OpenHealth Q&A

Get answered by medical professionals

Struggling with Chronic Pain: Scoliosis and Tailbone Issues

3/30/2025, 7:00:21 AMMale25-34

At 25 years old, I've been grappling with scoliosis (though I'm uncertain of its specific type) and a fractured coccyx. The discomfort I face seems at odds with my recent x-ray findings. Approximately seven years ago, I sustained an injury to my tailbone, which I was informed had caused a minor curvature in my spine due to the compression of the vertebrae, leading to persistent back pain. I coped with this knowledge for several years, enduring intermittent pain. However, over the last winter, my symptoms intensified; I've been experiencing daily pain that extends from the base of my spine all the way to my neck. As a result, I find it increasingly difficult to walk or stand for extended periods. After reevaluating my condition at the hospital, new x-rays revealed the presence of scoliosis, but interestingly, they did not indicate that my coccyx was fractured. The physician expressed surprise regarding the severity of my ongoing pain, yet they could not provide clarity on its cause, nor could they explain the burning sensation in my tailbone that I experience daily. I was prescribed a topical pain relief gel and advised to incorporate swimming into my routine. Looking at my x-ray, it appears that my scoliosis is quite mild—a gentle curve that is not externally noticeable. This raises an unsettling question for me: how can I endure such substantial pain each day, struggling with the most basic tasks, when my x-ray doesn't seem to reflect a serious issue? For reference, I am 169 cm tall and weigh 62 kg.

Chronic FatigueBurnoutEndocrinology

Answers (1)

Cony

3/30/2025, 7:00:40 AM

OpenHealth AI

It's understandable to feel frustrated and confused when your pain levels don't seem to correlate with the findings from your x-rays. Chronic pain can be complex, and its intensity often doesn't directly match structural findings. Let’s break down your situation and explore some actionable steps you can take.

Main Points:

  1. Chronic pain can persist despite mild findings on imaging tests.
  2. Your scoliosis and potential nerve irritation or other factors may contribute to your discomfort.
  3. Managing your pain effectively involves a multifaceted approach, including physical activity, pain management techniques, and potentially addressing underlying issues.

Explanation:

Chronic pain, especially related to conditions like scoliosis or tailbone issues, is not always predictable based on scans. Factors like muscle tension, nerve sensitivity, posture, and the impact of past injuries can all play significant roles. Even mild scoliosis can contribute to misalignments and muscle imbalances that lead to pain. Your experience of burning sensations suggests that there may be nerve involvement or irritation.

Recommended Next Steps:

  1. Engage in Gentle Activity:

    • Swimming: Your physician recommended swimming, which is excellent because it provides a low-impact way to strengthen muscles without putting stress on your tailbone. Try to swim 2-3 times a week, focusing on gentle strokes that won’t aggravate your pain.
  2. Consider Physical Therapy:

    • A physical therapist can develop a personalized exercise plan focusing on core stability, flexibility, and posture correction. This can help alleviate some discomfort by strengthening supportive muscles.
  3. Practice Pain Management Techniques:

    • Heat/Cold Therapy: Apply a heating pad or cold pack to the affected area to help relieve pain. Choose what feels more comfortable on particularly painful days.
    • Mindfulness and Relaxation Techniques: Consider incorporating practices like yoga, meditation, or deep breathing which can help manage pain perception and reduce overall stress.
  4. Monitor and Record Symptoms:

    • Keep a symptom diary, noting when pain is worst, what activities exacerbate it, and what helps alleviate it. This can help you and any healthcare providers identify patterns and triggers.
  5. Explore Other Treatment Options:

    • If pain persists and significantly affects daily life, consider discussing with your healthcare provider other options, such as medications (oral or topical), nerve blocks, or alternative therapies like acupuncture.

Additional Thoughts:

It's important to listen to your body and not push through extreme pain. Pain is a signal from your body indicating that something needs attention, so prioritize self-care and modifying activities as needed. Additionally, consider seeking out support groups or forums where you can connect with others experiencing similar issues.

