Groin and thigh pain after seeing chiropractor for back pain

Groin and thigh pain after seeing chiropractor for back pain

I saw a chiropractor for back pain that was recently aggravated by bending. X rays a year ago reported L2/3 mild bulging of the disc.

The chiropractor rotated the hips to increase mobility of the hip joints and pressed on the nerves in the groin area which caused pain at the time. She mentioned needing to work on the front and opposite area of the site of pain. Is this true and necessary?

Since then I have almost constant pain in the groin area & the inside of the thigh on my left side which I didn't have before. The muscles are tight compared to the other leg and my back pain is worse than what it was originally.

Is there a reverse technique that I can use to relieve the pressure /pain in the groin/thigh area? Heat seems to be making the pain worse, or more noticeable.

Hello Dn,
This is a difficult question.

Firstly, some discomfort and even pain after the first few treatments is not unusual; in fact some research suggests that unless it happens, nothing much is achieved. I don't necessarily go along with that, but after chiropractic treatment discomfort is not uncommon.

That needs to be distinguished from the treatment aggravating the existing, or another problem; it's called iatrogenic illness and happens in every doctor's office, including my own.

If you have hip arthritis, or an impingement syndrome, then the side posture chiropractic adjustment can cause groin pain if too much stress is place on the thigh during treatment. Pull your knee to the chest and then opposite shoulder; does it cause groin pain? Were you treated with a manipulation, lying on your side?

If I was treating a patient with a known L2/L3 lesion then, yes, I too would be looking at the hip and groin and thigh area.

Heat would indeed aggravate an acute problem.

Do you have pain bending forwards, backwards, and to the side? In the back? Does it radiate to the thigh?

Have you discussed your problems with your chiropractor? That's the right thing to do. Go back and tell her what happened. When making the appointment, ask the secretary to make extra time. Perhaps print this out and take it with you. If your gut feeling is that she glosses over your problems, and doesn't take the time to hear you out, and examine you thoroughly, then you're quite entitled to refuse further treatment.

A good start would be to do our lower back exercises regularly every morning before arising; you'll find them in the navigation bar.

You indeed sit on the horns of a dilemma. Follow your instincts; perhaps another chiropractor, if you haven't been put off our profession for ever!

I hope this contributes. Let me know how you get on.

Dr B

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Dec 11, 2014
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L2/3 exercises?
by: Anonymous

Hello Dr B,

Thank you very much for taking the time to answer my questions.

The Chiropractor did a side adjustment on one side but not on the painful side. She wanted me to get more Xrays first before risking disc herniation?

I asked 3 times & she eventually tried it, but she wasn't able to get the thrust that was needed. Is it more difficult for women to do the side adjustment? I have since gone back to a male chiropractor (who was on holiday at the time),& he was able to do it very easily.

I think the woman chiropractor tried to use cranio-sacral therapy and some other techniques she's probably not trained in ( I also felt nauseous, dizzy & fatigued for a week afterwards- unusual for me after getting adjustments) so I won't be seeing her again. Thankfully, it wasn't the first time I saw a chiropractor so I'm not put off. I've had many successful adjustments and it makes every day living more bearable and easier.

I don't have pain lifting my knee to my chest but some muscle pain when trying to lift to the other shoulder.

Bending forwards to the ground helps to stretch every thing and relieves the pain for some reason. I also have to sit with my legs raised but when the pain is severe it is too painful to sit down. It radiates from the back to the buttock, and to the front of the thigh.

I sometimes unexpectedly feel sharp bone-like pain when bending even slightly on an angle or rolling over when sleeping.

I have had L5/S1 and L4/5 disc bulges in the past which has caused dull aching back pain for years but the sharp pain seems to be coming from the L2/3 area.

I can move the hip joint freely with no stiffness so I don't think it's hip arthritis.I do have one leg that is a little shorter than the other but I can't remember which one.

The male chiropractor is very good with adjustments and it relieves the pain for up to a week but then it returns again.

I'm wondering if some exercises are making it worse? Are there exercises just for the L2/3 area?

I would really appreciate any more advice or suggestions.
Thanks,
Dana

Hello Dana,
Ask your chiropractor to do a Femoral nerve stretch; you can try doing it at home, but difficult. Lying on tum with knees bent, ask hubby to raise the good knee; now compare with the painful leg. Is it much tighter in the front of the thigh?

I suspect you have a mid to high disc lesion; it causes extreme leg pain in the front of the thigh and inner lower leg, depending on the nerve root.

Watch for weakness and wasting developing in the quadriceps muscle in the front of the thigh.

I've actually had this myself, so I know what you're going through. See Femoral nerve damage at Chiropractic Help if you're interested.

This isn't Maigne's syndrome, but similar area of the spine, so the Maignes syndrome exercises may help. Use the search function at C-H.

Good luck, and sterkte. It hurts.

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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