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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Perineal And Rectal Pain

I fell on ice on February 2 and fractured my sacrum at S4-5. I have since developed perineal pain, rectal pain, sacral pain and severe rectal pressure. This occurred at work and I am seeing workmens comp docs and one of them is sending me to a spinal specialist. I am an RN and my question is, what can I expect at the spinal specialist doctor visit? I know this is a broad question but I am very frightened by it all and of course, know a little more than your average patient. Any questions, ideas or how to approach all of this moving forward would be appreciated. I was an OB nurse for 26 years and this reminds me of pudendal type pain, though I have never had children. I have never had this pain before and am very concerned. Thank you for any advice you can give me.
Fri, 10 Apr 2015
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Orthopaedic Surgeon,  's  Response
Dear patient
First of all you have not mentioned type of fracture and what treatment was given for fracture ? Because treatment depends in type of fracture and displacement. You will be investigated with CT scan of sacrum with 3D reconstruction of images. This will give accurate description of fracture and it's displacement and also status of union. Since its two months post fracture union may be started. Now if report shows fracture is displaced and not uniting surgery may be required.
If fracture has started uniting but sacral nerves are compressed then also surgery to free nerves may be required. All the best.
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Suggest Treatment For Perineal And Rectal Pain

Dear patient First of all you have not mentioned type of fracture and what treatment was given for fracture ? Because treatment depends in type of fracture and displacement. You will be investigated with CT scan of sacrum with 3D reconstruction of images. This will give accurate description of fracture and it s displacement and also status of union. Since its two months post fracture union may be started. Now if report shows fracture is displaced and not uniting surgery may be required. If fracture has started uniting but sacral nerves are compressed then also surgery to free nerves may be required. All the best.