If you have more specific concerns about pain management techniques or need further clarification on any points, feel free to ask!

Related Questions

Struggling with Fatigue and Low Spirits

I am a 27-year-old male whose first language is not English. A psychologist with two decades of experience in autism has diagnosed me with this condition. I previously took olanzapine, which caused an unusually long sleep of 20 hours during my first dose; however, I’ve stopped using it since then. While I was taking a sublingual form of vitamin B12 (methylcobalamin) at a dosage of 1000 mcg, my serum level registered at 290 pg/mL. This led to an unexpected surge of energy accompanied by feelings of anxiety and restlessness that I couldn't quite articulate, lasting for over six hours. I suspect that I might have a particularly sensitive nervous system. I'm contemplating whether to resume my B12 supplementation, as well as starting vitamin D3 at a dose of 2000 IU. Prior to taking D3, I found my levels to be very low, around 15 pg, though I can't recall the European unit it corresponds to at the moment. Additionally, my TSH level has been measured at 4, and I've been diagnosed with Hashimoto's disease. I’m currently at a loss as to why I continue to experience fatigue and a low mood. Does anyone have suggestions or insights that could help?

Chronic FatigueVitamin DeficiencyThyroid Problems
Male25-34
18 minutes ago

Significant Bloating Following General Anesthesia

It has been just over a day since I underwent general anesthesia, and I currently feel as if I’m six months along in pregnancy. Despite only having a little food during this period, I am experiencing considerable discomfort, akin to having indulged in three feast meals! As a healthy 47-year-old woman who is not on any other medications, I underwent a dental implant procedure that was free of complications and did not require any pain relief medication afterwards. Could this sensation be attributed to gas, and if so, what could be causing it? How long might this discomfort persist? I have come across suggestions that using heat, peppermint, and engaging in walking or stretching may alleviate the situation. Are there any additional remedies or strategies that could provide relief?

DehydrationInternal MedicineEndocrinology
Male25-34
3 hours ago

Chronic Leg Discomfort Since Childhood

I am a 14-year-old female who has experienced persistent discomfort in my legs for as long as I can recall, and the cause remains unclear. The maximum duration I can manage to walk without feeling faint is around 10 minutes, while I can only walk for about 5 minutes without needing to pause. Even when I’m at rest, I feel a dull ache in my legs, despite the rest of my body feeling relaxed. This discomfort predominantly occurs around my joints, particularly my knees and ankles, although my calves also become tender with minimal exertion. My feet tend to be perpetually cold, rarely warming up even when the rest of my body does. During my menstrual periods, I find it extremely difficult to walk, often having to hold onto walls just to navigate short distances. I've always maintained a healthy weight and I don't consider myself unhealthy overall. The only medical condition I’ve been officially diagnosed with is autism, although I'm unsure if this has any relevance to my symptoms.

