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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Experiencing Lower Back Pain, Tenderness In Tailbone, Sore Buttocks, Numbness In Legs, Pain In Rectal Area. Is This Sciatic?

Hi...i have been experienceing the following symptoms. Lower back pain and tenderness at my tailbone. Both side of the buttocks are sore and a slight numbness goes down my left leg as well. At times, I have a sharp pain that shoots through the rectal area. No bleeding, no constipation , no nausea. I have cracked my tailbone before and was in an auto accident two years ago, where i have fractured 4 vertebra. I had a cat scan a few months back that showed a slight lower back disc issue. Just curious if this is sciatic or do to the trauma of the other injuries? I am an avid workout enthuist. However, due to limitations, limit myself to light weights and an elliptical cardio routine. Could the cardio be aggravating the existing issues? I sit at a computer all day! So, I feel relief when I am walking around of course. Very hard to sleep at night. I have a follow up with my primary care this week. Just looking to gain some insight. Many thanks!
Mon, 15 Jul 2013
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General & Family Physician 's  Response
Hello.Some symptoms that you have may be due to sciatica and vertebral and coccyx fractures, but other symptoms, such as pain in rectal area, it is difficult to be caused by these pathologies.Nerve disease is diagnosis to rule out.
NMR is more sensitive test than CT-Scan for diagnosis of nerve disease,I think that NMR must be requested.
By now, any physical exercise is contraindicated and should take painkillers
.Diclofenac 50 mg thrice a day is widely used in the treatment of back pain.
Go to your doctor for prescription and to consider request NMR
I wish you good health.
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Experiencing Lower Back Pain, Tenderness In Tailbone, Sore Buttocks, Numbness In Legs, Pain In Rectal Area. Is This Sciatic?

Hello.Some symptoms that you have may be due to sciatica and vertebral and coccyx fractures, but other symptoms, such as pain in rectal area, it is difficult to be caused by these pathologies.Nerve disease is diagnosis to rule out. NMR is more sensitive test than CT-Scan for diagnosis of nerve disease,I think that NMR must be requested. By now, any physical exercise is contraindicated and should take painkillers .Diclofenac 50 mg thrice a day is widely used in the treatment of back pain. Go to your doctor for prescription and to consider request NMR I wish you good health. (In case the answer would have been useful please indicate this)