Free Book on Tailbone Pain, Coccyx Pain, New Year’s Day 2020
Start the New Year with a Free Book on Coccyx Pain (Tailbone Pain, Coccydynia).
Go to Amazon’s website in your country, using the links shown at the bottom of this page.
The electronic version of the book (e-book, Kindle book) will be completely FREE all day, on New Year’s Day, Pacific Time zone.
If the Amazon website initially shows you the paperback version, click the line that says “show all formats” and then it will show you the e-book version, which will be free on this day.
The images below show where you need to click to get the book for free.
Near the bottom of this page there is a list of website links to Amazon’s website in different countries that provide this book.
Free Book on Tailbone Pain, Coccyx Pain, on Amazon, 1-1-20
FREE Book, Select it on Amazon
Free e-book, Tailbone Pain Relief Now, by Patrick Foye MD
Dr. Foye’s book “Tailbone Pain Relief Now!” will be available for free (e-book version) worldwide via Amazon.
You can use the Amazon website specific to your part of the world.
COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com
- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.
Consultant360 Podcast Interview of Patrick Foye, MD, for Tailbone Pain Awareness Day 2019
GET THE BOOK: To get your copy of the book “Tailbone Pain Relief Now!” go to: www.TailboneBook.com or go to Amazon.
COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com
- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.
Facebook Live, Tailbone Pain Awareness Day, Dr Foye
GET THE BOOK: To get your copy of the book “Tailbone Pain Relief Now!” go to: www.TailboneBook.com or go to Amazon.
COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com
- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.
The day also included hundreds of free copies of the book “Tailbone Pain Relief Now!” which were given away on Amazon worldwide.
This year, 2019, is the second annual Tailbone Pain Awareness Day.
Questions about Coccyx Pain will be answered in a Facebook-Live session at 2pm (eastern time) at the following Facebook page: www.facebook.com/TailbonePainCenter/
Dr. Foye’s book “Tailbone Pain Relief Now!” will be available for free (e-book version) worldwide via Amazon.
You can use the Amazon website specific to your part of the world.
COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com
- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.
This evening it was a pleasure to join with others at Rutgers New Jersey Medical School in honoring James Oleske, MD, as he leaves @Rutgers_NJMSafter 43 years.
He was the first US physician to diagnose #AIDS in children, in the early 1980’s.
Pediatric Infectious Disease specialist.
Well known as a wonderful doctor, a great role model, and a terrific advocate for patients on a global scale.
A movie called “The Littlest Victims” was made about @DrJimOleske‘s pioneering work, where he was played by @Tim_Matheson
Patrick Foye MD and James Oleske MD, at Dr Oleske’s retirement from Rutgers New Jersey Medical School
Most patients with coccyx pain (tailbone pain) find that sitting is painful, but that it is somewhat less painful if they use the right cushion. For most people with tailbone pain, the best cushion has a cut-out located just at the back of the cushion (under the coccyx, so that the coccyx does not hit the chair when sitting).
But some patients have pain that is not limited to only the back area of the pelvic floor (at the coccyx). They may ALSO have pain at the front area of the pelvic floor (e.g. at the area of the external genitalia, such as the scrotum in men, or at the vulva and vaginal area in women).
When patients have sitting pain that is located at both the FRONT and ALSO at the BACK of the pelvis , they may benefit from a cushion that has a cut-out area extending from back -to-front. (Unlike people who have pain only at the coccyx and usually use a cushion where the cut-out is only at the back part of the cushion.)
The extended area of cut-out is basically like a trough, or trench, or channel, that extends from front-to-back down the middle of the cushion.
Most of these are adjustable, so that the trench (trough, channel) down the middle can be made to be either wider or narrower, depending on your body size and what gives you the most relief.
I do not endorse specific brands, but I will show a few here so that you can see what I am talking about.
Twin Cheeks coccyx pudendal cushion, from cushionyourassets.com
Twin Cheeks coccyx pudendal cushion, on a chair, from cushionyourassets.com
Twin Cheeks coccyx pudendal cushion, on a chair, Folded-up for Carrying, from cushionyourassets.com
GET THE BOOK: To get your copy of the book “Tailbone Pain Relief Now!” go to: www.TailboneBook.com or go to Amazon.
COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com
- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.
Fibromyalgia is a very interesting and complex topic in relationship to coccyx pain…
Fibromyalgia can worsen the symptoms of coccyx pain:
On the one hand, people with fibromyalgia have diffuse/widespread pain throughout multiple areas throughout the body.
This can often make it difficult to figure out exactly how much of someone symptoms are coming from the tailbone specifically versus how much of those symptoms are really coming from the overall diffuse/widespread pain problem that is fibromyalgia.
Coccyx pain can worsen the symptoms of fibromyalgia:
On the other hand, if someone does have fibromyalgia… then it generally will make musculoskeletal pain in just about any area feel worse. If someone has arthritis in a joint, or inflammation in the bursa, or a tear in a tendon or ligament, then unfortunately it probably will feel worse if the person is already suffering from fibromyalgia that involves that body region.
Also, unfortunately the musculoskeletal arthritis/inflammation/bursitis/tendonitis/etc. can be a trigger that causes the fibromyalgia to be worse.
So, fibromyalgia and coccyx pain can worsen each other:
Thus, it unfortunately goes both ways: the fibromyalgia can cause worsening of coccyx pain, and the coccyx pain can cause worsening of the fibromyalgia. It can be somewhat of a “vicious cycle”.
Treating the fibromyalgia:
Often, fibromyalgia is treated by a rheumatologist. Treatment can include medications by mouth, physical modalities such as hot packs or icing over involved muscle areas, a stretching program for the involved muscle groups (perhaps with a physical therapist but then importantly doing it as a home program), some forms of massage for the involved muscle areas, etc.
Treating the coccyx pain might help the fibromyalgia:
Focal treatment for coccyx pain can sometimes relieved not only the pain at the coccyx but can sometimes also help to decrease the overall fibromyalgia. Basically, the explanation is that the coccyx pain can be an underlying cause of triggering/worsening of the fibromyalgia… and therefore if we can effectively help to relieve the coccyx pain then the fibromyalgia may return to its baseline level of discomfort (rather than the exacerbated or flared-up levels of worsened fibromyalgia).
GET THE BOOK: To get your copy of the book “Tailbone Pain Relief Now!” go to: www.TailboneBook.com or go to Amazon.
COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com
- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.
Coccygectomy is the surgical amputation, or removal, of the coccyx (removal of the tailbone).
After a coccygectomy, it is relatively common to develop a fluid collection at the surgical site.
I spoke with a group of European coccygectomy surgeons about this topic when I lectured at the International Coccyx Pain Symposium in 2016 and again in 2018. None of the surgeons were entirely sure of exactly why the fluid collection happens, or how best to treat it.
The best we can explain it is that after the coccyx is removed there is some space present where the tailbone used to be, and inflammation/fluid after the surgery sort of fills that area. I compare this to removing a few shovels full of dirt from the ground in your backyard, and before long it will fill with water and you will have a puddle.
After a coccygectomy, the fluid would mainly be seen on imaging studies such as MRI.
On MRI, the doctors can carefully look to see if the fluid contains any retained bony fragments from the coccyx, which may have been accidentally “left behind” at the time of surgery.
Sometimes the fluid collection will persist for many months after the coccygectomy.
In some instances the fluid may resolve over time.
There is no officially established protocol for how to deal with the fluid or whether anything should be done with it at all.
If the patient is having substantial symptoms, then treatment is reasonable.
One consideration would be to put a needle into the fluid in order to send a fluid sample for testing.
Specifically, the testing of the fluid would be to look for any infection. So the testing of the fluid could include looking for bacteria by doing a gram stain and then looking for bacteria under a microscope. Testing could also include a bacterial culture/sensitivity, where the doctors try to grow whatever miscro-organisms were found in the fluid. Testing could also include looking at the white blood cell count [WBC count] within the fluid, because infection is often associated with a high WBC count.
Certainly if there is redness and warmth at the skin over the fluid collection, or if the patient has a fever, those things would be clinical signs concerning for infection within the underlying fluid. The higher the clinical suspicion for infection, the more likely that the doctor will want to test for infection and/or start antibiotics to treat the infection.
