Burning in left side tailbone, groin, upper leg worse when sitting

by Angel
(Missouri)

I have a centrally herniated disc with an annular tear at l5-s1, broad based bulge into foraminal zone at l4-l5, and centrally herniated disc at l3-l4 with narrowing of the spinal canal. For 6 months I've had burning in groin, left buttock, tailbone, intermittent leg burning on left.

Given SI joint injections that did nothing but aggravate sciatic nerve, had to wait 7 weeks just for follow up which is next week.

I did chiropractic care for 3 months with not much help the only improvement was the groin pain became intermittent. Chiropractor thought my pelvis was misaligned, it was too expensive and not helping the burning so I have stopped.

All my pain management doc wants is to give me shots, I want a referral to neuro for an evaluation. I feel I have compressed nerves that would require surgical decompression. Any thoughts?

Also I was a dog groomer for several years; I tried to groom sitting to help my back but it ended with this burning sensation; I cannot sit or drive, even laying down hurts buttock and tailbone.

Hello Angel,
This doesn't sound like a sacroiliac problem which is why the SI injections, and chiropractic SI treatment hasn't helped. So I'm not surprised you have doubts about both.

If you have genuine tailbone pain, that first needs to be evaluated, but I doubt that's the cause of your problem. If you slide your finger down the buttock crease, is it very tender just before you reach the anus?

More likely it's the bulging disc in your mid lumbar spine; it affects the femoral nerve. Is you knee starting to give on the stairs?

I would start the basic simple exercises at Chiropractic Help; you'll find them in the navigation bar. But they are unlikely to fix this, but it will help your overall condition.

I'd have my doubts if I was you, but nevertheless I recommend you start hunting from an experienced and thorough chiropractor in your area. Talk to friends and family, and even your doctor.

An opinion from a neurologist certainly wouldn't be a bad idea, but I consider a different chiropractor before surgery. Ask if you can go for an examination only. Based on your gut feeling, and whether you have been properly examined, only then go for treatment. Take your husband with you.

Six months is a long time to have suffered with this. Too long.

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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