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Sacroiliac Blog
Q. Low Back, Buttock Pain, and Tail Bone Pain
After reading Dr. Filice's article on sacroiliac joint pain, he said the pain is usually on either side of the low back. I do have pain in the low back area, but it is in the total low back area (both sides) and even tender to the touch. Also, my low back feels very tight and I have very sore buttock muscles with constant tingling that goes out to my hips and the bones where I sit. When I sit for any length of time and then stand up the tingling is terrible in the low buttock area out to the hips. What on earth could this be? Also, it feels like the muscles are being stretched just below the tailbone every time I sit. Sometimes the tailbone just aches.

Do any of these conditions sound like they could possibly be helped? I have been to over 15 different kinds of doctors, therapists, tests, etc. and no one has given any help.

A. Thanks for your post. Of course I can’t make a specific diagnosis from an email, but I can tell you that your set of symptoms sounds like something that Prolotherapy can help. For people in your situation we take a careful history, and review any reports of prior imaging that may have been done, like X-rays or MRI’s. We would try to localize the source of pain by pressing on different structures in the affected areas until a tenderness that reproduces the pain the patient usually experiences is found.

It sounds like you have some radiating pain in the
buttock area, the start of a sciatica type of problem which is commonly due to ligament strain, but which also occasionally may signal a disc problem.

You also may have some gluteal area muscle spasm that may also be the result of ligament strain underneath at the
sacroiliac joint or the lumbosacral junction.

Patients in this situation who are determined to be good
Prolotherapy candidates, would be injected with a local anesthetic agent within the Prolotherapy solution in an effort to immediately but temporarily knock out the source of the pain.

A positive response (major resolution of the pain) will corroborate the physical diagnosis and assure an excellent prognosis with Prolotherapy. Chronic
sacroiliac problems respond well to Prolotherapy, if the diagnosis is correct, adequately strong solutions are used, and adequate coverage of the area by the Prolotherapy injections is accomplished.

Not infrequently dramatic improvement is seen by the third treatment, sometimes even after only one. Complete to nearly complete resolution is seen in some after 6 treatments, just as a general guideline. It could take more, or less. The treatments are given approximately once a month.

Answered By Robert Filice, M.D.
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Ross Hauser, M.D.
Dr. Hauser received his M.D. from the University of Illinois, Chicago; completed his residency at Loyola-Hines VA-Marianjoy Hospitals in Physical Medicine and Rehabilitation; and received his Bachelor of Science degree from the University of Illinois, Urbana-Champaign. Dr. Hauser is the Medical Director and co-founder of the physician-run, comprehensive natural medicine clinic, Caring Medical & Rehabilitation Services in Oak Park, Illinois. Dr. Hauser is one of the leading experts in the treatment of chronic pain and sports injuries with Prolotherapy. He, along with his wife Marion, have written seven books on the topic of Prolotherapy, a comprehensive book on the natural medicine approach to cancer, as well as a myriad of articles and newsletters for the general public. Read more
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The information on this website is presented as information only and not a self-help guide NOR AS SPECIFIC HEALTH RECOMMENDATIONS. Never alter or change your health management or begin any new health plans without first consulting your personal health care provider. Some statements on this site regarding the value of nutritional supplements have not been evaluated by the FDA.

As with any medical technique, Prolotherapy may not be effective for every individual and there are risks involved, these risks should be discussed with your physician. Results achieved with some may not be typical of all. Please consult a physician. Please read Prolotherapy Risks

There is no known cure for arthritis. Prolotherapy and nutritional supplements can help alleviate, reverse, or end arthritic pain by treating an underlying cause that contributes to degenerative disease, ligament laxity. Strengthening ligaments and other connective tissue can help prevent bone on bone arthritis from developing.

Caring Medical and Rehabilitation Services 715 Lake Street Suite 600 Oak Park IL, 60301