Back pain and leg numbness





Middle and lower back pain, numbness in legs and tingling in hands. Strange feeling like something is leaking down my back and left leg. More images http://radiology-images.blogspot.com

Hello,
Clinically there is far too little information to make even an informed guess. Do you have neck pain, is there a history of trauma. Weight loss, abdominal pain?

Nothing in the lower back ( the only X-rays) would be likely to cause the numbness and tingling in your hands.

Do movements of the back increase the back pain and/or leg pain?

I am not a qualified radiologist but there appears to be sclerotic changes in the right sacro-iliac joint and a Pincer deformity in the right hip. Any groin pain or difficulty walking?

It's never wise to make pronouncements on what's seen at the edges of a film, but I'd like to see more detailed X-rays at the thoraco-lumbar junction. Is the numbness and tingling at the back of the legs, or the front and side of the legs? Groin?

All in all, I'm really not sure. More information is needed, both clinical and further X-rays of the neck and T/L junction. The above is really speculative. I am unable to comment on the abdominal scans shown at blogspot - quite unqualified in that domain.

Sorry, I fear I have contributed little.

Dr B.

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Dec 01, 2011
regarding the numbness and....
by: image provider

You asked about the numbness, groin and neck pain.
The numbness and tingling is all over the legs but I have a cold sensation at the outer side of the left thigh and I have 2 times got weird muscle spams close to the knee. Not groin pain but sometimes dull pain around the pubic bone.
No pain in the neck, just these clicking sounds. Occasionally facial numbness.
Thanks again:)

What's needed is a careful and thorough chiropractic examination. Your jaw joint, the range of motion of the hips, the Si joints, the rib joints...

Dec 01, 2011
More informations
by: Image provider

Hi Dr B.
First, thank you so much for your informations.

There is a history of trauma to the middle back 15 years ago (fell of a horse). After the accident I have always been sore in the middle of the back.

The lower back and pelvic pain started when pregnant 2 years ago but seamed to heal after birth.

9 months ago sudden chest pain in the center of the chest and breathing problems.

7 months ago I got an instant pain in the lower back, got swollen and could feel lumps and bumps. The mornings where horrible. I lost a lot of weight but was eating more. Bending and lifting is what makes it worse. Also pressure, than it gets all swollen and light colored bruises can appear.
The ribs also started to click a lot when moving and sharp stabbing pain in the lower ribs. Yes lower abdomen pain.
I need to check my web-page, there is suppose to be on the first page a video with CT images of the lumbar spine.
Thanks again:)

Hello again,
Making suggested diagnoses without examination is a hazardous business! But a few thoughts:

* Unexplained weight loss ALWAYS needs to be followed up. Perhaps due to pain, but one should not assume that.

* It sounds like that midback injury may have set you up for a costo-chondral syndrome, sometimes called Tietze's syndrome. It responds well to the correct chiropractic treatment, BUT NEVER LET ANYONE MANIPULATE YOU HARD IN THE MIDBACK, POSTERIOR TO ANTERIOR. It will aggravate the rib pain.

* The side of the leg is affected by the mid-to-upper lumbar spine where I thought there may be some changes on your X-rays. It can be a Meralgia Paresthetica or a Femoral nerve root lesion.
Plug all thesse terms into the Search this site function at C-H for more explanation.

* Everything needs to be considered in the light of the abdominal pain.

Dr B

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Interesting challenges of the day

1. Mrs B has had one of the nastiest of conditions; vertigo caused by a disturbance in the inner ear. Falling repeatedly and vomiting she consulted her doctor but medication didn't help. After two sessions of the Epley manoeuvres she was 50 percent better. After two weeks she was 75 percent improved; no longer vomiting or falling. She's not enjoying the Brandt Daroff home exercises.

2. Mr S, a 48 year old man, has right low back pain, groin pain and a numb feeling in his lower leg when he sports. For six months he's been off football. He too has two problems; a very treatable lumbar facet syndrome and a very serious blocked artery in the groin; it's called intermittent claudication. Smokers beware.  

3. Mr S looks like the leaning tower of Pisa; he has a slipped disc at L5 making him lean towards the opposite side. It's called the postero lateral disc hernia; we'll fix it, but he has to stop for a week or two. Antalgias are serious so take them seriously. 

4. Mrs V too has  two conditions; a chronic low grade sciatica giving her an ache in the right leg, and a threatening Morton's neuroma. She's glad I'm back in Holland; chiropractic fixed it before, and we'll fix it again. 

5. Mrs W is one of the lucky ones, says her doctor. I agree. He says only 40% of patients with lumbar stenosis have a successful operation. We fixed a nasty slipped disc three years ago, but it came back two years later; the surgeon did a fine job but she has a weak ankle now giving her subtalar joint pain; it's routine stuff. 

6. I myself had an acute exacerbation of a femoral nerve lesion last year. One immediate treatment of the new strain by my colleague has fixed the pain in the lower back, but there's some residual numbness in the lower leg; no soaring tomorrow alas.

7. This lady is a 86 year old woman with a 63 scoliosis. Chronic lower back has been her lot in life but she's well pleased with chiropractic and comes for chiropractic help once a month; some conditions you can never cure.

8. She is an 78 year old woman, is doing remarkably well with a bad sciatica. But over 200 pounds she is not losing weight; in fact, gaining despite my suggestions. She's high risk for a stroke. I have referred her to a dietician to crack the whip.

9. A 61 year old man with upper cervical pain yesterday; it's not severe but also not getting better of its own accord. He's afraid it may turn very acute as when I treated him three years ago. Since then it's been fine. 

10. A 64 year old woman has had scheuermanns disease; it's left her with a spinal kyphosis and chronic middorsal pain. She responds well to chiropractic treatment provides she come every six weeks or so for maintenance treatment.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mrs D, a middle aged woman with hip pain of one year duration, despite other treatment. Xrays reveal an impingement syndrome and early hip arthritis. There's much to be done.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.



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