I read most of the experiences of the sufferers of coccydynia and lot of information about the world leading specialists on coccydynia. It all seems as if coccydynia is one of the most problematic ailments, but my experience so far is very different. I am not one of the leading consultants or researchers, but what I do for most of my patients is to infiltrate triamcilonone acetonide [a corticosteriod], mixed with some local anaesthetic, to the posterior sacro-coccygeal ligaments, pinpointing the tender spots. Not only is the pain immediately gone, but for most of the patients it is gone for ever. Sometimes it takes two infiltrations, depending upon the extent of injury, where it may gone upward to the lower sacrum. I don't keep in mind the various conditions described like unstable, old fracture, straight, hypermobile spur etc.
A few patients have coccydynia, but it is not tender locally, so the pain is referred from nearby gluteus maximus muscles or from the s1 or s2 segments. The same infiltration to these areas relieves the pain. The symptoms of referred coccydynia is that pain in the coccyx is not much on sitting but during sitting or getting up from sitting.
These techniques I have been using for 15 years with near 100% success. I recommend that you please ask your consultant to think about one the ligament before anything else. It is a very simple method and hardly painful.
For recent injuries to the coccyx, 10 to 15 minutes icing (in a moist towel) per hour for several hours relieves the pain within a few days in vast majority of patients (icing to the coccyx as well to the lower sacrum and nearby gluteus maximus). Another very effective treatment (only in persons who have intact skin) is hot vinegar compresses for 5 minutes a twice a day for three to four days, also doing icing in between.
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