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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Severe Lower Back Pain After Injury?

Hello, I have been having an issue which I originally thought was a bruised or broken tailbone. I fell in the middle of May this year and it has been uncomfortable to sit in certain positions since. I feel like it is somewhat better, but after exercising it seems worse. I cannot sit in a position with my legs propped without pain. I also have been having lower back pain on my right side for quite some time, not sure if it is connected. I am 53 years old and female. I haven t found a physician I am comfortable with, so I haven t seen anyone yet. Is there any advice or ideas that you can give me? Thanks, AJ Smith
Wed, 25 Nov 2015
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Radiologist,  's  Response
Hello

Your symptoms may suggest coccygodynia(painful tail bone).
Your condition need proper clinical examination and X-rays.
X-ray of coccyx bone in PA/Lateral view should be taken to confirm fracture.
Its treatment is mainly conservative in the form of massage,injection etc.
Manipulation/re positioning may be required in few cases.

Avoid sitting on hard surfaces.

I also suggest for x-ray L/S spine(AP/Lateral) view due to right sided backache.
MRI may be needed if required.
Proper treatment depend upon findings.

Get well soon.
Take Care
Dr.Indu Bhushan
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What Causes Persistent Severe Lower Back Pain After Injury?

Hello Your symptoms may suggest coccygodynia(painful tail bone). Your condition need proper clinical examination and X-rays. X-ray of coccyx bone in PA/Lateral view should be taken to confirm fracture. Its treatment is mainly conservative in the form of massage,injection etc. Manipulation/re positioning may be required in few cases. Avoid sitting on hard surfaces. I also suggest for x-ray L/S spine(AP/Lateral) view due to right sided backache. MRI may be needed if required. Proper treatment depend upon findings. Get well soon. Take Care Dr.Indu Bhushan