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Suggest Treatment For Chronic Pain When Diagnosed With Coccydynia
Question: I do hope you can take this seriously....I've found that most drs know nothing about coccydenia, nor the intense symtoms it carries. I've had this since 1987...Chlt Orth. removed 2 tailbones, hoping that may relieve me but it didn't, leaving the sacral or pelvic as the culverts. However, in '97, a drunk driver left us tly permanently disabled...broke more than not...including the sacral and pelvic. I'm not sure what the doctors did about that...I still have that horrid pressure at the top of my buttocks, like it's being pulled apart. I take Tramadol, which works best. Now since that has been re-rated to narcotics, doctors are not as willing to prescribe it. Life is one struggle after another...What are your thoughts on any alternative script. I've been thru every imaginable PT, with no relief. Help - I surely do need it..and thanks so much.
With all the scar tissue, bone spurs, arthritis and all his friends, and everythlng involved with either fractured, crushed, and just flat BROKE, sometimes, I think I just can't handle all of it...so any help I can get is a very special courtesy to an old woman in need.I
With all the scar tissue, bone spurs, arthritis and all his friends, and everythlng involved with either fractured, crushed, and just flat BROKE, sometimes, I think I just can't handle all of it...so any help I can get is a very special courtesy to an old woman in need.I
Brief Answer:
ah, if tramadol works the best....
Detailed Answer:
Then I'm dubious narcotics are going to work.
Well, certainly if someone has a lot of damage to an area, pain can result from it. Strong cause for the pain, pain consistent in area and character, I don't see why anyone would have doubts about this.
Still, when many structures are damaged, the pain can result from different processes. Nerve injury/irritation can give a long term pain even after the area heals. Any nerve pill will likely help and have very few side effects. Tramadol is a nerve pill but it isn't the strongest. It does have some narcotic effects; while the narcotic effects of tramadol are relatively weak, they are a more reasonable duration (about 8 hrs) and overall it's a safer drug in many than other narcotics.
But other nerve pills and even a lidocaine patch can perhaps work and have very little risk. Amitryptiline is one. Neurontin, lyrica, and even dilantin are others. Robaxin or Carisoprodol might work.
You will want to try a TENS unit. They even have them over the counter.
https://www.aleve.com/aleve-direct-therapy/how-it-works/?pse=google&matchtype=p&Keyword=aleve%20tens&network=g&placement=&campaignid=0000&adgroupid=0000&device=c&gclid=CjwKEAjws5zABRDqkoOniLqfywESJACjdoiGWkgrZgZAxbqY0hsjDJQp3VwWiZ-xufSKx63zxG1GIBoCo8nw_wcB&gclsrc=aw.ds
There are surgical options, including an internal TENS unit. If the external helps some, the internal will work a lot. The other surgical options are rather last resort and some involve destroying the nerves that hurt. This can cause bowel and bladder dysfunction in this case.
ah, if tramadol works the best....
Detailed Answer:
Then I'm dubious narcotics are going to work.
Well, certainly if someone has a lot of damage to an area, pain can result from it. Strong cause for the pain, pain consistent in area and character, I don't see why anyone would have doubts about this.
Still, when many structures are damaged, the pain can result from different processes. Nerve injury/irritation can give a long term pain even after the area heals. Any nerve pill will likely help and have very few side effects. Tramadol is a nerve pill but it isn't the strongest. It does have some narcotic effects; while the narcotic effects of tramadol are relatively weak, they are a more reasonable duration (about 8 hrs) and overall it's a safer drug in many than other narcotics.
But other nerve pills and even a lidocaine patch can perhaps work and have very little risk. Amitryptiline is one. Neurontin, lyrica, and even dilantin are others. Robaxin or Carisoprodol might work.
You will want to try a TENS unit. They even have them over the counter.
https://www.aleve.com/aleve-direct-therapy/how-it-works/?pse=google&matchtype=p&Keyword=aleve%20tens&network=g&placement=&campaignid=0000&adgroupid=0000&device=c&gclid=CjwKEAjws5zABRDqkoOniLqfywESJACjdoiGWkgrZgZAxbqY0hsjDJQp3VwWiZ-xufSKx63zxG1GIBoCo8nw_wcB&gclsrc=aw.ds
There are surgical options, including an internal TENS unit. If the external helps some, the internal will work a lot. The other surgical options are rather last resort and some involve destroying the nerves that hurt. This can cause bowel and bladder dysfunction in this case.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
The pain began in '87 after commuting to work 100+ mi. per day f/a year. An orthopedist demanded I "get off the road - that's your problem and it will continue to get worse". My husband refused to move even tho I was crying everyday in pain. Drove 12 years finally getting a little relief when the wonder drug "Tramadol" became available. At least it worked pretty well taking it every 5-6 hrs, which I still to today. I went thru the injections, the needles, the tens, hot, cold, creams, chiropractnor who about killed me, patches....I've been taking the Neurontin (Gabapentin) f/yrs.....Amitrytriptline, Lyrica, Carisoprodol, inflammatory meds, lots of others my memory won't render (Head injury in wreck also)....Since the Tens didn't work on the outside, probably wouldn't inside. I take Aprazolam, with others meds f/Anxiety attacks, manic depressive...those probably have nothing to do with my problem, since I've only been taking these about 3 1/2 yrs. Unable to walk much distance (can't travel) (wreck injuries were horrendous..still being treated)...I've ponded the "clipping" of nerves in the painful area but, as you say ..the remaining areas might be affected adversely...Maybe there is nothing that can be done..but I've been sitting in this wheelchair for about 5 hrs on this computer, which was just repaired by a "Geek" and is still not working right...and my bottom needs some relief - Tramadol and getting off it. Let me know if you can come up with anything else or if you can refer me to different research areas ...I really don't like taking so much medicine but my doctors deem it necessary so trusting as I am and respecting them as I do you,, I will continue to administer them appropriately...I just hope I can still continue to get the Tramadol, since it's now a little "ify" on the med list..NARCOTIC, pshaw...no way...as my daughter said when she was prescribed them a few years back, "Mama, this won't even cure a headache!"...true...but it works at least for me at the "other" end...it just frightens me to think I may not be able to get them on a regular basis because the horrid pressure of the problem will not go away...from 87 to 2016..it's still here...don't believe it will stop..but how do I convince the doctors that I'll gladly settle for that, altho it would be nice once in a while to have a Hydrocodone for all the other pain that often racks my body from the wreck and just simply getting old....66...Thank you so much.
Brief Answer:
Two parts to the answer; neither is quite ....the best issue...
Detailed Answer:
One is on the issue of pain relief. The part of the brain involved in addiction is the part involved with finding threats and avoiding them. As such it focuses entirely on "FINDING THE RIGHT STUFF" and this clouds the thought process of patients and doctors.
First,
" it would be nice once in a while to have a Hydrocodone ". It is, as you are aware, more than the issues of addiction, A Short Acting Drug. Is 3 hrs here and there a reasonable goal?
Second
Well... focusing on the pain is rather difficult to Not focus on the pain. And yet, that really is the only other issues not previously explored.
There is a huge amount of research on the modulation of pain. It can feed on itself and wind upward. It can feed into expectations and get worse due to the anxiety of it. Nerves and the spine and even the brain can get sensitized and feel more pain.
This can be damped down by a LOT of physical therapy and other modalities to increase mobility and overall movement. Furthermore, activity enough to cause some discomfort in another region blocks out the pain from the region with the problems.. Otherwise, tens, amitryptiline, narcotic, nerve pills, pretty much all the direct effects on the pain have been tried or at least considered. Looking at the background behind the pain and in other areas such as mobiity is about the only other area not previously discussed.
Two parts to the answer; neither is quite ....the best issue...
Detailed Answer:
One is on the issue of pain relief. The part of the brain involved in addiction is the part involved with finding threats and avoiding them. As such it focuses entirely on "FINDING THE RIGHT STUFF" and this clouds the thought process of patients and doctors.
First,
" it would be nice once in a while to have a Hydrocodone ". It is, as you are aware, more than the issues of addiction, A Short Acting Drug. Is 3 hrs here and there a reasonable goal?
Second
Well... focusing on the pain is rather difficult to Not focus on the pain. And yet, that really is the only other issues not previously explored.
There is a huge amount of research on the modulation of pain. It can feed on itself and wind upward. It can feed into expectations and get worse due to the anxiety of it. Nerves and the spine and even the brain can get sensitized and feel more pain.
This can be damped down by a LOT of physical therapy and other modalities to increase mobility and overall movement. Furthermore, activity enough to cause some discomfort in another region blocks out the pain from the region with the problems.. Otherwise, tens, amitryptiline, narcotic, nerve pills, pretty much all the direct effects on the pain have been tried or at least considered. Looking at the background behind the pain and in other areas such as mobiity is about the only other area not previously discussed.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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