I've had severe coccyx pain on the right side of the very tip of my coccyx for 3 years with no trauma or injury.

I can feel something moving when i push my finger on the tip of my coccyx and this is what seems to causing the pain but everyone seems to be ignoring me!

I just FINALLY got a laying down MRI and it says..

THe coccygeal segments reveal a predominantly fatty marrow signal intensity. No marrow oedema is shown. There is no precoccygeal fluid collection or mass lesion identified. Visualsised lower lumbar discs do not reveal any significant herniation. Minor facetal changes are seen at L4-L5. The piriformus muscles appear normal.
Conclusion - no clear abnormality or precoccygeal mass lesion found.


I am SO frustrated. I dont know what else to do to tell people that I need a SEATED scan as this is when the pain is and I'm sure something is going out of place! All they want to do is do injections but they wont try and find out what is wrong.

Does anyone know if I'm allowed to request them to open me up and have a look?!?

Please someone help! I cant sit down anymore :-(

Have you tried any kind of physical therapy or expert chiropractic to see if that can help?

I know some in both of those disciples learn techniques to adjust the coccyx.
some videos about it -
http://www.google.com/#sclient=psy&h...w=1360&bih=636

Possibly acupuncture?

I've had a bruised coccyx a few times, and it's taken quite a while to heal because unless I was sitting I'd forget about it, and when I sat, I aggravated it.

Do you have any medical reason for slow healing (like diabetes)?

The only other thing I can think of is using an inflatable or foam donut to sit on, reducing pressure/contact and allowing it to heal.

You can ask anything, but I doubt any responsible surgeon would cut without a valid medical reason.

Doc

I am aware that painful coccydinia can be benefited from manipulation. It can be pretty darn tender so there some orthopedists or osteopaths that can perform manipulation after anesthetic injection. MRI in the seated position would likely show nothing as an MRI does not show pain!

Nicolemoo: I have a similar issue. Have you had any relief yet? If so, what helped? My pain is going on 1 year with 3 'normal' MRI's.

nicolemoo, I have had this issue for some time. I also have issues with lumbar and sacrum. What has helped me is to have a ganglion impar block and pelvic floor PT (in the past) which involved the Levator Ani. As a matter of fact, I had the block done about a month ago and the sit pain/tailbone pain is gone. A donut cushion was a no no for me. What you want in the meantime is a coccyx cushion. And getting a nerve block is worth a try.

Thanks for posting this, Kathi49. I have never heard of 'ganglion impar block', but would love to try it. Any tips on finding a dr who does this in Seattle area?