Conversation: The conversation between human and AI assistant.
[|Human|] my tailbone had been hurting me for about a week until i later realized it was a risen coming on my tailbone and this is the third week i have been treating it with everything possible and still going to work in pain and my job is a job that requires a lot of heavy lifting. It is still under the skin and will not come to a head after three weeks. please help me
[|AI|]  Hi, I believe your complaint deserves a keener evaluation and specific diagnosis before any appropriate treatment could be made. The causes could range from possibly infectious, inflammatory or traumatic causes. Knowing whether there is a recent history of trauma or not is important. Associated symptoms like fever, weight loss, associated joint pain, weight loss, fatigue could be important. Spinal TB is an option to be eliminated in this case. Any spinal or paraspinous abscess could present as such. Doing a spinal X-ray (lumobospinal), a CT Scan and probably an MRI, depending on the case could be quite helpful. Complete blood count, markers of inflammation (ESR, CrP, RF, HLA27) could be of utmost importance, associated with a careful clinical evaluation in making a correct diagnosis. A visit to an Internist or surgeon could be of utmost importance in putting things together for a more comprehensive, specific and exact diagnostic and management plan. Thanks as I hope this helps, Best regards, Luchuo, MD.