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What causes tail bone pain with swelling in buttocks and thighs>

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Orthopaedic Surgeon
Practicing since : 2004
Answered : 256 Questions
Am 47 year female, Have devaloped severe tail bone pain since last 4 months. Now buttock & lower back thigh swelling is also observed. Already have heel pain since last 6 months 7 difficulty in walking & standing for more time. Dry eye symptoms are also troubling. Pl help
Posted Sun, 23 Feb 2014 in Bones, Muscles and Joints
Answered by Dr. Kunal Bhalla 51 minutes later
Brief Answer: Probable diagnosis:Seronegative spondyloarthritis Detailed Answer: Hi there. Your symptoms correlate to Seronegative Spondyloarthropathy . These are a group of disorders which are autoimmune in nature. ..... meaning they are disorders of the immune system of the body which might or might not have any predisposing factor and are mostly not diagnosed in regular blood tests (hence called seronegative). Also since they are autoimmune in nature. ...there is no permanent cure for them and treatment is directed towards suppression of symptoms. They can involve any joint in body and are prone to recurrence. Kindly start by getting a complete Arthritis Panel blood test done with special emphasis on HLA B27 levels. Get it evaluated. The heel pain could be a part of the arthritis. ..... but more commonly this sort of pain occurs in people who jog or walk on a hard surface like road with improperly cushioned footwear. It is known as plantar fascitis. Treatment : 1. Anti inflammatory and anti arthritic like Naproxyn. 2. Pregablin tablets ti suppress the nerve related pain and increase sensitivity of other medications. 3. Heel stretching exercises and contrast baths for heel pain. 4. Ultrasonic heat therapy and local analgesic gel massage for heel. 5. Hot Sitz bath for tail bone pain. 6. Use of properly cushioned footwear. 7. Consultation with a Eye specialist and use of artificial tear drops for dry eye. Remaining treatment will depend on test results. I hope my advice has helped. Good luck.
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