burning in groin and buttock

Slump test for sciatica

Slump test for sciatica

Burning in groin and buttock sounds like nerve pain; but is it?

Hi there,
I have been having severe pain for more than two years across my lower back and into my left hip and buttocks.

I wake up every morning with extreme burning and numbness in the buttocks and upper hamstring. I have had a lumbar mri as well as xrays of lumbar and sacrum.

I have seen so many doctors without a diagnosis. Just recently the pain has gone into my left groin. A lot of my pain is in the joint in the buttocks and hip. At times the burning gets really bad in the buttocks around the tailbone area. Any information would be greatly appreciated. Thanks.

Hello Colin,
These two little tests will rule out sciatica; let's just start with them, and then take it to the next step. Do them after no analgesic or anti inflammatory medication for 24 hours.

1. Bend slowly forwards, and tell me exactly what you feel. Now repeat by going backwards and to the side. Do it gently as it can worsen the condition.

2. Sitting in a normal kitchen chair, ask the missus to raise your foot so the leg is parallel to the ground, and then slowly flex your head; not your whole body.

Do it first with the normal leg and then with the naughty limb. Tell me exactly what you feel.

3. Perhaps one more since you have groin pain; lie on your back and pull your knee to your chest, then to the opposite shoulder, and then make a circle using your knee as a lever.

Let me know what you feel. Is the pain in both buttocks?

Dr B



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Nov 28, 2016
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burning groin and buttock NEW
by: Anonymous

hi
i had burning feeling in my right groin that comes and goes i went to my gynecologist she said it is common in girls and gave me sone medications now the pain is not there..but it burns a little less now i am experiencing as if my left buttock is burning the pain also comes to the sides..can you please tell me if its any serious or what?

Mar 14, 2016
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please help
by: Ana

Dear Dr. B,

I was wondering if you could help me. I had microdiscectomy 6 months ago on the right side on l4-5 level. All the pain in the right side is now gone, however, lately I have been experiencing stiffness, sharp to dull pain in the SI-joint, buttock and groin level on the left side that is slightly felt down the left leg too. Right now as I am writing this it doesn't hurt, just feels very tender and weak.

Bending downward slowly doesn't hurt. The slump test and the straight leg test don't hurt at all (granted I did them on my own, with no help from anyone). Yesterday I felt sharp stabbing pain in that area while walking that lasted for about several seconds. It's been achy since then.

Please help me determine what this might be. My spine is in a very bad condition. I have (had at the time of my last MRI) a slight annular tear and a small bulge on the l3-4 level, and a degenerated disc at l5-s1.

All your help is appreciated.

Thank you Ana for taking the time to write a proper little report; so many folk write one or two sentences in not so smart phone grammar, and wonder why I get grumpy!

Your lower back clearly needs care, mostly on your part. If you were consulting me, I'd make three suggestions.
1. Absolutely every morning for the rest of your life do some simple lower back exercises every morning before getting out of bed.

2. Accept that there are some things you shouldn't do. Obvious ones like not moving the deep freeze, but also choosing your chairs carefully, and bending and twisting as in vacuuming and sweeping leaves in the garden may have to end. Don't fight it; certain activities are just beyond your back and if you continue with them you'll end up yet more surgery.

3. A short course of chiropractic adjustments and then a monthly visit.

One more; start keeping your chicken bones, freeze them, and when you have a pile make a bouillon for your soups. It contains the cartilage that will help your own.

If the SLR and Slump are negative (I can see you've been reading at the site!) then this may be coming from your hip or sacroiliac joint. If you pull your knee to your chest, and make a circle, does it hurt in the groin?

What happens when you do Patrick's Faber test? Use the search function at Chiropractic help.

Good luck.

Dr B

Jan 22, 2016
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thank you
by: Colin

thank you so much.

Pleasure
Dr B

Jan 21, 2016
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images x-ray
by: Colin

I emailed you the images as well as the reports.
Colin

Hello Colin,
Let me preface what I have to say, that trying to advise and make a tentative diagnosis from x-rays and our preceding discussions is at best a hazardous business. The only reason I attempt it is that you've done the rounds without resolution.

There's a two way relationship between the hip and the midlumbar spine, via the femoral nerve. It works in both directions, and is often something of the chicken and egg.

You have small pincer deformities in both hips, especially the left, which explain the stiffness you have in the hip. It's called femoro acetabular impingement syndrome.

Then there's straightening of the lumbar lordosis, and in fact a slight kyphosis at the thoraco-lumbar junction but not much else that I could see abnormal in your lower spine. I couldn't open the report, by the way.

That suggests that there may be a facet syndrome in the upper lumbar spine, but that's a long shot. I would examine that area carefully that's all.

My gut feeling, to sum up, is that this is a hip condition, mild and fortunately with no degenerative changes, probably affecting the sacroiliac joint and possibly the mid to upper lumbar spine.

I would be looking to the orthopaedic tests of the SIJ and the femoral nerve stretch test.

These are the kind of findings that I treat on a regular basis, but each and every one is different, has its unique features and puzzles.

Perhaps print all this out, and look for a good chiropractor in your area. Sorry I'm not closer!

Please keep me up to date; I'm intrigued by what transpires. I would happily Skype your chiro, should he so desire.

