“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 ...
Highlights Overview: Back pain can be acute, subacute, or chronic, and more commonly occurs in the lower area of the back.
Acute back pain develops suddenly and lasts up to several weeks. Acute pain is the most common type of back pain. Subacute back pain is pain that lasts up to three months. Chronic back pain can begin abruptly or gradually, linger, subside and then come back, but it lasts longer than 3 months. With proper self-care, most acute cases resolve within 4 - 6 weeks. Two-thirds of those patients, however, will experience another episode of back pain within 12 months. Diagnosis: A medical history and a brief physical examination is always necessary for both acute and chronic back pain. The main goal of a physical exam is to try and determine the source of the pain and to detect warning symptoms. Imaging techniques such as x-rays or scans are rarely recommended in the first month unless the health care provider suspects a serious problem such as a tumor, fracture, infection, caud...
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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