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, 14 February 2015

Next course of action

So, I'm thinking my next course of action may be Cognitive Behavioural Therapy and/or antidepressants.

It's looking as if I may have to deal with this pain as it seems unlikely there is a magical cure.

Depression, stress, and chronic pain share some of the same neurotransmitters and nerve pathways. Chronic pain causes changes in the hormones in your brain. It will make you less able to deal with stressful situations. As neurochemical changes take place, your bodies response to pain increases, you become oversensitive to pain. It becomes a vicious circle as ongoing pain makes you less able to cope with day to day situations, imbalances continue and quite often everything will seem to spiral out of control.

Cognitive Behavioural Therapy (CBT) is well documented as helping with chronic pain. It acknowledges that the pain is real, and not all in your head. It is reported as helping you to deal with your pain, to find ways of coping. As pain is processed by your brain, it may help learning to deal with how it is processed, to address thoughts, actions and behaviours that influence this pain. I have discussed before the cycle of stress and pain and the influence of chemicals released by your brain. It stands to reason therefore that if you can reduce this stress by learning coping strategies then you may be able to exert some kind of power over your brain and the release of these chemicals; to stop this downward negative spiral.

By taking control of my pain, acknowledging it, may make me feel more in control of the situation. It should be empowering allowing me to have the appropriate coping strategies. This in turn may well have a physical effect by reducing the stimulation of the chemicals involved in the pain response.

I don't know....but it is worth a try.

Additionally my GP has mentioned antidepressants to me before. I have resisted up to date. However, if I need to find coping strategies, this may well be a good one. Antidepressants used for pain are thought to influence the way nerve impulses are transmitted. As mentioned before, many neurotransmitters for pain and our mood are shared. They are responsible for keeping a pain situation going, or indeed to resolve it. Antidepressants do not work for all types of pain. But, for me, it may be worth trying.

Obviously I would normally say treat the underlying cause, not just the symptoms. 'Prevention is better than cure'. However I have now exhausted that. I know I'm dealing with several issues now. Most of them I have tried treatments for, the other cause are apparently not able to be remedied.

So, I shall for now try and remain positive, and explore the possibility of CBT and antidepressants.

3 comments:

  1. Hi, I wish you well in your search for answers and also in your quest to deal with pain. I am on anti-depressants for anxiety and depression issues. The coccydinia that I now have has exacerbated the anxiety, so now I feel much more stressed and anxious. I think anti-depressants work well for depression and anxiety. Cognitive Therapy can help with pain management? Maybe there are pain management workshops available where you are located? I have only been dealing with this issue for about 8 months, so I am still in the throws of Physical Therapy and other treatment options. I think the most difficult issue is not feeling control and not knowing what exactly is wrong? The X-rays and MRI didn't show a difinitive issue. I wish you well and keep us posted.

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    1. Hi Leslie, Thankyou for your kind wishes. It is a real journey for me.....for us all. Trying to get the correct diagnosis and correct treatment is such a battle when it really shouldn't be. I wish you well with yours and hope you can find people/treatments that will help you. Jill.

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    2. Thanks for the kind words. Also.....I have just started reading this book, which you might want to purchase....."Heal Pelvic Pain" by Amy Stein. She is a well known Pelvic Floor PT and has written several books. It is very interesting and has exercises for Pelvic Floor disorder in the book. I don't know if you have had PT for this issue? I do have some Pelvic Floor issues - very tight muscles in the vaginal and anal area. I am not sure if this is due to tailbone moving. The PT I see is a pelvic floor specialist also. We shall see if this will help the issue I am having. My issue gets better, than worse. Sitting aggravates everything and so does driving. I haven't found a cushion that helps as I always feel like my muscles stretch to much and hurt after sitting. Is this how you feel? I have some back issues also, stemming from standing a lot. I hope you find peace with the pain. Can I friend you on Facebook? Thanks for sharing in your blog, I follow it daily or every other day.

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