Why Epidural Injections Do Not Help Tailbone Pain (Coccyx Pain)

There are many different types of injections that pain management physicians like myself can provide for patients. Often, an important first step is deciding whether any given patient needs an injection at all, and if so which specific type of injection they may benefit from. What is an epidural steroid injection? An epidural injection […]

Work Limitations due to Tailbone Pain (Coccyx Pain)

Sometimes a patient with tailbone pain (coccyx pain) or their employer will ask for my official medical opinion on sitting tolerance, ability to work, etc. In those situations I typically provide information about the difficulties that patients with tailbone pain have with prolonged sitting. Some useful approaches can include sit-stand workstations. For example, you […]

El Faro Shipwreck with Tailbone Pain Book

Since publishing my book Tailbone Pain Relief Now! I have been very grateful for the positive feedback that I have received from around the world.

Readers have sent me emails and Facebook posts from Europe, Scandinavia, Asia, Australia, and the United States and Canada.

The most intriguing e-mail I received was from Puerto Rico… Overall, […]

Physicians who will Not do a Physical Exam for Tailbone Pain

It is unfortunately common that patients tell me that the prior physician treating their tailbone pain never actually examined their tailbone. It is crazy to that a doctor would be providing medical care for a specific musculoskeletal location and yet not have the time or skills to perform a basic physical exam of the […]

Scar Tissue after Coccygectomy (Tailbone Removal Surgery)

Essentially all surgery results in some scar tissue at the surgical site. Not all scar tissue needs to be treated. If the scar tissue is not causing any symptoms or problems, sometimes it’s best to just ignore it. However, scar tissue can sometimes be painful or cause irritation of nerves, muscles, and tendons in […]

Before Tailbone Injections, Look for the Cause of the Coccyx Pain

I am frequently asked which injections will help most for tailbone pain (coccyx pain). Or doctors contact me to ask some specifics of the details on how to perform certain injections at the tailbone.

But frequently there is an initial step that has been overlooked.

BEFORE having or performing any tailbone injection, the treating physician […]

Nerve Ablation for Tailbone Pain

What is nerve ablation? In general, the term “nerve ablation” refers to the intentional destruction of nerves. In patients with tailbone pain or other types of pain, nerve ablation is one way of stopping the pain. Basically, even if the patient continues to have the underlying musculoskeletal abnormality (such as joint arthritis, joint dislocation, bone […]

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