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Sayer Specialist Coccyx Tailbone Clinics in London take Sitting-Standing Coccyx X-rays for severe, chronic Tailbone Pain, Coccydynia

Sayer Specialist Coccyx Tailbone Clinics in London take Sit / Stand X-rays to successfully treat severe, chronic Tailbone Pain, Coccydynia


Coccyx x-rays not available on the NHS.

NHS radiology protocols have long stated that they cannot x-ray the coccyx and implied that tailbone /coccyx xrays are not useful in diagnosis for patients suffering tailbone pain coccyx pain / coccydynia as their painkilling, drug treatment is not affected by x-ray results.


Specialist Coccyx X-rays in London UK. The Royal College of Radiologists in 2017 finally recommended sitting / standing x-rays at specialist centres. The leading UK clinic for sitting standing coccyx x-rays is Sayer Coccyx & Pelvic Clinics in London. 


In our experience GPs consultants and hospital doctors are still unaware that the Royal College of Radiologists guidelines now recommend sit / stand x-rays of the coccyx for patients suffering chronic and severe coccyx pain as so few xray clinics can perform and interpret sitting  / standing xrays. Imagine having your standing and sitting x-rays taken by the world’s leading coccyx specialist who can successfully treat your coccyx using specialist coccyx manipulation.


We take standing lateral coccyx x-rays which are closely collimated (narrowed down and lead -shielded) to minimise the area of the x-ray and avoid pelvic organs, especially testes and ovaries and are not taken if there is any chance of pregnancy.


Our high-resolution digital x-rays for tailbone pain, coccydynia patients help  diagnose coccyx fractures, anterior, posterior, torsional and lateral dislocations and arthrosis. 


Dr Michael Durtnall successfully diagnoses and with his team, treats the most difficult cases of coccydynia and referred pelvic pain: Pudendal Nerve Entrapment (PNE)' and pelvic neuralgia, where nerves become compressed or inflamed between the ischium or "sitting bones" area of the pelvis and the coccyx /tailbone where referred pain can originate into the pelvic floor and under the buttocks. 


Patients with pain on sitting usually sit, for months and years, one-sided to try to avoid their pain with resulting pudendal nerve compression with burning, numbness and parasthesia in the pelvis near the sacrum and coccyx which can radiate to the perineum, vulva, inner thighs, lower abdomen and groins.


Misalignment or fixation of the sacroiliac joints, pubic symphysis, spine or sacrococcygeal tailbone joint is best treated using specialist pelvic manipulation, myofascial pelvic connective tissue techniques, acupuncture and exercises to reduce nerve compression, muscle spasm and inflammation. Patients with referred pelvic floor and vulvar pain related to coccyx and sacro-iliac dysfunction travel internationally to us for successful treatment:  See patients reviews for my specialist diagnosis and treatment of pelvic pain on www.pudendalhope.Info


Sayer practitioners also successfully manually treat abdominal wall myofascial adhesions and scar tissue pain after endometriosis, abdominal surgery or caesarian section.


Sayer Coccyx and pelvic pain clinics use an advanced digital x-ray system which is extremely high-definition and low-dose specifically for pelvic and coccyx patients' standing and sitting x-rays. We also use diagnostic Doppler Ultrasound for pelvic and coccyx muscle, ligament, tendon and soft tissue examination and diagnosis.


Sadly, in the UK the NHS route for coccyx pain sufferers is painkilling drugs with a progression of gabapentin, amitriptyline and opioids which make sufferers feel demoralised and miserable. Eventually patients see an orthopaedic surgeon who typically knows little about coccydynia but offers cortisone injections, which simply do not work except for short-term pain cover-up.


SayerClinics are one of the very few coccyx specialist manipulators globally with advanced imaging facilities to take low-dose, high-definition, digital sit / stand x-rays and pelvic diagnostic ultrasound.


The success rate of Michael's approach to coccyx treatment alongwith our specialist pelvic physical therapy team is over 90% even in the most difficult cases of tailbone and associated pudendal neuralgia dysfunction or pelvic pain for many years. 


We aim to achieve coccyx / pelvic pain-free function with not only my decades of experience in coccyx, sacroiliac and pelvic joint manipulation but my extensive knowledge in managing each individual patient's expectations which is vitally important: 

When and at what intensity to adjust; 

How often to treat and prescribe specific exercises; 

When to change or increase these exercises, gradually and at the right time.


This is all a finely calibrated and complex recipe for each individual and different patient, requiring expertise via a variety of treatment approaches, including mindfulness and advice to break pain-inducing habits to achieve the best results. This complex recipe is needed even more for the 30% of coccyx patients who also suffer related pudendal neuralgia symptoms between the sitting-bone and coccyx and into the pelvic floor and sex organs with numbness, pins and needles, burning, dysfunction and weakness. For this reason our brilliant team of specialist pelvic physical therapists, shiatsu and acupuncturists have helped successfully treat more than 7,000 coccyx and pudendal pelvic pain patients from the UK, Europe and all parts of the world during Michael's career.