Nurse who suffers chronic tailbone pain

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I am a Registered Nurse who has suffered with tailbone pain for over 8 years. Like all chronic pain, it is essential that sufferers get the correct support, diagnosis and treatment appropriate for them as an individual. This blog follows my journey with chronic pain, it expresses my personal opinions and thoughts. It is not intended as a replacement for advice or treatment from your normal Healthcare Provider.

Saturday, 10 January 2015

Yesterdays physio

Yesterdays physio went well...I think. She is pleased with the improvement she can feel. I can feel changes in my muscles, but obviously still being in pain, makes it hard to stay positive. As I have mentioned before, the pain has definitely moved (all over the place!) which does make me think the physio is correct in saying the problem is not now the coccyx, but the surrounding muscles.

It does make sense, as this pain has been going on for 5-7 years, and I understand why this would cause my muscles to overcompensate, be oversensitive to pain and go into spasm. They have spent a very long time trying to help my body cope with my original coccyx injury. They have done this by tensing and pulling everything out of it's correct position. Obviously because the original injury meant I could not sit on my coccyx at all, I would alternate either buttock cheek, and sit in very awkward twisted positions. These muscles are now hard and fibrosed, and stuck down in places where they should be soft and mobile. Even my husband who is not a trained physio (obviously) can feel the difference in various places when he massages.

After my physio I came straight home and applied my new heat pad to the area whilst lying on my stomach. This heat pad is fast becoming my best friend. Personally I find it better than any of my coccyx cushions (I have a variety!), and certainly better than icing the area. The  heat pad also allows me to sit on it, which is bliss.

Yesterday afternoon my husband and I walked over 5 miles- via browsing shops, visiting a coffee shop and a pub! So we spent a total of seven hours out of the house. Obviously some of this time was spent sitting.

The pain yesterday after my physio was actually better than it has been. Possibly due to being out and about, but also I think due to my physio. The areas she massaged yesterday did feel good for longer than after previous sessions. She did do a lot of external massage- deep tissue massage to my buttocks. The right buttock actually didn't feel too bad, but the left felt very sore. Today though I am back to having very achy, bruised-like feelings in my buttocks, worse on the right side again, which is odd as the left side was sorer when massaged. But, no noticeable coccyx pain. That being said, it is just as hard to sit with painful buttocks as a painful coccyx- trust me!!

I shall be interested to see whether I have delayed onset muscle soreness (DOMS) tomorrow like I did last week. The physio said normally DOMS comes on quicker than that. Hopefully I won't get it all, as it was extremely painful and kept me awake last Sunday night.

So, I'm going to do some cooking today so I can stand. Maybe go for a walk. Maybe have a lie down. But definitely be using my heat pad. (And keeping my fingers crossed).

Oh- and interestingly at the moment I am only taking Paracetamol every four hours. I feel no worse avoiding my Tramadol or amitriptyline. Obviously my advice to anyone else would be- always talk to your healthcare provider before stopping ay medication.

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