Thank you for the information.Studies have indicated that almost 50% of patients will have bulging of interveretebral discs in the lumbosacral spine by the age of 40-60 years out of which only half will be symptomatic. Evidently in your case there are severe symptoms,also perhaps a check up of the sacral spinal root nerves/pudendal nerves may show compression of these nerve roots causing the symptoms of the sacral area.Inflammatory joint disease like in Rheumatoid Arthritis and Spondylosis of the lumbosacral spine ,sacroiliac joint dysfunction due to trauma or stretching or compressive forces of the ligaments and SI joints may cause tenderness in the sacral area.Disc prolapse and spinal nerve root compression in the lumbar and sacral area may also cause tenderness of the coccyx. Coccydynia may occur due to injury/fall on the sacrum or damage of the coccyx. This can result in tenderness and pain.Osteoporosis and sacral insufficiency fractures have been known to occur in females without any history of trauma.The bones may become too weak to handle weight bearing in the area due to severe osteoporosis,a DEXA scan will reveal the severe osteoporosis.Hyperparathyroidism may need to be ruled out . L5-S1 disc compression and thecal bulging has been known to produce pain in the hips,buttocks and thighs.Numbness,tingling and other sensory changes are known to occur with the L5-S1 disc problems and facet problems in the area.The opinion of a Neurosurgeon and a good Orthopaedic surgeon may help in managing this problem.
Ok may I please ask what is the treatment for sacral spinal nerve root compression?
Also what imaging can be done will a CT scan be ok??