Started after a fall down the stairs

Anonymous, UK

Posted 2018-10-21

My coccyx pain and suffering started in August 2017 after a fall down the stairs at an underground station in London. After a couple of hours in excruciating pain I realised this was more than just a bruised bottom. I rang NHS direct and was told to go to A&E to get checked out. When I saw the doctor I was given a basic check and told that I had hurt my coccyx. I was recommended to sit on a soft cushion for a couple of weeks and wait for it to heal.

After two week I was still in excruciating pain and went to see my GP. The GP suspected that I had most likely fractured the coccyx and tried to book me an x-ray but wasn't allowed to do so via the system she used. Apparently the NHS does not do x-rays on the coccyx, so really there was no way of knowing what the injury was. I was told because there is nothing they can do to fix the injury e.g. put a cast on it, I just had to wait for it to heal. I was given pain painkillers and told that the fracture should heal after 8 weeks. After 8 weeks I went back to the GP who then informed me it could take up to 3 months to heal. After 3 months, and still in excruciating pain, I was given more pain killers and sent to the Musculoskeletal clinic who said there was nothing do to but to wait for it to heal.

After 5 months of getting nowhere I was recommended by a colleague, who had also suffered from coccyx pain, to get a second opinion and not to leave it for too long. I googled 'coccyx pain specialist' and the first item that came up was the Sayer Clinic. After reading through the website and testimonials on I decided to book a consultation. This was honestly the best thing I ever did.

Since I started to see Michael Durtnall, at the Sayer Clinic (see Doctors and specialists in the UK, London), for treatment my coccyx pain has improved. Recovery was slow at first and took a lot of patience, but after 7 months of treatment I can say that I feel about 80% better. On arrival a digital computed x-ray was taken indicating a healed distal sacral fracture with the sacrococcygeal joint moderately calcified and extended 10 degrees. The coccyx was straightened and stiff like a vertical spike with sitting pressure directly on the tip. Michael started to mobilise the lumbosacral and sacroiliac joints and the sacrococcygeal joints into flexion to regain and improve the range of motion and refuctionalise adjacent overprotective and fibrotic coccygeus muscles back to normal activity using physical therapy. I had a weekly/bi-weekly treatment plan along with physiotherapy from Marta Dias De Oliveira for pelvic floor assessment and treatment relating to coccydynia.

From when I first fell to now I can honestly say my life has improved for the better.

I am continuing with treatment and hoping that one day I will be 100% better. I will provide further updates.

I would highly recommend the Sayer Clinics to anybody suffering with a similar condition.

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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