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    To staff physicians
    charl1942 posted:
    I have fallen on my bottom and struck the corner of a brick step at my coccyx. This happened about three years ago. I have been to an orthopaedic spine specialist, had various tests, physical therapy, aquatic therapy and various nerve blocks and other spinal procedures. I have not had any type of surgery. Nothing has helped at all. I also found out I also have pudental neuralgia, and I had internal therapy for that. I have pretty much been on pain medication most of the time, and without Amitriptiline I wouldn't sleep at all. I use the medication therapy less than I have been instructed, as I only need them a couple of times a day. I take Oxycodone 15mg and Methadone 5mg.

    I have treated with a neurologist and a pain mgmt specialist recently. The pain mgmt doc told me the coccyx is almost completly severed from the sacrum and lies at a 90 degree angle and then lies up or down. She advised me that if I decide to have the coccyx removed to research one who has preformed that type surgery successfully many times. I have done my research and I have found three in my state. One of them will see me on August 2nd unless I am advised to cancel.

    My question to you is: If you have seen or known this condition to get any more comfortable after such a long time as I, and if you would continue on a quest to follow the surgeon's opinion without further ado?

    Thank you for your kind attention to this question.

    Nomaan Ashraf, MD, MBA responded:
    Sorry you are having so much trouble with this. If your physical exam and radiographic, MRI, and CT findings are conisitent with a fractured coccyx that has not healed and is hypermobile or has healed in an unusual position it would be worthwhile to consider having it removed even if you have been symptomatic or 3 years.
    After a coccyx fracture most people would not give consideration to removing it for at least a year anyway since they typically heal uneventfully and the pain should dissipate.

    It sounds like this is making you quite miserable and you are having to resort to taking a good deal of pain medicine so I would certainly give due consideration to having the surgery if your treating doctor feels it is necessary after he examines you.
    Good Luck
    charl1942 replied to Nomaan Ashraf, MD, MBA's response:
    Thank you for responding. I will follow with the surgeon as you advised.

    I appreciate you and the other professionals contributing you time and energy helping others pro bono on this web site.

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