Seeking advice from a surgeon about removal

Kaz from Australia - kazkearns@optusnet.com.au

Posted 2011-01-30

The deliveries of my first three children went smoothly. During my fourth pregnancy I developed chronic pelvic instability and was incapacitated for the second half of the pregnancy. I delivered naturally at 36 weeks and felt no coccygeal pain afterward, however the symphysis pubis and illio-sacral pain from the pelvic instability continued. After a year of pilates, osteotherapy and physiotherapy, I sought prolotherapy treatment to strengthen my pelvic area, with a good deal of success.

However, with the lessening of the pelvic pain, my coccyx began to ache. Every three months or so a cortisone injection was administered to the pained area of the coccyx, with some relief. But sitting for more than a few minutes became uncomfortable once the cortisone wore off. Going to the movies, flying on a plane or even sitting up at a table to eat dinner became almost impossible. An x-ray revealed the coccyx was slightly dislocated. Some manipulation of the supporting ligaments was performed, but with very little relief.

Then I became pregnant for a fifth time, with twins! The pelvic instability returned badly from about 14 weeks, although the relaxin hormone from the pregnancy relaxed the coccyx for the first time in years. My twins were born at just under 35 weeks via a natural delivery, under epidural. After the delivery the coccyx was even sorer than before the pregnancy. Again I received prolotherapy injections into the pelvis and cortisone injections into the coccyx, but it felt as though the cycle was just continuing.

Last week whilst receiving the cortisone injection under real-time x-ray my physician noticed my coccyx was badly dislocated. He believes that based on my history with this pain, it is not likely the coccyx will respond favourably to manipulation and cortisone will only provide moderate relief but would be an ongoing treatment. At this point in time I am seeking advice from a surgeon as to whether removal of the affected area of the coccyx will be the best option, although finding the time to have it done and to recover, being a mum of 6 and with a husband constantly working overseas, will be the limiting factor.

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