You are certainly correct. The lumbar spine frequently refers to the coccxy. I love it when it does because I can actually help a patient with coccyx pain (which otherwise can be impossible to treat!).
---
Scott Epsley
PHYSIOTHERAPIST
Northside Sports Injury Centre
Brisbane, Australia.
e-mail: [log in to unmask]
On Fri, 30 Mar 2001 14:15:31
Dr. S.C. Sood wrote:
>Dear friends,
> Hide and seek of migrating pain from spine plays strange tricks and taxes our gray matter .My question and confusion is "Is it possible for pain to be referred from spine to coccyx.
> This week I have had two patients with pain in coccyx with local tenderness of spontaneous onset ,no h/o trauma.fever or back pain . only difference from conventional coccydynia cases was pain increased on sitting on soft surface and in flexion where as reduced on sitting on hard surface and with lordosis .Which confused me as silting with flexed spine in slightly
>forward bent position doesn't allow the coccyx to touch the seat and pain is reduced ands so does soft cushion under buttocks ,
> When I checked the EIL to my surprise pain was reduced and when I asked her to do EIL at home next day she came to my consultation chambers totally painfree.Same patient was under my treatment for tennis elbow for some times untill she came back with no elbow pain but cervical brachalgia instead.MRI revealed Post central prolapsed which resolved of itself.
>She is emotional stable college lecturer with no possibility of psychosomatic component.I filed the case and forgot a she was symptomatic.Untill last day when a famous Paderaticean of this city came to me with similar complain of spontaneous onset pain in coccyx without any history of trauma .he has a very busy practice and is mostly sitting in his clinic pawing kids .I have asked him to do EIL.and he has not returned so far.
>Thanking you ,
>
>DrSarveshwar Chander Sood
>Orthopaedic Surgeon & Head Department of Physical
>Medicine & Rehabilitation,
>S.B.L.S.Hospital
>812/1,Housing Board Colony
>Model Town,Jalandhar city
>Punjab State.India
>E-mail [log in to unmask]
>http://personal.vsnl.com/sarveshwar
>"For all the happiness mankind can gain is not in pleasure....but relief from pain."
>
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