Can coccygeal pain be secondary to spinal stenosis?
I suffer from coccygeal pain, however the pain presents similar to lumbar stenosis. It radiates to the thighs, is exacerbated when walking, alleviated when sitting, and less severe when walking down hill while being more severe when walking up hill. I always have a forward posture, as this alleviates the pain to a degree as well. This matches everything I read about spinal stenosis, however the pain (apart from when it radiates) is midline, directly on the coccyx. It presents more like stenosis or levator ani syndrome (closer to the former than the latter) than typical coccyx pain, though.
Thoughts?
Most radiated pain occurs downstream in branches of the same nerve or in separate nerves in the immediate vicinity of the pain. Since the coccyx is downstream from the nerve roots that go to the legs, it’s very likely that a problem in the lumbar region of the spine could cause coccygeal pain. It might be worthwhile to get an MRI of the coccyx and lumbar region.
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