My coccydynia journey

Cesar, USA -

Posted 2014-12-21

I was diagnosed as having coccydynia 7 years ago. Of course I did not need my doctor to tell me what I had since I knew it; I was the one suffering from it. My doctor just gave it a name. I do not remember having any trauma or any accident that could have caused it. It just appeared out of the blue after having a rash on my buttocks after seating on a bench at the gym. The rash was treated by my family doctor and after that I felt all the symptoms related to coccydynia, which did not have anything to do with the rash, according to my doctor.

After several appointments with my doctor, he gave me a cortisone injection in the area which did not do any good. My symptoms included pressure in my tail bone and a burning sensation where my buttocks come together. It was very uncomfortable and I could not enjoy anything that was done while sitting. I could not enjoy going to the theater, having dinner or lunch at home with family or friends, driving was extremely uncomfortable due to the pressure and the burning, and watching TV was never pleasant. The pain was even worse when I got up after driving for a while since the pain "released itself when getting up". I never had pain while being supine or sleeping on my side or my back.

My life became very unhappy and everything I did was ruled by my condition which I was sure it will never be cured. I went to a pain center in central Florida, was given treatment twice only to find out that the doctor was only interested in being paid. I knew in my mind that there must be someone somewhere with experience in the field and with enough scientific knowledge plus a good heart to "feel for his patients".

I reminded my family doctor about my condition every time I visited him (twice a year) until he decided to refer me to a pain doctor who practiced at the same medical center. I met my pain doctor and from the very first second I talked to him, I felt comfortable and in good hands. I answered his questions regarding my symptoms. He explained to me what was going on anatomically and physiologically and explained to me what he was going to do. He put me on his schedule for a first treatment and after that he scheduled me for a second injection after knowing the results of the first treatment.

It took him only two injections to relieve me of my pain. Just two appointments. I have been free of pain and pressure for the past 4 months. All I have is a little burning sensation which I treat with ice (wrap ice in a kitchen towel and sit on it); I do this just at home when watching TV or reading but I do not need to do this while driving. Now I enjoy driving, having dinner, going to the theater and doing any activity that requires setting. I can drive more than 200 miles without pain. Dr. Robert Guskiewicz is my pain doctor and he works at SIMED in Gainesville (see Doctors and specialists in the USA, Florida). He told me that the duration of the effect of the treatment could be short or long, it varies among patients; I have been the happiest man in the world after visiting him; the first injection was given to the target point, and the second one was given to the periphery of the area. It worked like a charm and I will visit him again if I need to.

His experience, professionalism, and bed side manners let me know what type of doctor he is. I recommend him to every pain sufferer. His treatment worked for me and I hope that it works for you. My e-mail address is and I want anyone to feel free to write to me and ask any questions that you may have. My name is Cesar (Say-Zar) and I will be extremely happy to let you know about my experience.

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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