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Suggest Treatment For Soreness In The Lower Back Area

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Posted on Mon, 12 Jun 2017
Question: I have a very sore place in my lower back- barely above my rectum-I have had knee replacement surgery 5 months ago and have had complications-been on oxycodone a lot. It seems to be movement related, I don't feel any swelling. I do feel pressure when I sit. I have noticed it for about six weeks
doctor
Answered by Dr. Dr. Praveen Tayal (34 minutes later)
Brief Answer:
Suggestive of coccydynia

Detailed Answer:
Hello,
Thanks for posting your query.
These symptoms are suggestive of coccydynia caused by inflammation of the coccyx bone. The symptoms are generally worse when sitting for prolonged periods of time, or with direct pressure to the tailbone area.

Follow these measures for relief from the symptoms:

1) Avoid sitting down for long periods of time. When seated, do not sit on hard surfaces and alternate sitting on each side of the buttocks will help. Also, lean forward and direct your weight away from the tailbone.

2) Take adequate rest and apply cold compresses, avoid any injury to the affected area and take some antiinflammatory and pain medications like ibuprofen (motrin) or diclofenac. Some severe cases with persistent coccydynia are treated with local cortisone injection and surgical resection of the coccyx.

3) You can also use a "doughnut" cushion or pillow to sit on. This cushion has a hole in the middle of it to prevent the tailbone from contacting the flat surface.

4) Also eat a high fiber diet foods to soften stools and avoid constipation.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Praveen Tayal (2 hours later)
Thanks for your answer- just want to follow up with a question, the pain is like an upside down U shape around the butt- very sore to the touch down a little on each side. I haven't had any falls or direct injury to that area, does that sound the same to you.

Thanks you
doctor
Answered by Dr. Dr. Praveen Tayal (5 hours later)
Brief Answer:
Coccydynia likely.

Detailed Answer:
Hello.
Thanks for writing again.
Yes. it can be coccydynia. injury is not necessary. Doing a hot compress will help.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Suggest Treatment For Soreness In The Lower Back Area

Brief Answer: Suggestive of coccydynia Detailed Answer: Hello, Thanks for posting your query. These symptoms are suggestive of coccydynia caused by inflammation of the coccyx bone. The symptoms are generally worse when sitting for prolonged periods of time, or with direct pressure to the tailbone area. Follow these measures for relief from the symptoms: 1) Avoid sitting down for long periods of time. When seated, do not sit on hard surfaces and alternate sitting on each side of the buttocks will help. Also, lean forward and direct your weight away from the tailbone. 2) Take adequate rest and apply cold compresses, avoid any injury to the affected area and take some antiinflammatory and pain medications like ibuprofen (motrin) or diclofenac. Some severe cases with persistent coccydynia are treated with local cortisone injection and surgical resection of the coccyx. 3) You can also use a "doughnut" cushion or pillow to sit on. This cushion has a hole in the middle of it to prevent the tailbone from contacting the flat surface. 4) Also eat a high fiber diet foods to soften stools and avoid constipation. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal