Chronic Pain in left leg, hip, groin, upper thigh, calf and big toe.

by Sandra
(Richmond BC Canada)

S1 dermatome, back of the thigh to the outer foot.

S1 dermatome, back of the thigh to the outer foot.

S1 dermatome, back of the thigh to the outer foot.
Maignes syndrome distribution

Hi there, First thank you for your site :D

I will first start with the beginning of my pain and the injury that caused it. In May of 06 I fell backwards onto a metal nursery cart while closing shop.The corner of it landed at my rectum (bruising) and the 1 edge ran across my inner pelvis to the outer left hip and the other edge up the middle pelvis just off to the right of my spine. I jumped up immediately knowing if I didn't get up that I might not be able too having had a tail bone injury before.

The next day I went into work but with growing (tight feeling band around my hips)pain only lasted about an hour. After 2 weeks I began physio therapy only to get worse. After 12 weeks I was able to return to very light duty and only 5-6 hours of work per day.

Still in discomfort I went to see my chiropractor and within 6 close visits I returned to somewhat normal life.

Then on in may of 08 I fell on ice getting out of my car, again on the left side. Sharp stabbing pains in my pelvis required me for an xray but nothing. After increasing pain and numbness, several nerve blocker injections later, loss of bladder and bowel control my doctor finally ordered an MRI and a neurosurgeon to look at me and they determined to show a herniation on my L5 and the small foramen.

A discectomy was performed and and the foramen widened in Sept /11 I got a bit of movement back. Permanent nerve damage to bladder and bowels are now minimal. I still have a lot of pain that doesn't seem to go away. Its skin surface pain now too along with the sciatica that just never seems to leave...EVER some days are better than others but my limitations are enormous..I can only walk so far and then I suffer for it later, in the mornings when I get out of bed I am so stiff and sore that it takes me a good 2 hours to feel normal....I haven't worked because I can barely keep up with daily living ie household chores..

I am a healthcare worker and have been told I shouldn't do it anymore :(..I just read of the Maigne's Syndrome and wonder if you think it may apply to my case ?

Hello Sandra,
Gosh, you've had a tough time.

First up, start doing our basic lower back exercises, just three of them, very gently EVERY morning before getting out of bed, and several times a day; they only take 40s.

Maignes is a possibility for two reasons. Firstly you have groin pain, but that could be caused by other things too; like a hip injury when you fell.

The second is that Maignes is a high lumbar facet syndrome; that's where the spinal cord ends and an injury there can cause a so-called cauda equina syndrome: loss of bladder and and bowel function. But the neurosurgeon would have been looking for that.

Only a careful examination would reveal if some of your pain is coming from the high lumbars.

Perhaps a visit to the chiropractor who helped you in the beginning. Take your scans...

Meantime, get going with those exercises, limit bending and sitting in "comfy" chairs. Avoid the vacuum cleaner.

Good luck Sandra, no easy answers.

Dr B

Click here to post comments

Join in and write your own page! It's easy to do. How? Simply click here to return to Chiropractic help Questions (Low back pain).

Did you find this page useful? Then perhaps forward it to a suffering friend. Better still, Tweet or Face Book it.

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.

Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?

Interesting questions from visitors

CLS writes:

Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

Your own unresolved problem. Pose a question

Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.

You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.

The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.