Suggest treatment for chronic coccyx pain along with neuropathy in both legs
Patient: I am a 68 year old male, not diabetic and no other underlying conditions except controlled high blood pressure and depression. For the past 4 years I have had chronic coccyx pain accompanied by neuropathy in both legs and pubic groin pain, and pain when I urinate. The pain is very severe at times I have had a multitude of tests after seeing all the major experts (neurology, gastroenterology, orthopedic surgeon, urology, rheumatology, pain management, etc.). All the major blood tests, 2 MRIs, CT Scan, colonoscopy, sigmoidoscopy, nerve conduction, physical therapy and steroid injections have not resulted in a diagnosis. The only finding is a slight nerve conduction deficit in my right thigh. So no definitive diagnosis. I now take Cymbalta, Narcos & Lorazapam. I took Gabapentin and Lyrica which did not help and the Narco s are starting to not help much. The Cymbalta, however, has improved my depression. I have been offered surgery to remove my coccyx but am told that results are 50\50 and there is a very long recovery period and high risk of infection. I cannot relate this condition to a specific event but I have had a multitude of falls while doing sports such as skiing, biking, etc. and other types of falls during my lifetime. Any suggestions? Thanks. Doctor: Hi there, thanks for your question. Coccyx pain is one of the few conditions in medicine, where treatment can be frustrating to both the patient and doctor. One of the most important things needed is patience with the condition. You should try using a coocyx cushion which is a inflatable balloon kind of thing. Use this cushion in all situations , whenever u have to sit. while sleeping it is better to sleep on sides , rather on your back. Since you have tried all options anasthetic injections or surgery done by an expert might help. I would suggest you to meet a well trianied spine surgeon and consider injections or surgery after his or her consultation. Since its an area of sensitive skin , definitely there is chance of infection and akin breakdown. so your intensity of pain and doctors assessment will give best chance..All the best. regards.