[42F] Experiencing severe pelvic and back pain with neurological symptoms

What might be happening

Based on the information you've provided, there are several possible explanations for your symptoms:

• Coccydynia: This is a condition characterized by pain and tenderness at the tip of the tailbone between the buttocks, often caused by an injury such as a fall. The pain can radiate to the thighs and can be worse when sitting or with activities that put pressure on the bottom of the spine.

  • Treatment typically involves pain management with over-the-counter pain relievers, physical therapy, and in some cases, surgery.

• Cauda Equina Syndrome: This is a serious neurological condition in which there is acute loss of function of the nerve roots of the spinal canal below the termination of the spinal cord. Symptoms can include lower back pain, numbness in your groin ("saddle anesthesia"), weakness in your legs, and bowel or bladder incontinence or dysfunction. This is a medical emergency and requires immediate surgical intervention.

  • Treatment typically involves urgent surgery to relieve pressure on the nerves.

• Spinal Stenosis: This is a narrowing of the spaces within your spine, which can put pressure on the nerves that travel through the spine. Spinal stenosis occurs most often in the lower back and the neck. Symptoms can include pain, numbness, muscle weakness, and problems with bladder or bowel function.

  • Treatment typically involves medication, physical therapy, and in some cases, surgery.

• Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It amplifies painful sensations by affecting the way your brain and spinal cord process painful and nonpainful signals.

  • Treatment typically involves a combination of medications, exercise, stress management and healthy lifestyle habits.

Please note that these are potential explanations for your symptoms, but only a healthcare professional can provide a definitive diagnosis.

What you can do

Given the severity of your symptoms and the potential for serious conditions such as Cauda Equina Syndrome, it's important that you seek immediate medical attention. You should go to the emergency department as soon as possible.

What you should look out for

Please monitor your symptoms closely and seek immediate medical attention if you experience any of the following:

• Increased weakness in your legs
• Increased numbness or tingling in your groin or inner thighs
• Loss of bowel or bladder control
• Severe or worsening pain

Remember, I'm an AI and while I strive to provide accurate information, I can't replace a consultation with a healthcare professional. Please seek immediate medical attention.