Do you suffer from severe pain in your tailbone?
Are you not able to sit or stand for long?
Are you tired of using strong pain killers and carrying coccyx cushions everywhere?
We can help. Coccydynia (tailbone pain) is becoming increasingly common due to changes in our lifestyle. For many it starts after a fall or injury to your tailbone but for a majority there are often no particular trigger factors.
It can cause disabling pain and at its worst, it can mimic sciatica like symptoms that is it can radiate into the legs.
Patients have often tried a number of treatments such as physiotherapy, osteopathic manipulation and even cortisone shots apart from medication.
We now know that many cases of tailbone pain can be due to hypersensitivity of the nerves in the area and doing a nerve block of the coccyx (called the impar ganglion) can help reset the pain and provide relief.
Since pain is the main issue and nerve blocks can help, pain specialists have gained importance in managing this condition.
Our Consultant at the Berkshire Pain Clinic, Dr. Ravindran has more than 10 years of experience treating patients in acute and chronic pain. He is a member of the British Pain Society and is a fellow of the Faculty of Pain Medicine and holds the Fellowship for Interventional Pain (FIPP).
At the first consultation, Dr. Ravindran will
Coccydynia (Tailbone pain) can be managed much better with a combination of the above therapies and suitable lifestyle changes, thus improving your quality of life.
The Berkshire pain clinic aims to be a one stop resource and support for helping you with this condition.
Read the feedback from one of Dr.Ravindran’s grateful patients with coccydynia.
My experience started in 2009 with pain in the coccyx region, which progressively worsened. I had to give up spinning classes and the pain was becoming so extreme that I used to dread standing up as a release of pressure as I stood up was very painful. I was referred to a spinal consultant who diagnosed that I had coccydynia and advised a coccyx cushion and a cortisone injection with manipulation. This gave temporary benefit for 3-4 months and was done in 2010 and 2011. I struggled on using the cushion but the pain was becoming unbearable. In March 2012, I was referred to Dr. Ravindran who after reviewing my medical history recommended a different nerve block and a change of medication. This was done as a day case in May 2012. This was under X-ray and Dr. Ravindran showed me all the different stages which helped me to understand more about what was happening. I had about 50% success meaning I was able to sit for longer periods without pain. He advised me to try the same procedure but with added treatment of producing an electric current to go the coccyx again. It is now 6 months and I am pleased to say that I no longer need any medication or the cushion. I can safely say that the percentage of pain relief has been increased to 90%, I still get minor discomfort if I sit for longer periods but I feel like I have my life back again. I cannot thank Dr. Ravindran enough for what he has done for me. I would highly recommend anyone with this condition to seek medical advice as soon as possible.
Read other testimonials/feedback for Dr. Ravindran here.
To schedule an appointment today with Dr.Ravindran at the Berkshire Pain Clinic, please call 0800 0807246 or email firstname.lastname@example.org
What is it?
Coccydynia refers to any pain that starts or is present around the tailbone of the spine. It is also called coccygodynia.
It is a poorly understood condition which causes persistent and often disabling pain at the bottom of the spine and can impair and affect all daily activities. There are many causes for the condition to arise and it is often more common in women than men.
Most often these injuries do settle spontaneously but if a lot of the inciting factors persist, the pain stays on and intensifies.
What does it feel like?
Patients often complain of
Why does it happen?
There are a number of reasons for pain to develop in the tailbone
It is often more common in women due to different shape of the pelvis as compared to men putting the ligaments and the bone under greater stress and the higher risk of getting this problem during childbirth. It can occur in all age groups and in children as well.
How to diagnose it?
It is important to take a complete history of the pain and then conduct a thorough physical examination.
Most often these investigations will come out normal and reassure the patients.
Treatment and prognosis:
Most acute episodes should heal on their own within a few weeks and only require simple pain killers. But if the pain persists for more than 3 months then it is likely to become a chronic problem and needs a combination of treatments.
Management of an acute episode of pain
Management of chronic episode of pain
In addition to the above mentioned techniques for managing an acute episode, other measures include
What is the impar ganglion?
The ganglion impar refers to a group of nerves that lie just in front of your coccyx bone. When tailbone pain (coccydynia) has persisted for a few months, the nerves in this area get hypersensitised and can start to become over active.
These nerves form part of the sympathetic nervous system in your body. The sympathetic nervous system is a part of the nervous system that may often carry a lot of the pain signals. Therefore blocking these nerves with a local anaesthetic can often relieve the pain. Sometimes one shot may be adequate to turn down the hypersensitivity of the tailbone pain.
Often if an initial local anaesthetic block provides good relief then another form of injections called radiofrequency denervation can be done to provide prolonged pain relief. These injections are best done by experienced doctors using X-ray machines to guide the needles to the right place. These can be discussed with the pain specialist who provides these injections.
How can the Berkshire Pain Clinic help you?
To schedule an appointment please call 0800 0807246 or email email@example.com