A localized collection of infection like this is often referred to as an “abscess.” If it looks like there is a local infection at the site, then typically the doctor would NOT want to inject any steroid at that area, since injecting a steroid into an active infection could make the steroid worse.
Using a needle to remove the fluid might potentially be helpful at relieving the fluid pressure/pain in the area, although it is certainly possible that some or all of the fluid might just re-accumulate.
In rare cases, a fluid collection might be due to prolapse (sagging) of the rectum. Rectal prolapse means that the rectum has moved out of its normal position and has instead moved into a different area. (In this case, it could be that the rectum is moving into the area where the tailbone used to be.)
In general, make sure your physicians are assessing the skin for redness/warmth to make sure there is no sign of infection.
Also, ask your local physicians whether they have anyone local to you who would be able to look at this under ultrasound and see if the area where the fluid is located may match the area where you are having your symptoms. They could also consider removing the fluid by inserting a needle under ultrasound guidance.
Also, please make sure that your coccygectomy surgeon sees the MRI report and the CD images of the fluid, and ask for his/her thoughts and advice on this issue.
GET THE BOOK: To get your copy of the book “Tailbone Pain Relief Now!” go to: www.TailboneBook.com or go to Amazon.
COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com
- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.
I completely loved doing my residency in Physical Medicine and Rehabilitation (PM&R) at the Rehabilitation Institute of Chicago (RIC), from 1993 to 1996.
Roughly a quarter century later, in July 2019, I was happy to be back to give a Grand Rounds lecture on Coccyx Pain (Tailbone Pain).
There is a totally new and beautifully modern building (the Shirley Ryan Ability Lab) just 2 blocks from where the former RIC building still stands.
Some items from RIC are still found in the new building, such as:
the huge Marc Chagall’s Tapestry, depicting the biblical story of “Job”, which formerly hung in the lobby of RIC.
the bust/statue of Henry B. Betts, M.D., (Dr. Foye’s former Chairman at RIC). The statue was created by Yeongchi Wu, M.D., who was famous for his global contributions to amputee care via the invention of the rigid removable dressing (used after amputation, before a patient is fitted with an artificial limb).
Dr Patrick Foye MD, at the Shirley Ryan Ability Lab, (Rehabilitation Institute of Chicago: RIC) to Lecture on Coccyx Pain, Tailbone Pain, Coccydynia
Marc Chagall’s Tapestry, “Job”, at the Shirley Ryan Ability Lab (formerly the Rehabilitation Institute of Chicago), with Patrick Foye MD
Patrick Foye MD, with statue of Henry B. Betts, MD, (Dr. Foye’s former Chairman at RIC: the Rehabilitation Institute of Chicago)
Dr. Patrick Foye M.D., Lecturing on Coccyx Pain (Tailbone Pain), at the Shirley Ryan Ability Lab, (formerly RIC: Rehabilitation Institute of Chicago), July 24, 2019. The building in the background is the former RIC: the Rehabilitation Institute of Chicago.
On July 24, 2019, Dr. Patrick Foye, MD, gave a Grand Rounds lecture on Tailbone Pain (Coccyx Pain, Coccydynia).
The audience included: Physicians, Pelvic Floor Physical Therapists, people suffering from tailbone pain, and others.
Dr Patrick Foye MD, at the Shirley Ryan Ability Lab, (Rehabilitation Institute of Chicago: RIC) to Lecture on Coccyx Pain, Tailbone Pain, Coccydynia
Dr. Patrick Foye M.D., Lecturing on Coccyx Pain (Tailbone Pain), at the Shirley Ryan Ability Lab, (formerly RIC: Rehabilitation Institute of Chicago), July 24, 2019.
GET THE BOOK: To get your copy of the book “Tailbone Pain Relief Now!” go to: www.TailboneBook.com or go to Amazon.
COME FOR RELIEF: For more information on coccyx pain, or to be evaluated in-person at Dr. Foye’s Tailbone Pain Center in the United States, go to: www.TailboneDoctor.com
- Patrick Foye, M.D., Director of the Coccyx Pain Center, New Jersey, United States.
