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Sacroiliac Blog
Q. Low Back,
Buttock Pain, and
Tail Bone Pain
After reading Dr. Filice's
article on sacroiliac joint pain, he said the
pain is usually on either side of the low back. I do have pain in the
low back
area,
but it is in the total low back area (both sides) and even tender to the touch.
Also, my low back feels very tight and I have very sore buttock muscles with
constant tingling that goes out to my hips and the bones where I sit. When I sit
for any length of time and then stand up the tingling is terrible in the low
buttock area out to the hips. What on earth could this be? Also, it feels like
the muscles are being stretched just below the tailbone every time I sit.
Sometimes the
tailbone just aches.
Do any of these conditions sound like they could possibly be helped? I have been
to over 15 different kinds of doctors, therapists, tests, etc. and no one has
given any help.
A. Thanks for your post. Of course I can’t make a specific diagnosis from
an email, but I can tell you that your set of symptoms sounds like something
that
Prolotherapy
can help. For people in your situation we take a careful history, and review any
reports of prior imaging that may have been done, like X-rays or
MRI’s.
We would try to localize the source of pain by pressing on different structures
in the affected areas until a tenderness that reproduces the pain the patient
usually experiences is found.
It sounds like you have some radiating pain in the
buttock
area, the start of a
sciatica type of problem which is commonly due to
ligament
strain, but which also occasionally may signal a
disc
problem.
You also may have some gluteal area muscle spasm that may also be the result of
ligament strain underneath at the
sacroiliac
joint or the
lumbosacral
junction.
Patients in this situation who are determined to be good
Prolotherapy
candidates, would be injected with a local anesthetic agent within the
Prolotherapy solution in an effort to immediately but temporarily knock out the
source of the pain.
A positive response (major resolution of the pain) will corroborate the physical
diagnosis and assure an excellent prognosis with Prolotherapy. Chronic
sacroiliac
problems respond well to Prolotherapy, if the diagnosis is correct, adequately
strong solutions are used, and adequate coverage of the area by the
Prolotherapy injections,
(Watch where do
Prolotherapy injections go and do they hurt?)
is accomplished.
Not infrequently dramatic improvement is seen by the third treatment, sometimes
even after only one. Complete to nearly complete resolution is seen in some
after 6 treatments, just as a general guideline. It could take more, or less.
The treatments are given approximately once a month.
Answered By
Robert Filice, M.D.
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