularly if they are over 40 and/or overweight. This condition is sometimes called heel spurs. There is a good site with information on plantar fasciitis.
    Exhaustion, depression, lack of sleep. It is pretty obvious why you get these symptoms when you are in pain. Unfortunately, some doctors will focus on these problems and ignore the pain that is causing them. You need to make sure they focus on the source of the pain. Many coccyx pain sufferers find that some people, including some doctors, refuse to believe that they are in pain, saying that they imagine it because they are depressed. This is a desperate situation to be in - suffering pain, but not getting treatment for it because you are not believed. If this happens, it's not much use arguing with the doctor. Its time to find a new one.
    Painful back, from sitting in awkward positions to relieve the pressure on the coccyx. If the back pains were caused by sitting badly, and didn't start before the coccyx pain, then manual treatments such as physiotherapy, osteopathy and chiropractic will often help.
    Other aches and pains around the body. Pain in one region of the body can lead to hypersensitivity of another region due to crosstalk between the nerve fibres. In the case of coccyx pain, the whole area of the buttocks can become hypersensitive because of this effect. This, of course, makes sitting even more uncomfortable, and chairs and sitting positions which were initially OK can become uncomfortable. Hips may become painful if you are lying on them most of the time.
    Updated 2002-03-1

    http://www.coccyx.org/whatisit/symptoms.htm0

    Good luck to everyone I hope this helps someone. Also I have to have a bladder destention, and a biospy.
    Coopsmom

    "Through God All Things Are Possible"

    Topamax for Migraines 50
    Elavil 12.5 mg
    Lidocaine 2% 10 cc
    Sodium Bicarb 8.4% 5 cc
    Heprain 20,000 Units
    Hydroxyzine 25 mgs
    Valium Sup. 10 mgs.
    Phenegran 25 mgs.
    Amerge 2.5 mgs.
    Lidocaine Gel 2%


  • #2
    good info.
    Newly IC diagnosed as of February 2011.

    Medications I'm on that seem to work:
    Zoloft- one once a day
    Butrans pain patch 5 mcg (THANK GOD FOR WHOEVER INVENTED THIS!SO MUCH PAIN RELIEF ITS UNREAL,I AM IN NO PAIN AT ALL UNLESS I STRESS OR SCREW UP ON THE DIET)

    Failed Meds:
    Elmiron-after 4 months,digestive side effects got to be too much
    tramadol-allergic
    DMSO treatments(5-6)
    probiotics

    THERAPIES:gardening,cooking,IC Diet,Counseling,Lots of warm baths,stress reduction,heating pad or ice packs,meditation/deep breathing,listening to relaxing music,having fun on pain free days,drinking chamomile or peppermint tea,pelvic floor physical therapy
    AROMATHERAPY-candles,incense
    Village Naturals Aches and Pains Peppermint Bath Salts
    Johnson and Johnsons Lavender Melt Away Stress Body Wash/Lotion

    ACUPUNCTURE/HERBS
    Significant pain relief so far.

    MAY TRY:yoga,swimming/hydrotherapy and anti-candida diet if i can kick my sugar addiction
    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    ***TO MY IC SISTERS AND BROTHERS:WE ARE OUR OWN ADVOCATES!,PLEASE DO AS MUCH RESEARCH ON YOUR OWN AS POSSIBLE AND TRY DIFFERENT TREATMENTS TO GET WELL.NOT ONE TREATMENT WORKS FOR EVERYONE.MOST IMPORTANTLY,TRY TO KEEP A POSITIVE ATTITUDE,DISTANCE YOURSELF FROM NEGATIVITY/NEGATIVE PEOPLE AND NEVER,EVER GIVE UP!***

    Add me on facebook Angela Hasic

    ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
    Lord, make me an instrument of your peace;
    where there is hatred, let me sow love;
    when there is injury, pardon;
    where there is doubt, faith;
    where there is despair, hope;
    where there is darkness, light;
    and where there is sadness, joy.
    Grant that I may not so much seek
    to be consoled as to console;
    to be understood, as to understand,
    to be loved as to love;
    for it is in giving that we receive,
    it is in pardoning that we are pardoned,
    and it is in dying [to ourselves] that we are born to eternal life.

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    • #3
      I had that same kind of pain recently and it lasted for 2 weeks and just went away. kinda weird but it was very painfull too sit down.
      Diagnosed with IC October 2009- through bladder biopsy (no glomerations or hunners ulcers found, just irritation)

      I have moderate-severe IC

      Currently stopped taking all medications due to pregnancy

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      • #4
        Coccydynia

        I found the information about Coccydynia to be vey helpful. I was diagnosed with IC in 2008 and started to experience pain in my tailbone about 6 months ago. It hurt more when I moved from a sitting position to a standing position. It hurt when was sitting for any period of time. I have no idea why the pain started when it did -- out of the blue.

        I just had my second visit with a chiropractor today. He reviewed the results of my x-rays with me. He said I must have taken a hard fall on my tail bone. I probably did but I don't remember when.

        I have pain shooting down my left leg but I assume this is sciatica. How did the pains shooting down your leg relate to your sciatic nerve? What nerves caused your pain to shoot down your leg?

        Very helpful information. I plan to show it t my new chiropractor. I decided to try this for neck pain (arthritis) and siatic nerve pain. I'm not sure if the chiropractic manipulation will cause a flare. It's possible.

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