Tailbone pain and gout

Hank - hanktotal@yahoo.com

Posted 2006-07-19

I've had tailbone pain for 15 years, which has progressively gotten worse, with no identifiable cause. The pain is triggered by sitting and abates significantly upon standing. My MRI shows edema (swelling), but no obvious abnormalities that would explain the pain.

Treatments I've tried that didn't work: Prolotherapy, external and internal manipulation, cortisone shots, acupuncture, ultrasound, TENS (Trans-cutaneous Electrical Nerve Stimulator), and stretching exercises.

Treatment I tried that worked: I found a report on the website of the Hospital of Saint Raphael in New Haven, Connecticut, which reported treating a patient with tailbone pain who turned out to have gout. Doctors consider this unusual because gout usually affects the big toe. The report is entitled A Unique Etiology of Intractable Coccygodynia.

I have none of the classic symptoms or risk factors for gout, but I was desperate and had nothing to lose, so I started taking colchicine, which significantly relieved my pain in less than 24 hours. At a therapeutic dose, the colchicine has unpleasant side effects. I'm now pursuing diagnostic tests to confirm that I have gout and hope to find a different medicine.


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