Who told you that as a external piles? Is it external piles or chronic fissure in ani with sentinel pile? Lower back pain may b due to coccygeal pathology. Its better to consult near by orthopaedic surgeon for that.
Pain in tail bone is usually due to calcium deficiency. You should get the following investigation done:
Serum calcium and Vit D
If the levels are low you should take calcium supplement regularly for 2 weeks. That will reduce pain in tail bone. External hemorrhoids can be removed conveniently by Graded Ksharsutra. For more information and appointment please contact.
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