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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
posted on Sat, 17 Oct 2015
Twitter Wed, 25 Nov 2015 Answered on
Twitter Wed, 25 Nov 2015 Last reviewed on
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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