Mary, UK - email@example.com
For a year from September 2011 I was renovating my home which involved heavy lifting and sitting in awkward positions. At the end of September 2012 I felt a presence in the perineum and within a few days my whole pelvic area was very swollen and I could not sit down or move without great pain. My GP's initial diagnosis was cystocele and rectocele. In November a Gynaecologist confirmed this was not the case. After a clear ultrasound of the pelvis in January 2013, I was very frustrated with the lack of a diagnosis or help so I visited a private health clinic. A second Gynaecologist arranged a pelvic and full lower spine MRI. He suspected trapped nerves and spinal referred pain. The report showed moderate degenerative changes to the lumbar spine, with disc dehydration, minor osteophyte formation and minor Modic endplate change. Small disc herniation at L4/5 and L5/S1, as well as L5/S1 impingement of the traversing right S1 nerve root. There was no mention of the coccyx although it had been requested and scanned.
In February saw an Orthopaedic Surgeon, who advised my coccyx was very long and pointed into the body. He administered a Bipivocaine and Triamcinolone injection into the sacro-coccygeal joint. This was the first time I was pain free since September 2012. On sitting the area between my legs would go numb and this would disappear on standing. Within three weeks most of the pelvic pain had returned but thankfully not the pain when lowering or raising from the sitting position. I started treatment with my Physiotherapist with general improvements within the spinal area and with great mental support. I started standing as much as possible, wearing loose clothing and trying to be as active as possible. During my follow up visit with the Orthopaedic Surgeon, more injections and ultimately an operation to remove my coccyx were discussed as a way forward. Following this I was offered a nerve block injection by a Spinal Surgeon.
As both specialists were not 100% sure of the actual problem or if the procedures would be successful I felt very low; but the coccyx site was a lifeline and helped me refocus. My aim was to get a full diagnosis and treatment, not just pain relief.
In September 2013, Michael Durtnall, Chiropractic Back Pain Specialist (see Doctors and specialists in the UK, London), diagnosed my whole spine and started treatment on the first visit. After this visit, the throbbing in my back which would wake me up several times a night diminished. The tingling and numbness in my feet (parasthesia) was next to disappear. Followed by the numbness in between the legs on sitting (referred neuralgia). The movement of the coccyx on bending and leaning forward, and the subsequent pain, is now 80% better. Michael states that I now have a functional range of movement in the coccyx. The pelvic pain internally is now 80%+ improved (obturatus internus to hip joint plus naval to pubic bone). I still find it painful to be in the sitting position however the pain is much reduced and localised. Michael has shown me how to sit forward to reduce the pressure on the spine. With cushions adjusted to a v-shape I can manage to sit to enjoy a meal or a short TV program; I can lean forward to load the washing machine and I can bend down to pick something up without pain for the rest of the day. Standing and walking as much as possible (3 miles on most days) and wearing very loose clothing around the whole pelvic area have helped to reduce my discomfort.
My expectations were very low when I arrive in Michael's clinic but after 10 treatments I have most of my physical life back and I am still getting better. Yes, the external massage and internal manipulations are embarrassing but they are performed by a professional in a private and dignified way. They are a solution to the actual problem and are certainly worth a try before an operation. I cannot thank Michael enough for helping me and other people with this type of problem.