Hmm I am not sure about the crooked situation but my lo also has a dimple about 2 inches above her actual but hole. I remember the doctor saying sometimes this can be a symptom of "xyz" but I don't remember what the xyz was SORRY!!
crooked butt crack
Someone at work's daughter at a similar situation (crooked crack w/ dimple). She brought it up and everyone thought is was kind of comical including her because her pedi told her there was nothing to worry about. She switched pedi's because the original had health issues and unexpectedly retired. At her next well visit the new pedi did recommend getting a scan of some sort to ensure that everything was as should be. In the end nothing was wrong and she was happy that she got it checked out to make sure.
Of all parts of our tour, this section had the most uncertainty. The topo map made the descent from the Crooked Bum into the Buttcrack look pretty steep and cliffy. We skied sloughing snow on the ridge and Logan expertly picked our way through some cliffs down to the top of the crack.
A sacral dimple is an indentation or pit in the skin on the lower back that is present at birth in some babies. It's usually just above the crease between the buttocks. Most sacral dimples are harmless and don't need treatment.
This is really something you should discuss directly with your daughter's doctor. If you have questions about the diagnosis, that is the best person to give you advice. In a nutshell: under normal circumstances, the spinal cord moves freely within the spinal column. If the cord is "tethered", it is attached in some way at the base of the spine so that as the child grows, the spinal cord is stretched. This stretching can lead to permanent nerve damage in the lower extremities, loss of bowel and bladder control, and paralysis or difficulty walking. It is suspected if a child has a sacral dimple (an indentation right above the bum crack). At 13 months, it is probably too early to see any symptoms of this, and there really aren't any "pictures" to look at. The diagnosis is made with an MRI. At your daughter's young age, an MRI has to be done under general anesthesia so that she doesn't move. That is probably why your doctor wants to watch and observe. He or she would rather not put your daughter through an MRI under general anesthesia unless absolutely necessary. But again, if you have questions about your child's health, the best person to ask is her pediatrician.
My 8 month old daughter was just diangnosed with tethered spinal cord syndrome which our pediatrician noticed as a crooked butt crack. We are seeking a second opinion. The doctor recommends the surgery, based on an MRI that shows a ''defect'', but it is still our decision. Has anyone have experience with this syndrome and had surgery at Kaiser. We have seen one of the pediatric nuerosurgeon. Any recommendations on pediatric nuerosurgeons? thanks anxious mom
We recently went through the same thing at Kaiser Oakland. At about 4 months our son's pediatrician saw a strange ''cleft'' at the top of his bottom crack. We did ultra sound and MRI. Nothing conclusive but definitely abnormal. They said his chance of developing problems was about 50%, but if problems did develop, they were difficult if not impossible to treat. We felt the surgery was a must. Neurosurgery (Dr. Pang and PA Smith) were good. Pang is supposed to be the best (literally), but he is an odd guy. Had 2 surgery dates cancelled because of emergencies, and this surgery is not considered emergent. You'll have pre-op and pre surgery appts and blood work. My best advice is to try to be patient. When our appointments were canceled, we were very disappointed because we were ''prepared'' but we were ultimately grateful that our situation was not an emergency. Our son spent 2 days in the PICU - not fun. Nurses and staff are great, but being in the hospital is never fun. It took about 2 more weeks at home for him to be back to normal, but he's doing great now. I would be very willing to talk to you or email you more info about any of it. Good luck! lisa
First - I'm sorry to hear that you're in this situation, & good for you for getting a second opinion. I know how scary the tethered cord diagnosis is (the surgery sounds scary, but the potential for permanent damage without the surgery sounds scary too!). We just spent the last two years with a ''maybe'' diagnosis for our now 2-year old daughter, who also has a crooked butt-crack. She was closely followed by her Kaiser pedi-neuro team (Dr. Zovickian & Dawn) from age 6-mos to 24-mos. I felt that Dr. Z was great - he showed us her MRIs & explained what he was looking for. No symptoms presented, and the 24-mos MRI satisfied the team that no tethering was present. Perhaps our situation can reassure you that Kaiser doesn't always rush into recommending surgery? That said, I do hope you get some feedback from a parent who has actually gone through the surgery at Kaiser, since that's likely what you are facing. Also, a parent posted a question about their 2 year old child's tethered cord in the April 6th Advice Wanted newsletter and there were several nice responses in the April 13th Advice Given newsletter, including at least one from a Kaiser patient who's child had the surgery. -good luck! sofia
I don't have any advice, just support and an understanding of what you're going through. My now 2 year old daughter has been monitored for tethered cord syndrome since she was 6 months old, when our pediatrician noticed that her butt-crack (yes, her butt-crack) was crooked. As Kaiser patients we were quickly referred for an MRI and to the pediatric neurosurgery department. Her MRI at that point was inconclusive and our neurologist chose to monitor her for other signs of the tethered cord every 6 months until she turned 2 (that's now). We were told to look for things like curled toes & loss of bladder control (in a 6 month old?! sometimes those docs don't think things through).
Me too!!! I love the internet because you can virtually search anything and find out you're not alone. I've noticed this for a while that my seam is always to the left of my crack. Same Problem, your answer makes sense. I have horrible posture issues and tight muscles. But what does psoas stand for?
The most common cause of coccyx dysfunction is trauma. Simply falling on your butt is enough to cause either a mobility or alignment fault in the coccyx that, once sustained, usually will not self-correct without treatment. Pregnancy and childbirth are other potential causes of coccygeal dysfunction, as the fetus can push or pull the coccyx out of its optimal alignment. Postural and movement imbalances can also cause coccyx inefficiency. Impairments in how we stand, sit, and move can, over time, stiffen or torque the coccyx out of its efficient state.
Because the tailbone is attached to the rest of the spine by ligaments, it can be sprained just like any other joint. It can also be moved out of alignment.In many cases, a fall to the buttocks jams the tailbone forward, spraining the ligaments surrounding. As they heal the ligaments may scar down around the malaligned tailbone, effectively holding it rigidly out of place. Whether the fall was 2 months ago or 20 years ago, the tailbone may still be out of alignment.
The most obvious symptom is coccydynia, or pain at the tailbone. However often patients have no pain at the tailbone until it is directly touched, and occasionally have no pain around it at all. This symptom may manifest as an inability to be comfortable in sitting. Often patients find themselves shifting from buttock to buttock in search of a comfortable position.
Why does this only work internally? Since the most common dysfunction of the tailbone is to be pushed forward by a fall to the buttocks, it needs to be mobilized in a posterior direction. This involves putting pressure on the front of the tailbone to move it back into place. In most cases the only way to access this angle on the tailbone is internally.
i have exactly the same problem, can also see mine let alone feel it :/ makes all my clothes sit funny (which makes me paranoid since i have no butt to try hide it :/) wondering if anyone will reply to the questions asked :/
Infants with caudal regression syndrome have abnormalities affecting the sacral and lumbar spine. Some affected infants may only have isolated abnormal development of the sacrum (sacral) agenesis. In others, the sacrum may be absent altogether. Sacral agenesis is often associated with narrowing of the hips, underdeveloped of the muscles of the buttock (hypoplastic gluteal muscles), an indentation on the skin of the lower back (sacral dimple) and flattening of the buttocks. In some children, abnormalities of the lumber vertebrae may also occur. 2ff7e9595c
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