Coccyx pain and treatment by Dr. Durtnall at Sayer Clinic

A. Khera, UK -

Posted 2018-01-28

I'm a 44 year old Asian male, but have been overweight for most of my adult life. As is fairly typical of Indian men, I have mild hypertension and high cholesterol, and am on medication for both. I try to stay active, and train once a week with a personal trainer and run at least once a week for at least an hour - I try to look after myself, but its not easy with a young family, my own business, and a hectic life!

I have a family history of Type-2 Diabetes, and last January when I checked my fasting blood sugar levels, they were at around 7.5-8 mmol/L which is well into the pre-diabetes range. I decided to change my diet in order to control my blood sugar levels - I've seen what Type-2 Diabetes can do to a person and how drastically it can cut short your life. At the time I weighed 103 kg and as soon as I changed my diet the weight started to drop.

In February 2017, having lost about 8 kg, I started to notice a mild pain in the tip of my coccyx, but put it down to protruding seams in my jeans. By April, I also started to get mild pain in my right piriformis muscle and some sciatic nerve pain down my right leg, and I went to my regular chiropractor (who I have seen on-and-off for more than a decade). My chiropractor was able to treat the piriformis and sciatic nerve pain, but wasn't able to make any impact on my coccyx pain.

By August 2017, having lost a total of 27 kg in weight, I felt really fit and healthy and my blood sugar levels were stable at around 4.8-5 mol/L, but I was in agony whenever I sat down and in particular when I went to stand up. I couldn't sit down for more than a few minutes without the muscles around my coccyx going completely numb, and then, whenever I went to stand up, I was getting acute pain, that was only managed by 'peeling' myself off the seat!

In November 2017, I finally managed to see my GP who was reluctant to do anything as 'there is nothing that can be done about coccyx pain that isn't the result of trauma'. I persuaded her to examine my coccyx, and once she had, she agreed that it stuck out more than it should, and so referred me for an X-ray. The X-ray showed some degenerative changes to the SI joints and SC joint, as well as inflammation to my right SI joint, but nothing abnormal on the coccyx. In December 2017, I was referred for an ultrasound scan of the coccyx, but again this showed nothing.

At the end of December 2017, my SI joint pain had returned, as had my Sciatic nerve pain and my coccyx pain was becoming unbearable. On the advice of my personal trainer, I went to see a sports physiotherapist - I am training for the London Marathon this year, and he wanted to make sure that my continued running wasn't causing/contributing to my pain. The sessions with the sports physiotherapist enabled me to manage my SI and Sciatic pain, but he was unable to suggest anything for the coccyx pain.

At this point I also started to research coccyx pain and the causes of coxxydynia and came across this website and the links to Dr. Durtnall's case studies and previous successes treating coccyx pain (see Doctors and specialists in the UK, London). I booked an appointment to see Dr. Durtnall on 15th January 2018 and was both hopeful and a little sceptical about whether he would be able to help me.

My session with Michael was a genuine revelation. He took time to go through my history and listened to everything I had to say, and then took standing x-rays after which he was able to give me a diagnosis that made sense to me and made sense of my pain. My problems were down to SI joints and coccygeal joints that were essentially stuck, together with a tilt in my hip to the right, caused by my right leg being shorter than the left. Also, crucially, having been overweight for so long, my posture had adapted, and my spine at L3-4-5 had excessive curvature which made my sacrum and coccyx stick out. Although I had lost the weight, I was still standing as though I was carrying the weight and this, together with less padding in my bottom, meant that my coccyx was left exposed.

Michael did some physical manipulation of both my SI joints and my coccyx, and the relief was immediate and palpable. Although I was sore from the treatment, I would say that my condition was improved and my pain was immediately lessened by around 70-80% - and this continued to be the case over the coming week.

I went back for a second session a week later, and following further treatment, I would say my pain is now reduced by around 85-90% - that is after just 2 sessions! I am now able to sit and stand up with ease - there is some slight pain, but Michael tells me that the inflammation in the tissue around my joints could take a few months to settle.

When I first started researching Dr. Durtnall's work, he was suggested as being the pre-eminent practitioner in his field. I would have to whole-heartedly agree with that. In less than 1 hour of treatment he has managed to resolve a condition that I'd suffered from for close to a year. I do still need to work on my posture, and Michael will continue to treat me, but I am very hopeful, certain in fact, that he will have me feeling 100% better before too long.

For anyone who has coccyx pain I would thoroughly recommend seeing Michael at his clinic in Kensington. He is professional and extremely knowledgeable, but he is also very personable and shows great empathy and caring for the people that come to him for treatment.

Update, 2019-04-14

A year on from my treatment with Michael, my coccyx pain hasn't completely gone away but it is reduced to the extent that on a normal day to day basis it doesn't bother me. Recently I've been doing exercise sessions on a spin bike - something that I couldn't imagine doing a year ago!

I do sometimes get flare-ups but that is normally if I've spent too long sitting down - for example when I'm busy at work and don't leave my desk all day. I would still recommend (and have recommended) Michael to other people with coccyx or SI pain - for me it was time and money well invested.

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