My coccygectomy

Bill (Australia)

Posted 2014-10-19

I am from Perth WA. I am 62 years old and have suffered from coccyx pain for about two and half years.

I am not sure how I damaged my coccyx, it may have been a number of years ago when I was walking down brick steps when one gave way and I fell on my bum. (2006)

I started to have problems in my lower back when driving. The pain was not very severe at first but over time it made driving very uncomfortable unless I sat on a cushion or blow up ring. Generally it would dissipate when I got home and relaxed in a reclining chair. (2011)

In early 2012 I returned from a forty five minute motor bike ride and could hardly get off my bike. I had to lay down for about an hour before I could get up and move around. It was after this episode that I decided to go to my doctor.

My doctor examined me and thought I had a pilonidal cyst and so referred me to a general surgeon.(November 2012)

I went to a general surgeon who diagnosed me with coccydynia. He prescribed Panadol on a regular basis, supplemented with an anti- inflammatory. He also suggested an injection into the joint. He also warned me that coccydynia can be a difficult problem and in the past patients often ended up having the coccyx excised but even this did not rid them of the pain.

After this visit I did some research and decided to try pain management before entertaining the surgery.

I tried this for nearly eighteen months and finally with no relief and the pain getting worse I went back to my doctor and said I have to do something about the pain. He sent me off for x-rays. The x-rays showed nothing. After some more complaining to my doctor, he referred me to another surgeon who examined me and confirmed that the problem was my coccyx and organized an MRI.

The MRI showed damage to the coccyx consistent with trauma. My surgeon (Dr. Hannes Basson, see Doctors and specialists in Australia, Western Australia) gave me options of a CT guided injection or surgery. I opted for the injection and this only made the pain worse.

I had a coccygectomy and I am now recovering. The surgery went very well. I was in hospital for one night. When I woke up after the operation I was quite surprised as the sharp pain I was used to, had gone. I still had pain but I put that down to the operation. I took pain killers for about four days after the operation, since then I have not needed any.

Seven weeks on and I am very happy, I still have pain if I try to sit upright but I am confident in time I will be able to.

I am glad I had the surgery and only wish I had done it earlier. I hope to get back on my bike soon.

Feel free to contact me:


Note from Jon Miles:

I emailed more than a year after this story was posted, to ask for an update, as the long-term outcome of treatment is of great interest. In this case I did not get a reply.

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