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

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Interesting challenges of the day

1. Mr B  came initially for a painful and stiff neck and then asked whether chiropractic could help the cold numb feeling running down the side of his thigh for six months. Meralgia paresthetica is a double crush syndrome with the nerve affected in the back and groin. He's 80% improved after five treatments.

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And now a setback, after lifting her child she now has leg pain. It's going to the be difficult.

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9. This man is a 73 year old engineer, still working, is doing fine after a long episode of lower back pain. Some pain on the side of the hip remains after five treatments. I reassured him it's not hip arthritis.

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. Mr 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. Both Mrs E and I can't believe how much better her lower back and leg pain are. Surgery for a scoliosis and spondylolysthesis three years ago helped greatly for one year. But then her leg went lame and weak. He was responded extremely well despite all expectations.

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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