Cortisone and physiotherapy treatments
Ahmed, Egypt - AbdElrahman@dent.suez.edu.eg
Posted 2024-07-14
I suffered from coccydynia for about 2 years. The pain at the beginning was mild, but it worsened over time. The main problem was a misdiagnosis of pilonidal sinus, but after a local anesthesia injection, the doctor confirmed it was coccydynia.
Initially, I tried using a coccyx pillow, which relieved my pain, but eventually, it stopped working. I could only sit if I leaned forward. I read on this website and watched videos on YouTube that surgery is very bad, so I tried physiotherapy.
At first, it wasn't working (I think the physiotherapy center was not professional). Later, when I went to confirm the diagnosis with local anesthesia, the doctor suggested injecting cortisone, so I accepted. Two hours after the anesthesia effect wore off, I experienced severe pain in my coccyx that lasted for 2 days.
I went to another physiotherapy center that had many machines: laser, electric, magnetic, and shock wave. After 4 visits, I started to feel real relief and could sit almost normally. Now I have done about 7 visits and still need to continue for 5 more visits.
I will give my update after 3 months as I am afraid this relief might be due to the cortisone.
Update, 2025-02-23
Unfortunately, the relief in my coccyx was not due to physiotherapy at all. In fact, it worsened my condition. This is because, after three months, the pain returned, and I decided to undergo physiotherapy without a local cortisone injection.
However, the pain became significantly worse. I consulted an orthopedic specialist, and after repeating my X-rays and MRI, he advised me to stop physiotherapy and receive another local cortisone injection.
Now, it has been more than four months since the cortisone injection, and my condition has improved significantly - over 90% pain relief. I hope to achieve complete relief without needing further injections or surgery, and I wish the same for all of us.
I must add that every time I receive a local cortisone injection (Triamcinolone Acetonide Micronized 40mg/1mL suspension for intra-articular injection), the pain worsens for about 1–2 days, likely due to the cortisone's effect. However, after this initial period, both the injection-related pain and the coccyx pain gradually subside.
