Hi there. It does appear that your tail bone pain
& the herpes
outbreak are linked. Did you take any treatment for either. Ideally, you would want to go to an orthopaedic to do n Xray or MRI scan of the hip/tail-bone region as you are 49 & would not want to miss any other problem that could be incidental. I would recommend a course of antivirals with famciclovir
250mg three times daily for a 5-7 day period coupled with some anti-inflammatory medication like ibuprofen
600mg twice/day with food. Alternatively, you could take a 400mg twice/daily dose of acyclovir
for a longer period (3-9 mths) as per your attending physician/dermatologists' advice. They each have their benefits & pitfalls. For a more detailed discussion on your unique problem, please do feel free to use our premier 'ask-a-doctor' facility.
Cheers & Good Luck & wish you Good Health!
Dr Praveen Rodrigues MD