Hello A.,
I fell back in March 2003 while carrying a sofa. Initially I did not have any discomfort. Fast forward two years and the pain was causing a TON of pain. It's now 5 years later and I went to Johns Hopkins to a specialist that performs coccyectomy's. There are NOT many physicians in the United States that performs this procedure. I have since been to see a Dr John Cardea in Richmond Virginia who is willing, able and trained x 30 years to perform the procedure.
The procedure does not have a good post surgery outcome. Although the procedure is simply, (They cut you at your rear end crack, remove the bone and then stitch you back up) the recovery period is long (4-6 weeks, returning to work on a part time schedule). I had many MRI's and CT scans all that showed the bone to be fused and broken at a 90 degree angle. When I went to Johns Hopkins the Dr performed a rectal exam only to find that the coccyx is mobile. (I had a feeling it was moving because there were many days where my pain was insane).
I would recommend you doing your homework thoroughly. Because this procedure is not done by many people in the U.S. you want to make sure you are seeing a well educated surgeon. I am not sure anyone would perform the surgery just because it's painful. They may want to check to see if it's angulated and mobile. I would recommend a CT scan. Also, check out the website http://www.coccyx.org to read the stories about surgery and to also find a M.D. that performs the procedure or someone that can assist with physical therapy or some other treatment. The procedure is not as common these days as it once was. And because of the common 50/50 outcome it's best to do your homework. Prior to going to Johns Hopkins I had see 8 different Orthopedic/Neurosurgeons. Although Johns Hopkins Hospital in Baltimore was unable to help me, I made sure I researched further as surgery is my only option.
I have an 18 month old daughter and since I will be out from work for 4-6 weeks (Will have the surgery on a Monday and come home on a Friday, will have my M.D. here take care of me post op since I will need wound care) I'm just trying to find a good time to be out especially since I work part time and do not have any time saved for medical leave.
If you have any questions or wish to get some support/advice I am more than happy to speak with you. I've found myself to be a bit of an expert when dealing with this terrible painful issue.
Back in the day it was found that many women during childbirth either bruised the rear end area or some even broke their tailbone.
The Dr is going to remove my tailbone but leave my saccrum intact.
I HIGHLY recommend doing your research. I hope your journey to being pain free is a quick one. The biggest post op issue is infection since you have to be VERY careful with each bowel movement that you don't infect the area.
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I hope I was somewhat helpful to you. Please write anytime. You definitely want to do your homework.
I also wanted to say that I was in a great deal of pain after I was in labor (ended up having a C/Section in the end) because of the different positions I was in on the table. It was rough and since I can not sit down on my butt I sit on a cheek, I can not lay flat, I lay on a side or stomach. Car rides (long ones over 2 hours) are extremely rough. And on Monday night I went to the Verizon center for a concert and it was a good thing there was a 30 minute intermission or else I would have been in trouble.
I've been under the care of a Pain Management doctor for medication management. I can not get through a day without pain medication. For so many years I just figured my back was hurting because I did something that day or something but now it's very clear as to what's going on. I did see one Ortho M.D. and he did an in office X-ray. That was the best picture of my tailbone being angulated. However a rectal exam was the actual proof needed showing the bone indeed isn't fused. I was honestly in shock to find that out not to mention the rectal exam was very uncomfortable but so beneficial.
H.