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What Causes Persistent Pain After Healing Of Sacrum Fracture?

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Posted on Mon, 13 Apr 2015
Question: I fractured my sacrum 3 years ago but the bone scan and CAT scan come back the fracture has healed why do I still have pain? I can't sit for very long, I can't do simple chores like mopping or vacuuming without having pain for two days later. The angle of my car seats made riding in a car miserable - I bought a different car that has made it better. I have daily pain.
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Answered by Dr. Dr. Praveen Tayal (3 hours later)
Brief Answer:
Can eb due to inflammation of coccyx.

Detailed Answer:
Hello,
Thanks for posting your query.
The persistent pain after healing of the fracture can be due to involvement of the nerves in the scar tissue or nerve root compression. It can be due to inflammation of the coccyx bone also.
Follow these measures for relief from the symptoms:

1) Avoid sitting down for long periods of time. When seated, do not sit on hard surfaces and do alternate sitting on each side of the buttocks. Also, lean forward and direct your weight away from the tailbone.

2) Take adequate rest and apply cold compresses, avoid re-injury to the affected area and take some antiinflammatory and pain medications like ibuprofen(motrin) or diclofenac. Some severe cases with persistent coccydynia are treated with local cortisone injection and surgical resection of the coccyx.

3) You can also use a "doughnut" cushion or pillow to sit on. This cushion has a hole in the middle of it to prevent the tailbone from contacting the flat surface.

4) Also eat a high fiber diet foods to soften stools and avoid constipation.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12315 Questions

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What Causes Persistent Pain After Healing Of Sacrum Fracture?

Brief Answer: Can eb due to inflammation of coccyx. Detailed Answer: Hello, Thanks for posting your query. The persistent pain after healing of the fracture can be due to involvement of the nerves in the scar tissue or nerve root compression. It can be due to inflammation of the coccyx bone also. Follow these measures for relief from the symptoms: 1) Avoid sitting down for long periods of time. When seated, do not sit on hard surfaces and do alternate sitting on each side of the buttocks. Also, lean forward and direct your weight away from the tailbone. 2) Take adequate rest and apply cold compresses, avoid re-injury to the affected area and take some antiinflammatory and pain medications like ibuprofen(motrin) or diclofenac. Some severe cases with persistent coccydynia are treated with local cortisone injection and surgical resection of the coccyx. 3) You can also use a "doughnut" cushion or pillow to sit on. This cushion has a hole in the middle of it to prevent the tailbone from contacting the flat surface. 4) Also eat a high fiber diet foods to soften stools and avoid constipation. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal