Glute and leg pain

by Karen
(Fullerton )

So I just tried a new Chiropractor, he is assessing/treating me for piriformis syndrome...well I happened to ask him to check my knee as I twisted the patella area recently, was still hurting a little...well I regret it..He said he was going to adjust it, bends it a couple times then pulls my leg really hard...I heard a crackle all around my groin area and right away my lower/glute/butt area began to hurt, deep dull pain. I told him right away that it hurt and what happened, he said it would go away. Well I was in tears all night, took some motrin, use "the stick" to roll out the pain and felt a tiny bit better. I called him first thing in the morning and he agreed he was wrong to be that harsh but that I would be fine. He adjusted me, the regular stuff, back and neck and moved my leg/hip around a bit. It feels stuck, very tight? Should I go back to my old chiro, will this go away soon. I have vacation at 3 theme parks next week, what do I do? Sooooo frustrated.

Please respond if you have any suggestions asap.

Hello Karen,
Unfortunately doctor caused disease, also known as iatrogenic illness, doesn't just pertain to medicine.

Long axis traction, perhaps with a jerk, is a rather old fashioned but still used technique; in fact I use it myself occasionally to free up a stubborn hip or sacro iliac problem. The problem is that it's very non specific; in any case it wouldn't help a patellar problem.

The key as in any manipulation, is to provide the right amount of force for that patient. Too little and you don't achieve what you're after, too much and you hurt the patient.

He's right; it probably will heal itself, but maybe not as fast as you'd like. Lie on your back on your bed and pull the knee gently to the chest, and rotate the hip using the knee as a lever, stretching the joint capsule. You should feel it, but stop short of pain. Do it half a dozen times a day, perhaps ten rotations; ice the painful area.

Go back to him? There you must follow your own instincts. All doctors of all ilks hurt their patients occasionally. I do too. First do no harm was the charm of Hippocrates.

Tip: don't ask any doctor to treat several conditions at one consultation; it just means that a proper evaluation isn't done, and then you get hurt.

I hope you get to your holiday. Let us know how you get on, keeping to the same thread.

Dr B

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Aug 09, 2014
feeling better
by: karen

Dr. B, after 2 days of the excruciating pain I went back to my old chiro. He thinks the other guy may have broken up old adhesions, which may be a good thing if he didn't hurt anything else. My regular guy did ultrasound therapy and adjusted me. I felt 30% better immediately. Continuing to feel better but still feel tightness in a specific spot on lower back and making my hip feel stuck. Wasn't feeling that before the pull. Ugh. All in all I do feel better. Any suggestions for the current tightness?

Our basic lower back exercises, I think are a must for everyone. We sit too much and there's an epidemic of lower back tightness and pain. I do them myself.

I think you made the right decision.

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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