“Sciatica” is an old world term that refers to leg pain felt down the back of the thigh into the calf and foot. What about thigh pain? What about buttock pain? Unfortunately, “sciatica” has been wrongly applied to all types and locations of leg pain. In 1948, the use of the word “sciatica” was declared “unhelpful” by a leading orthopedic specialist because it is limited to a certain location and really does not address the origin of the pain. Over the years, many older medical terms like sciatica have become archaic as the newer research technologies give doctors clearer definitions and a better understanding of the human body. Leg pain that comes from the low back is most accurately categorized as referred pain or neurogenic pain. These terms apply to all locations and address the origin of the pain. With these newer terms, the antiquated word, “sciatica”, has no place in the modern world. Sally has been waking up with right ...
Dear Dr. Motola,
I'm experiencing coccyx pain 4 to 9 weeks after radical prostatectomy and it
is very debilitating. Is this a reported problem with some patients after such
Histopathology indicated that cancer
is specimen confined and MRI, CT and total body bone scan do not reveal any
extraprostatic disease nor metastatic involvement of skeleton. Lymph nodes and
seminal vesicles are not involved.
Is it possible that pelvic floor exercises are causing the problem due to
pull of muscles attached to coccyx or muscle(s) in spasm. Or is likely to be a
problem from the operation which should settle down with time?
The pain that you are experiencing is
most likely related to the healing process from the prior surgery . The
pathology report demonstrates localized disease and the pain is not related to
the primary disease.
The pubococcygeus muscle is the muscle
that you are contracting with the pelvic floor exercises, and although not well
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