A copy of this post is also found under the general discussion.

Background;
- 25y male, no earlier problems at all, highly active on sports.-- Paraglider accident 1y ago. Coccyx pain starting not long after that.
- Accident included; compression fracture T12, L1, L2 and burst fracture L4. Surgery; Posterior lumbar interbody fusion using pedicle screws, collectors. L4-root compression on the right side - included hip-rotators (out/in) - trendelenburg gait and drop-foot.
- Now; Osteosyntesis-metal was removed 5w ago. Almost back-pain free.
- He has little or no sign of the paresis (but strength is not full for none of the affected muscle-groups). Tendency of m. tibialis posterior cramps (functional pes planus with valgus).
- Coccyx pain is still persisting 1y after the accident and that's bothering him most (the pain lowered the first 2 months, stable since then - aggrevated by prolonged sitting (and standing).

Treatment given;
- Initally (1y ago); specific stabilizing exercises for the back and hip, hydrotherapy, training of the dorsal-flectors of the foot. Home-exercises and advices - specially on stability, and balance - terrain-walking and more. Stretching of the hamstring muscle group and hip flexors were not done - as the flexibility has increased as the stability of the back and hip was increased.

- The coccyx pain still persisting. The pain is purely localized on the 2nd coccyx bone (counting up) and over to the start of the sacrotuberous lig (left side - opposite to the paresis).

- Initially I thought the pain was due to strain on the sacrotuberous lig. because of either malalignment (the fixated L3-L5) or because the L4 paresis of the right side. Now to paresis is almost gone - and the pain's still there. Have tried deep stretching the sacrotuberous lig. and tried deep frictions of the ligament.

Also tried 1 month of not sitting at all (used diary and more), less pain that month, but it came back afterwards.

....

So? ... Suggestions? tips? any good explanations?

Another thing: I can see when training global back extensors that he is rotating his right foot outwards (at hip level). Could this be something?...

...

Best regards,
Øystein, Norway

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