Good luck, and I hope all this has contributed.

Dr B



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Jan 21, 2016
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hamstring
by: Colin

the other thing that has been happening over the last month is the top of the hamstring just under the butt cheek is extremely painful on both sides especially after sitting for a period of time.

Send me that file of the pelvic x-ray, Colin.

Jan 20, 2016
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heating pad
by: Colin

A question I have is that I pretty much live with a heating pad, either sitting on one at work to relieve pain or sleep with one on my hip or lower back, is this alright to do for this type of condition. I have been told many different things about this.

I would say until a diagnosis is established, use whatever helps. No side effects from a heating pad, but you might find alternating heat and cold better still.

Dr B

Jan 20, 2016
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email
by: Colin

brlewis {at}mweb dot co dot za


thanks

Correct, but I don't want to be inundated with spam. Will remove even this shortly.

Dr B

Jan 20, 2016
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mri
by: Colin

Hey Barry. I have a copy of a lumbar mri. Would that be useful for you.

They are difficult to send, and my thinking is that this is probably not a lower back issue. Something in the pelvis. SI or hip.


Jan 20, 2016
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straight leg test
by: Anonymous

the strangest part is that several specialists have done the straight leg test with me and I can do it with no problems at all. Both sides do not cause more pain for me. My pain is a deep aching burning type of pain.

Then it's not sciatica which is good news; that's why bending forwards doesn't hurt in your leg.

Dr B

Jan 20, 2016
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images
by: Colin

Hi there, the images are computerized. Can i mail them to you? Thanks Colin.

When bending forward the pain is in the very lower part of the sacrum underneath the buttocks cheak and the hip. When I sit for a long time I get burning in the tailbone area; it's really bad.

This is all pointing to a sacroiliac and possibly hip condition. It's good that it doesn't go down the leg when you bend.

Yes, send the x-ray to the email in a previous blog.

Dr B

Jan 19, 2016
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Buttock Pain
by: Colin

I also two different neurologists that both said that I have lack of reflexes in my right leg.

If in the right leg then I'm less concerned.

Once again, if you bend slowly forwards, is the back of the left leg very tight? Much tighter than the right?

Again, with the sitting sciatic stretch (called the Slump test; use the search function at chiropractic help), is it tight in the left hip and groin, or at the back of the left thigh.

Have you done Lasegue's test.

I need all this info to get a clear picture. And a copy of the radiograph.

Dr B

Jan 19, 2016
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sacrum pain
by: Colin

I had a surgeon do the Patrick's Fabere test. When this test was done i found that the left side was much tighter and painful compared to the right side. I had pelvic xrays done which supposedly showed nothing wrong. I can send you copies by email? Right now when I wake up in the morning I have extreme pain in the left glute area as well as the left hip and across the lower back. Also both of my legs and feet go numb the longer that I sit during the day. I will send my xray results soon.

Hello again Colin,
Could you please send me a copy of the x-ray of the pelvis to brlewis {at}mweb dot co dot za

If it's digital, you need a few computer skills. If a plain radiograph, tape it up on a window with blue sky behind and take a photo with digi.

Obviously, not being able to examine you it's difficult, but my thinking is a hip problem that is causing the SIJ pain; it can be vice versa.

That tight Fabere with stiffness and pain (in the groin? side of the hip? sacroiliac joint?) is very significant. Something is locking up, and I'm thinking probably the hip. The negative xray report is interesting; I'm wondering if you have a pincer or CaM deformity. I need to see the pics.

We're getting there!

Dr B

Jan 01, 2016
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burning pain
by: Colin

When I raise my left leg to the chest and do the circle test I feel pain in my hip joint and extreme tightness. The right side is normal. Just recently the pain has moved to the right buttocks as well.

Hello again Colin. We are making progress. Stick with me.

This strongly suggests that at least in part this is a hip condition.

Using that same search this site function at chiropractic help, type in Patrick's Fabere test.

What's the difference between right and left, and where precisely is the limitation?

It's time for a pelvic xray with a spot of the left hip. Can you send copies to contact for me to view? Plus a copy of the radiologist's report.

Did any of the specialists find any sensory deficit in your leg, loss of reflex or specific weak muscle paresis?

Lastly, sitting, with your groins exposed, put a little oil on your thumb and run it down from the ilac crest, through the groin and down the inner thigh. Compare right and left. Is there a difference?

Jan 01, 2016
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burning pain
by: Colin

When I bend forward or backwards I don't feel much pain just tightness in the back. But what do you feel in the legs?

When I do the knee to chest I have no pain at all. That's good.

When I do a leg raise test in a chair the right side feels normal and the left side is more tight feeling. I have tried all kinds of nerve pain medication and none have helped. Could it be bone pain? This suggests the sciatic nerve is probably involved.

Now ask the boss to raise your right straight leg whilst lying flat on your back. It's called Lasegue's test. When the leg gets tight, ask her to dorsiflex the toes and ankle. Repeat with the naughty leg. What's the difference?

Very important; when you bend forwards is the back of the left leg much tighter?

Use the search function to find the straight leg raise of Lasegue.

Be as precise as you can in your replies if you want a useful answer.

Dr B

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

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. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

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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