About 12 years ago I fell on my coccyx while riding my horse, I was young and didn't think much about it, except for the excruciating pain for a few months. But I survived. Since my hysterectomy in 2005 I have had a few bouts with IC, urgency, low libido and typical menopausal symptoms. I have always had constipation and straining was always an issue. I put myself on a BM regimen 5 years ago to help the straining. Never had anything like this, it just came out of the blue, only thing I was doing was taking Zumba 4 times a week for about a year. I Exercised my entire adult life and I started to experience sciatic type numbness bilaterally, then coccyx discomfort like I was sitting on a walnut with a rope feeling along the piriformis and gluteals, right at the tip of the gluteal cleft. I stopped exercising completely. Then it began to hurt/burn (like after diarrhea) after I have a BM, especially the anul opening, like its swollen and achey, a pulling pressure which goes right up towards the sacrum and out to the piriformis and R ischial (it rolls). MRI negative, X-rays ok, coccyx at a 90 degree angle, small hemorrhoids, no vaginal or perineal ache just back at the bottom sphincter, sex ok during, just seems this is the back portion/coccyx area. 2 steroid injections plus oral, now PT, getting better, pain dropped from 7/10 to 3/10, but then missed 2 weeks and when I sit (ouch, never can find a spot) or walk too much it flares up. Is this PN? I am so confused, so down about it, I cry easily, the pain/ache is at 3/10 now..is there help? I just want my life back. What about Neurontin/cymbalta? They keep wanting me to take this but I have not yet, I have been dealing with this since November 2012. Please help define this for me, thats what is making me crazy....and will this be forever????