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TAIL BONE BLOG |
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CHRONIC BURNING PAIN
Q. I have been in chronic burning pain in
the tailbone/rectal area ever since I overstrained my low back and then had a
complete hysterectomy. This has been about 2 years. After the hysterectomy an
MRI has shown a prolapsed internal muscle wall possibly pushing against the
levator ani. Anyway, there is a horrible burning/tingling pain in the whole sit
down area that makes me feel like I'm going to pop.
I have had two
Prolotherapy treatments
where the results did not last more than a couple days and I really don't know
if they helped at all.
What do you think is the culprit?
A. Most of the time this condition is caused by
the perineal muscles contracting against an unstable base. We typically contract
the muscles around the anus when we have a bowel movement, obviously, but also
when we sneeze, cough or contract our
abdominal muscles (like when we lift up
from the laying down position. Remember muscles have power when they contract
against a stable base. The perineal muscles specifically attach to the pelvic
bones including the
ischial tuberosity, coccyx and pubis. If the pubic,
sacrococcygeal, sacrotuberous,
sacroiliac,
or
iliolumbar
ligaments are
lax, stretched or injured, the perineal
muscles can go into spasm. This causes burning rectal pain especially upon the
valsalva maneuver (sneezing, coughing) or when having a bowel movement.
If this seems to describe you then you need to have the above areas evaluated
and treated by
Prolotherapy. When in doubt at
Caring
Medical we treat all the areas. If the pain seems to be tied to an operation
such as the hysterectomy you had then we would do
Neural Therapy into your
hysterectomy scar and treat the autonomic nerves in the area. We do this by
doing nerve blocks into the pelvic sympathetic ganglion. This has the effect of
shutting them off for an hour or two and often when they turn back on they
function more normally. In summary, burning rectal pain is common. People suffer
from this condition for years because the underlying cause of the condition is
not addressed. Potential causes include injury to the pubic, sacrococcygeal,
sacrotuberous, sacroiliac or iliolumbar ligaments. When these ligaments are
strengthened by Prolotherapy, the perineal muscle spasms cease. Sometimes the
condition is perpetuated by autonomic nerves firing. To treat these neural
therapy to a surgical scar or nerve blocks are given into the pelvic sympathetic
ganglion. Over the course of the last 15 years, Caring Medical in Oak Park have
treated many patients with burning rectal pain by this approach. In our
experience this approach has been extremely successful.
Answer by
Ross Hauser, M.D.
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Constant Tail Bone Pain
Q.
I have
experienced constant tailbone pain for almost six years. There is a
tender swollen area above the tailbone. I suspect this stems from a
fall on ice where my tailbone hit the corner of a concrete step. The
pain was unbelievable and I went to the emergency room. X-rays did not
reveal any damage.
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Low Back, Buttock,
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.
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Iliolumbar and
Tailbone Pain
Q. When I push on the iliolumbar area on
the right side above my hip, it is not only very painful but sends a
shooting and throbbing pain right down to my rectal area where I
have been having constant pain. Would that mean that the ligament
is where the problem lies and I could possibly be helped by
prolotherapy?
I have tingly sensations all through my
buttocks but even a greater
tenderness all along the sides of the tailbone. Does this also
sound like it could be a ligament problem?
A.
It sounds like you have one of the
referral
pain patterns of the
iliolumbar ligament.
Typically we would apply Prolotherapy to your iliolumbar,
sacroiliac, sacrococcygeal and sacrotuberous ligaments
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Prolotherapy Treatment
and Tail Bone Pain
I have had 10
Prolotherapy treatments for my tailbone pain, which also
manifests itself in
hip pain and burning in pelvis, hips and thighs. I
am being treated with Prolotherapy.
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Broken Sacrum
Q. I was struck by an SUV where I was thrown 20 ft. and landed on
my back on the pavement. After months of tests,x-rays, injections, and
finally an MRI, my doctor found I had a broken Sacrum.
He says "nothing can be done to fix it"
My question to any
Prolotherapy
doctor is there some way for any kind
of relief with this type of injury?
Dear Sacral fracture - generally in this kind of injury you
injure the
sacroiliac ligaments and other structures that attach to the
sacrum such as the sacrotuberous ligaments. Your short history suggests
that Prolotherapy is definitely something that you should look into.
Prolotherapy to the fracture site (to reduce pain) and any tender areas
around and on the sacrum most likely will give you a lot of pain relief.
Make sure the Prolotherapy doctor examines your pubis area. There is a
good chance that will be tender and need Prolotherapy also. So in other
words, yes there are plenty of things you can do to 'fix it'...you are
on the right track...
Answer by
Ross Hauser, M.D.
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