coccyx pain
Introduction
Introduction Axillary pain: One of the symptoms of perianal abscess, abscess pain in the posterior anus, and local swelling, redness, tenderness, and fluctuations. Pain in the lumbosacral region refers to the 4th and 5th lumbar vertebrae and the first atlas. Pain in the lumbosacral region is more common in disc herniation. This condition is often accompanied by radiation pain in one side of the lower extremity. If there is inflammation in the gynecology, such as pelvic inflammatory disease, it can sometimes cause pain in the lumbosacral region. During pregnancy, there is a waist in the middle and late pregnancy. Discomfort of the ankle. In addition, deep abscesses in the anorectal family can also be caused.
Cause
Cause
1. Infectious factors: Modern medicine believes that infection is the main cause of this disease.
2, iatrogenic factors: clinically iatrogenic caused by anorectal abscess is not uncommon.
1 Intra-invasive sputum or injection therapy, submucosal abscess due to improper operation or unclean infection.
2 Injecting chemical drugs around the rectum to cause tissue necrosis, resulting in abscess around the rectum.
3 sigmoidoscopy, causing peritoneal perforation infection, causing abscess after rectal space.
4 Local anesthesia infection, or poor absorption after injection of oil solution, and form an abscess.
3, post-operative factors: clinically can also be seen in the anorectal surgery caused by infection, and the formation of periorbital abscess, as well as post-urethral infection, perineal infection, postpartum perineal rupture and suture infection, sacral osteomyelitis infection Abscess caused by the same.
4, other: infection after infection of foreign bodies in the rectum, actinomycosis, rectal diverticulitis infection, anal rectal cancer ulceration or deep infection, and physical weakness, low resistance, or chronic wasting disease, or Malnutrition is the cause of abscess around the rectum.
Examine
an examination
Related inspection
Bone and joint MRI examination of spinal examination
The main symptoms of lumbosacral strain are low back pain or lumbosacral pain, increased symptoms after labor, and relieved symptoms after rest. Pain worsens or recurs when suffering from chronic illness, depression, or climate change. The location of the strain is different, and its clinical manifestations are different. Generally, tenderness or slap pain can be found locally, and posture changes or limp can also be observed. No neurological disorders.
There were no abnormalities in X-ray examination and laboratory tests. Those with poor posture, lower limb deformity, forced position work or lack of physical exercise, etc., should be considered when the above clinical manifestations occur. When diagnosed, it needs to be differentiated from myofascial syndrome, osteoarthrosis and pelvic internal organs.
Diagnosis
Differential diagnosis
1, anorectal abscess around: more from the anal sinus infection and inflammation, spread along the anal duct spread to the anus around the rectum. Sudden onset, severe pain, accompanied by systemic symptoms, abscess easily spread, easy to form anal after rupture.
2, buttocks bloated: lesions around the anus around the skin, buttocks swollen skin superficial acute suppurative disease, characterized by red, burning, pain, protruding lesions shallow, swelling limitations, the range is more than 3 cm The swelling center is consistent with the hair follicle opening. The central pustule has nothing to do with the anal sinus. Most of them are self-destructive, and the suppuration is healed. Generally, there is no systemic symptoms and no anal fistula.
