Questioning the correlation of coccydynia and a prolapsed uterus

Trish -

Hi, my name is Trish and I am a 42 year old female with two children ages 13 and 11. Whilst on a camping holiday in December 2003 something happened to my coccyx, and I have been on a roller coaster ride of pain and despair ever since. Here is my story:

After consuming a couple of glasses of a very good red at our campsite between Xmas and New year I decided to hop on my Nephews bike and ride to the other camp to retrieve cooking items. I did not sustain any injuries nor have any problems. The following morning I was due to go on a family bike ride and when I sat on the seat I realized that it was impossible to sit because I was experiencing excruciating pain in my butt. I canceled the ride and nursed my painful butt for the next few days and lived on Anti-inflammatories and pain killers. Coincidentally several days earlier, I had noticed that I had a prolapsed Uterus. I had been seriously on my feet for several weeks leading up to Christmas and had hosted Christmas day at our home. My Uterus was protruding into my Vagina and I was constipated because of the Codeine I was taking for the back pain I was experiencing as a result of my prolapse.

For the past 21 months I have been to numerous Physicians and have had major back surgery for a prolapsed disc at L5/S1. I am unable to sit for any longer than 30 minutes because of the excruciating pain and can now only work one day per week with the aid of pain killers. I have had several series of steroids, I have had several Sacroiliac joint injections under fluoroscopic x-ray, right Lumbar and sacroiliac joint injections, radio frequency denervation, Ganglion of Impar Injection ( gave me total relief for 24 hours) and steroid injections directly into the joint by my Musculoskeletal Physician Specialist. I have had 5 manual manipulations of my coccyx and have been to see numerous Chiropractors, Osteopaths and Physiotherapists and nothing has worked. An X-ray did note a recent or old injury (whatever the heck that means) and the Chiropractor who performed my manual manipulations commented that my Coccyx was in an irregular position. All the while I never considered that my Prolapsed Uterus and my Coccyx could be related until recently.

I have recently been to see a Gynecologist regarding my prolapsed Uterus and will undergo corrective surgery in approx 8 weeks. Because the Pelvic Floor Muscles attach to the Coccyx as an anchor, my Gyno agrees with me that it is quite feasible that my Prolapse may be the cause of my Coccydynia. With the Uterus pulling down so severely it may well be dislocating or dislodging the Coccyx.

My consistent symptoms are: Unable to sit for any longer than 30 minutes. The sacrum (bone between my butt cheeks) is painful to the touch and has a persistent dull ache. I can quite often feel my coccyx moving when I breathe in and out if I am sitting at the computer. This primarily happens if I have not had a bowel motion for a couple of days or if my prolapse is particularly bad. The coccyx becomes much worse with my period and with ovulation. If I stand for too long on my feet and exacerbate my prolapse, my coccyx aches more.

I am desperate to hear from any women who my have similar symptoms to mine. I need to have my Prolapse fixed without question, but hopefully I may avoid a further operation to have my coccyx removed if it turns out to be Gynecologically related. My Physician is also very interested in my theory and agrees with my intended course of action. Please if you could drop me a line at the address above I would be extremely grateful.

See reply from Clare

Updated 2005-11-13

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