Other Spinal Disorders

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Relief for Lower Spine Conditions That Affect Daily Comfort

Not all spinal conditions involve the neck or back — some originate from the lowest parts of the spine where the pelvis, coccyx, and sacroiliac joints play a major role in movement and stability. These conditions can cause pain when sitting, standing, walking, or performing everyday activities. At iMsk & Spine Group, we understand how disruptive these disorders can be and take the time to diagnose them with compassion and precision. Every patient receives a personalized treatment plan designed to reduce pain, restore mobility, and improve quality of life.

Conditions We Treat Under Other Spinal Disorders

Coccydynia

What it is:
Coccydynia refers to inflammation or irritation at the tip of the tailbone (the coccyx). It may develop after prolonged sitting, childbirth, or direct trauma — such as a fall onto a hard surface. In some cases, the cause remains unknown, yet the pain can be significant and persistent.
How we treat it:
We focus on reducing inflammation and improving mobility. Treatments may include cushioned seating support, posture and sitting-modification strategies, physical therapy to reduce pelvic and lower-back tension, pelvic-floor therapy when appropriate, and targeted interventional pain-relief procedures for persistent cases.

Symptoms:

  • Tenderness or aching directly over the tailbone
  • Pain that worsens when sitting or rising from a seated position
  • Shooting pain that may radiate into the legs
  • Pain during bowel movements
  • Pain during sexual intercourse

Sacroiliitis (Sacroiliac Joint Inflammation)

What it is:
Sacroiliitis is inflammation of one or both sacroiliac (SI) joints — the joints connecting the spine to the pelvis. These joints help transfer weight from the upper body to the hips and legs, so irritation can cause widespread discomfort affecting movement and balance.

How we treat it:
Treatment is individualized and may include SI joint stabilization exercises, manual therapy, physical therapy focusing on core and pelvic alignment, activity modification, supportive bracing, and interventional treatments such as SI joint injections to reduce inflammation and improve mobility.

Symptoms:

  • Lower back or buttock pain
  • Pain that radiates down one or both legs
  • Pain that worsens with prolonged standing
  • Stiffness when climbing stairs, walking uphill, or transitioning positions
  • Discomfort during weight-bearing activities

Other Spinal Disorders FAQ

How do I know if my pain is coming from my tailbone or SI joint instead of my lower back?

Location and triggers help guide the diagnosis. Tailbone pain is usually very localized and worsens with sitting, while sacroiliac pain often radiates into the buttocks or legs and worsens with standing or stair climbing. A proper evaluation allows us to pinpoint the exact source.

Can these conditions improve without surgery?

Yes — most cases of coccydynia and sacroiliitis respond extremely well to conservative, non-surgical treatments. Our approach prioritizes physical therapy, lifestyle modification, and targeted interventional pain relief when needed.

Why does sacroiliitis pain sometimes feel like sciatica?

Because SI joint inflammation can irritate nearby nerves, it may produce radiating pain into the leg that mimics sciatica. We assess both the spine and pelvis to determine the true origin of the pain.

What can I do at home to help reduce tailbone or SI joint pain?

Using cushioned seating, avoiding prolonged sitting, practicing gentle stretching, strengthening core and pelvic muscles, and maintaining good posture can all help. We’ll provide a customized home program based on your specific condition.

When should I see a specialist for these disorders?

If pain lasts more than a few weeks, limits your mobility, interferes with sitting or standing, or radiates into the legs, it’s important to be evaluated. Early treatment improves outcomes and prevents worsening irritation.

Are these conditions related to childbirth?

Yes — both coccydynia and sacroiliitis can develop or worsen after childbirth due to joint strain, ligament stretching, or tailbone injury. We offer supportive, gentle, and personalized treatment for postpartum patients.
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