I Have Sever Buttocks Pain In Pelvic Bone Near Anus.

Posted on Sat, 6 Apr 2019

Question: I have sever buttocks pain in pelvic bone near anus. Sitting, walking, bending, laying down is very painful. I had arterial bypass in same leg last summer. Could this be another blockage?

Answered by Dr. Dr. Praveen Tayal (27 minutes later)

Brief Answer:
Can be due to coccydynia.

Detailed Answer:
Hello,
Thanks for posting your query.
The pain near the anus is not likely to be related to arterial blockage.
This can be related to pain in the coccyx bone called as coccydynia. The symptoms are generally worse when sitting for prolonged periods of time, or with direct pressure to the tailbone area.  
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 any 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.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Wishing you good health.
Regards.
Dr. Praveen Tayal.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Praveen Tayal (4 hours later)

Thank you for your answer. I don't think it is coccydynia. I did break my coccus as a child and remember that feeling. I am delighted to hear it isn't arterial! I had spinal fusion as well. It doesn't feel like that nerve pain or Sciatica. The sharp and deep pain is a few inches from the coccus. I have been doing more walking on muddy and cement surfaces. (I have a new puppy to care for along with two other dogs). I have been sedentary due to the fusion and bypass surgeries. I am trying to get back in shape slowly. But I keep hurting myself instead. Which limits movement. This is an unusual pain. Walking improves it for awhile then it comes back worse. It may be a strained muscle or nerve? I can't tell and can't pinpoint the exact spot. I recently had bursitis in my other hip which has subsided. In the morning I have to slowly roll out of bed. The pain is so intense, very close to making me cry. Any other ideas? Thank You So Much

Answered by Dr. Dr. Praveen Tayal (6 hours later)

Brief Answer:
Muscle sprain less likely.

Detailed Answer:
Hello.
Thanks for writing again.
This can be related to a mild nerve root compression. A muscle sprain is less likely. You can get oral muscle relaxants prescribed and see if it helps. A hot compress in the area should also help.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Raju A.T