Chronic FatigueMuscle WeaknessDehydration
Male25-34
4 hours ago

Seeking Help for My 5-Year-Old Son with Autism and Constipation Issues

Hello, I am reaching out regarding my 5-year-old son who is non-verbal and has autism. He also shows signs of ADHD, although this has not yet been officially diagnosed. Typically, he is very energetic, cheerful, and expressive. He thrives in his school environment, where he is supported by a wonderful team of special education teachers. He doesn’t take any regular medications, except for melatonin to assist with his sleep. Recently, on December 19th, he developed a rash while at school, which resembled hives on his neck, face, and feet, with accompanying swelling in his hands. By the time we went to urgent care, the rash had disappeared, and he was given Benadryl. Unfortunately, the rash recurred a couple of times at home, though we only administered Benadryl on two occasions. Following this, during Christmas break, I noticed he became increasingly emotional, crying daily, appearing more fatigued, and having less energy overall, although he was usually still able to be comforted. I visited the pediatrician twice during this period, and lab tests came back normal, except for a positive COVID-19 result. The doctor prescribed guanfacine and clonidine for him (I apologize if I spelled those incorrectly), but I chose not to give him these medications since they weren't intended for behavioral issues. When school resumed, for the most part, he seemed to manage well until last week when he experienced another rash episode at school, occurring twice. I decided to try a non-drowsy allergy medication for him, but his emotional state deteriorated again, leading him to cry throughout the school day. His teachers expressed concern, stating that he appeared to be in discomfort, which they confirmed is not related to behavioral issues. At home, he has been very upset and inconsolable. As a result, I took him to the hospital yesterday. They sedated him for a head CT and abdominal ultrasound, both of which showed no abnormalities. They prescribed Miralax and suggested looking into ABA therapy since his autism diagnosis may automatically point to behavioral factors, which frustrated me. Today, he has spent the entire day crying and has remained in bed, clearly exhausted. I am administering the Miralax, and he seems visibly uncomfortable, but he hasn't had a bowel movement yet. His last stool was two days ago, and only a tiny amount has come out since then. I’m uncertain if the rash and his current symptoms are related to constipation or if I am missing a more serious issue entirely. This is very distressing. We have a dental appointment scheduled for Tuesday to rule out any dental issues, our fourth visit with the pediatrician on Wednesday, and a phone consultation with an allergist also on Wednesday. I would greatly appreciate any insights or questions I should bring up during our pediatrician visit, as well as any tips or suggestions. I'm feeling quite desperate for help. Thank you!

Chronic FatigueMuscle WeaknessBurnout
Male25-34
5 hours ago

Nosebleed Episode After Extended Dry Heaving

I’m a 28-year-old male, standing at 5'7.5" and weighing 280 pounds. My background is Jewish, though I don't believe that detail is particularly relevant here. I deal with various health conditions including Postural Orthostatic Tachycardia Syndrome (POTS), potential May-Thurner syndrome (still under evaluation by my doctor), restless leg syndrome, sciatica, spinal stenosis, plantar fasciitis, along with a range of mental health challenges. My current medications consist of minoxidil, lamotrigine, bupropion, and a low dosage of Xanax. Greetings everyone! I have been struggling with relentless bouts of retching—primarily dry heaves, akin to ‘morning sickness’—that have persisted throughout January and into February. I can’t pinpoint any changes in my diet, medications, or lifestyle that could have triggered this episode. Interestingly, I don't usually feel nausea in my belly; instead, it manifests mostly in my throat and chest. Although I suffer from GERD, this is an unusual level of discomfort for me. I normally manage it with calcium supplements and occasional omeprazole, but I keep that to a minimum to avoid additional stomach issues. Despite my efforts, my dietary choices aren't particularly acidic. I find myself expelling mostly saliva and stomach acid rather than actual food. Zofran hasn’t alleviated the persistent nausea I’m experiencing. I consulted my primary care physician about these issues, but unfortunately, his recommendations weren’t helpful. He implies that my nausea stems from not maintaining a proper diet, suggesting that if I could just afford better food, I wouldn’t have this problem. He was far from supportive, and to make matters worse, every GI clinic nearby isn't accepting new patients for months, so finding a specialist has been quite challenging. Today, during another episode of retching, I finally ended up vomiting a small piece of apple along with the usual saliva and stomach acid. This was alarming, but even more concerning was the sudden onset of a severe nosebleed. It wasn’t a mere trickle; blood was pouring from my nose, staining my chin and dripping onto the floor. I hurried to the bathroom and managed to curb the bleeding within five minutes, but the experience rattled me considerably. I felt dizzy and unsteady throughout the day following this incident. Could there be a link between the excessive vomiting and the nosebleed? Is it possible that such intense straining caused a rupture in a blood vessel in my nose? Additionally, I’m curious if anyone has insight into the cause of my persistent nausea. With the recent bleeding, my speculation leans towards an irritation in my sinuses causing me to unknowingly swallow blood at night, contributing to the nausea. Despite retching five to ten times daily, this sudden, severe bleeding is a new development. Thanks in advance for any advice or suggestions; apologies for the lengthy post!

Post-Viral FatigueBurnoutInternal Medicine
Male25-34
7 hours ago