Coccydynia resulting from unrelated surgical procedure

Bob Knetl -

My physician, an osteopath and pain management specialist, Dr Gary Kaplan of Arlington, Virginia [see list of doctors and other specialists in the USA], has been treating me for coccydynia for the past few years. He uses both traditional and non-traditional treatments. You can review my other postings (Coccyx cutout chairs, Neurontin and Sarapin relieved pain) to get my story and treatments on this site.

Recently, I was doing my 'oh woe is me' speech to my wife about how long I had the ailment. She said she really thought it might be associated with an appendicitis operation I had for a few years ago, in that my symptoms occurred immediately following my recovery from it. She urged me to mention this to Dr Kaplan.

I mentioned this to Dr Kaplan and it was like a Eureka moment and his eyes widened got pretty excited. He said that sometimes when the nerves are cut during surgery and they heal, they will misfire and the pain can be referred to other parts of the body. Coincidentally, in addition to my coccydynia flare up, I also was suffering from tendonitis in my elbow, which I had for months and came out of nowhere and was not responding to conventional treatments. He said he would treat me with neural therapy, if my symptoms were borne out by a simple test. I have to say this is where it gets pretty weird. He had me lay on my back with one arm raised perpendicular to my body. He had me place my hand on my side away from appendicitis wound. He ask me to resist when he pushed on my arm, which I could easily do. Then he asked me to place my hand on the wound and try to resist his pushing---voila, I could not. I am an engineer and was pretty skeptical, so we tried several more times with the same results ­ away from the incision no problem; on the incision weakness. He brought a German neural therapy medical textbook (see below) into the room and followed the protocols outlined in it (it listed coccydynia thankfully). The book was several inches thick with pictures of injection points on a model on literally every part or orifice on her body. The treatment is simple. He injected my appendicitis incision (scar) with non-preserved lidocaine and also introduced some of the solution into my vein. The first time he also injected the tendon in my elbow and then two points on my backside closer to my hips (not the coccyx directly) where the textbook specified.

A day after my first injection the pain in my elbow vanished never to return. The coccyx took longer. I returned every three weeks for a total of 5-6 treatments. Each time he did the arm resistance test and injected my incision (which kept getting less noticeable) with the non-preserved lidocaine, as well as injecting a small quantity into my vein. The last time I saw him, I was able to resist equally on both arms and the treatment was terminated. The treatments are for the most part painless and only take a few minutes.

My coccyx pain has not been completely eliminated, but is significantly better. Before I was taking 2400 mg of neurontin a day. Now, I am down to 1200 mg a day and the discomfort is significantly less (1 out of scale of 1 to 10). My pain level before treatment was 3-4. Now, some days there is no pain at all. A secondary effect of this treatment was to make the appendix incision less noticeable ­ just a thin line now.

I hope this helps those whose flare-ups might have been as a result of surgery for something completely different.

Good luck


Title: Illustrated Atlas of the Techniques of Neural Therapy and Local Anesthetics

Author: Mathias Dosch (preface buy O Bergsmann)

ISBN 3-7760-0849-0

1st English Edition (translation of 4th revised and enlarged German) Karl F Haug Publishers, Heidelberg, Federal Republic of Germany 1985

Updated 2003-07-13

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