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.

Friday, 27 February 2015

Physio session number 13 (includes some double sessions)

Overall I would say this physio treatment has been successful. I am not pain free, but was probably disillusioned if I ever really believed I could achieve that anyway. I have a 'degenerative' and hyper mobile coccyx that likes to pop in and out of place (see previous post). Physio's can do a lot, but even they cannot perform miracles!

I firmly believe that if you catch your coccydynia soon enough and get the correct diagnosis and treatment you will help stop it becoming a chronic condition. Early intervention is an absolute must in my opinion. Obviously coccydynia has many different causes which I have discussed at length before, so every approach needs to be different and aimed at the individual.

I also firmly believe that if you have no particular reason for your tailbone pain, no cause can be found, then a specialist physio may be the way to go. For you it may be as simple as that. But it needs to be a specialist physio that is knowledgable of the condition and able to use pressure point therapy and massage correctly, and manipulation if required.

This is what my physio has been doing. I had not been for about a month due to surgery and work. Today she felt internally and was pleased that things had stayed the same. My pelvic floor muscles were working well, and I was able to relax that whole area. There were some sore pressure points externally. This did not surprise me as I have been uncomfortable lately, and sitting lopsided again. She worked on these areas.

I'm not returning for about a month. This is due mostly to work commitments, and also holiday. I also feel I need to try and reduce her input now. It's also costing me time and money. I will get my husband to do the massage and pressure points twice a week, and I need to concentrate on strengthening my pelvic floor. This is largely because I need to help support my distended bowel as much as is possible,so it is less likely to press on my coccyx. With this in mind I am also going to take linseed so that constipation and a full bowel do not press on it. Strengthening the muscles will also help hold my coccyx correctly.

She has instructed pelvic floor exercises 3 x a day- to tighten and hold eight times for a count of ten. Then to do 5 quick squeezes after. I am also to do my relaxation technique at the end of each day for 2-3 minutes.

Of course pelvic floor exercises are also important for men!!

I do find it really hard to sit correctly. I seem to naturally favour sitting on my left but cheek. What coccyx pain I have seems to often focus on the right side, so I assume this is why. 

As I have said before I need to accept that unless I am prepared to undergo further surgery I am always going to have some pain. I am not prepared to have bowel surgery, I do not want my Varices treated, and I certainly do not want a coccygectomy. Maybe if I could be given guarantees these would work 100% I'd do it. But there are no guarantees sadly. Coccyx I need to learn to love you!

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