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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Bruising And Pain In The Lower Spine After A Fall?

I fell down bottom 2 stairs,lurched forward and then back. I fell on my buttock and the bottom of my spine. This was 2 days ago. I have a nice bruise but no pain when I feel arround the spine but going up staisrs and moving certain ways causes sharp pain. Is this just bruisinfg which will sort itself out I am 72!
Fri, 15 Mar 2019
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Neurologist,  's  Response
Hello,

Well, there is really no way to predict without an x-ray what the status of your skeleton is since it sounds as if you took a pretty could clobbering falling to your buttock.

You likely have a condition known as COCCIDYNIA (extremely painful bruising of the COCCYX or tailbone).

This is usually not treatable, even if fractured because it is such a small and inaccessible bone.

Whether or not you may have suffered a bone chip or compression fracture of one of the lumbar vertebrae can only be known if you get an X-ray.

You would be making a smart move to call your doctor in the morning to get an order for some testing and maybe even a good physical exam as a follow up to what happened.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Dariush Saghafi, Neurologist
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What Causes Bruising And Pain In The Lower Spine After A Fall?

Hello, Well, there is really no way to predict without an x-ray what the status of your skeleton is since it sounds as if you took a pretty could clobbering falling to your buttock. You likely have a condition known as COCCIDYNIA (extremely painful bruising of the COCCYX or tailbone). This is usually not treatable, even if fractured because it is such a small and inaccessible bone. Whether or not you may have suffered a bone chip or compression fracture of one of the lumbar vertebrae can only be known if you get an X-ray. You would be making a smart move to call your doctor in the morning to get an order for some testing and maybe even a good physical exam as a follow up to what happened. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist