My butt hurst
Here's my standard response. I wrote it into my blog so I could share with more people.
My suggestion to ANYONE who has WLS.... if they are "blessed" with a big butt prior to weight loss is to get a ****yx cushion:
I buy this one from Amazon.com
It's $11.96 today, with free super-saver shipping if you purchase $25.00 or more. This will take the place of your missing fat in your buttocks. The muscle which pulls the tailbone up and away from a sitting surface has grown weak from disuse. You didn't need to exercise or use it when you had enough extra padding so that your tail doesn't come into contact with a sitting surface.
Once you lose weight, the tailbone gets bruised because you sat on it. This bruising causes pain. You have to build up that muscle, and your body begins to buff it up now that there's a need for it. But the bruised tailbone does cause you pain.
MOST folks will eventually feel that their tailbone gets better. The inflammation goes down, the muscle gets stronger, and eventually you'll forget that you have a tailbone. I suggest anyone with a substantial "caboose" get this pillow as part of the post-op lifestyle. (If you had a little bony butt, you likely won't have an issue).
Occasionally there will be an individual whose pain doesn't get better. What is happening in these instances is that your tailbone swelling just won't heal on its own. You can see either a pain specialist or an orthopedic pain specialist. Normally they suggest a cortisone shot to the posterior. (painful!).... Most often one shot does the trick, but sometimes it will take a second shot, or even a third.
I would say that 90% of post-WLS people who have tailbone pain get over it without any intervention. Of those 10% who don't get over it, I'd say that a good 90% who get a ****yx shot will get over it with the first shot (I had a 15% improvement). For those who don't see improvement with one shot, the majority who get a second shot then see results (I had an 85% reduction in pain with my second shot, and considered it a successful). Even those who don't get there with two shots, most have improvement with that third shot.
A very small percentage of post-WLS people find no permanent relief in this course of action. Probably less than one in ten-thousand even go so far as to get a shot, and a tiny percentage of those have issues beyond that.
I was one of those unlucky ones. I had a large butt from the time I was a small child. The muscle responsible for lifting my tailbone out of harms way was either totally atrophied, or just plain missing. I had my tailbone removed, which is a VERY rare surgery. Fully 25% have serious severe complications - infection is common as the surgical sight is within an inch or two of the anus. One in five have no relief from pain, and one in five is WORSE following the ****ygectomy than they were before surgery. I have about 50% less pain than prior to having it removed, and when I am on my pain regimen, it's down to about 15% of max pain.
My suggestion to ANYONE who has WLS.... if they are "blessed" with a big butt prior to weight loss is to get a ****yx cushion:
I buy this one from Amazon.com
It's $11.96 today, with free super-saver shipping if you purchase $25.00 or more. This will take the place of your missing fat in your buttocks. The muscle which pulls the tailbone up and away from a sitting surface has grown weak from disuse. You didn't need to exercise or use it when you had enough extra padding so that your tail doesn't come into contact with a sitting surface.
Once you lose weight, the tailbone gets bruised because you sat on it. This bruising causes pain. You have to build up that muscle, and your body begins to buff it up now that there's a need for it. But the bruised tailbone does cause you pain.
MOST folks will eventually feel that their tailbone gets better. The inflammation goes down, the muscle gets stronger, and eventually you'll forget that you have a tailbone. I suggest anyone with a substantial "caboose" get this pillow as part of the post-op lifestyle. (If you had a little bony butt, you likely won't have an issue).
Occasionally there will be an individual whose pain doesn't get better. What is happening in these instances is that your tailbone swelling just won't heal on its own. You can see either a pain specialist or an orthopedic pain specialist. Normally they suggest a cortisone shot to the posterior. (painful!).... Most often one shot does the trick, but sometimes it will take a second shot, or even a third.
I would say that 90% of post-WLS people who have tailbone pain get over it without any intervention. Of those 10% who don't get over it, I'd say that a good 90% who get a ****yx shot will get over it with the first shot (I had a 15% improvement). For those who don't see improvement with one shot, the majority who get a second shot then see results (I had an 85% reduction in pain with my second shot, and considered it a successful). Even those who don't get there with two shots, most have improvement with that third shot.
A very small percentage of post-WLS people find no permanent relief in this course of action. Probably less than one in ten-thousand even go so far as to get a shot, and a tiny percentage of those have issues beyond that.
I was one of those unlucky ones. I had a large butt from the time I was a small child. The muscle responsible for lifting my tailbone out of harms way was either totally atrophied, or just plain missing. I had my tailbone removed, which is a VERY rare surgery. Fully 25% have serious severe complications - infection is common as the surgical sight is within an inch or two of the anus. One in five have no relief from pain, and one in five is WORSE following the ****ygectomy than they were before surgery. I have about 50% less pain than prior to having it removed, and when I am on my pain regimen, it's down to about 15% of max pain.
~Lady Lithia~ 200 lbs lost!
March 9, 2011 - Coccygectomy!
I chased my dreams, and my dreams, they caught me!
What bugs me is I went from having a large rear to having "pancake butt". It's still wide (I'm still obese), but flat as can be! I was really hoping to come out of this with a cute bubble butt, but alas, no cute butt for me. The pain just adds insult to injury, *pout*.
HW: 272 lbs. (BMI 49.7) SW: 237 lbs. (BMI 43.3) GW: 140 lbs. (BMI 25.6)
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