I developed a pain in the lower back near the backbone. Sometimes it's concentrated to a single point, other times I can feel the pain on my right buttock upper portion just next to the backbone on the muscle. The pain in the back is tolerable, maybe at 2 or 3 out of 5. But becomes a little severe when I try to bend forward. I got this pain around 4 weeks back and I thought it would be as a result of a bad sleeping posture. I just noticed that the pain has not gone, its been 4 weeks now. I also have a pain on my right leg just about the knee. Not sure if these two pains are connected.

Dr. Julie Mercy J David RajaPhysiotherapist20yrs exp

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The lower end of the vertebral column is inflamed and that bone is called coccyx bone and the condition is called Coccydynia. The conservative management would be to keep ice in that inflamed area during one time in a day and also to sit in a hot water bowl where the penetration of the heat would help to reduce the inflammation. And to reduce the weight falling on the inflammed surface we suggest patients to use air cushion pillow (also called as doughnut pillow) where in the buttock's weight will not fall exactly on the painful tail bone and that would automatically reduce the pain. For this the best treatment would be to undergo Ultrasonic therapy in one of the nearby physiotherapy clinics.  

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