I was born with DDH. It went undiagnosed for 9 months until I was sent to a specialist who attempted to correct my problem. After splints, and several failed arthroplasties, the only option was to perform a hip arthrodesis, where my hip was set at approximately 30 degrees flexion, and I can't remember the degrees adduction. The fusion was performed when I was 12, and I am now 30.
Since then I have developed a slight ipsilateral valgus knee (9 degrees valgus I believe), and have had stiffness in my lower back, which is to be expected.
I have also been experiencing sharp pain in my buttock, and today extreme thigh pain (contralateral) which presents itself as a burning sensation after rest, which causes me to limp for about an hour, and then the pain disappears.
I am wondering if this could be MERALGIA PARESTHETICA. My physiotherapist tends to manipulate my spine, and massage my neck, without discussing ways to prevent further problems.
I train at the gym reasonably frequently, to keep my thigh muscles, and muscles supporting the knee (especially vastus medialis) strong. I am wondering if it would be better to see a Chiropractor. Do you have any thoughts about my case? I would love to hear from you.
Hello Kate, Alas all doctors screw up sometimes, I know I do, but missing that hip dysplasia was a very serious ommission by the paediatrician. That splint has to be applied before 6 months.
You don't say where in your thigh you have the pain. Just to confirm... it's not in the leg where you have the hip arthrodesis?
The Superficial Femoral Cutaneous nerve supplies the side of the thigh, and a variant can go into the groin and anterior thigh. Definitely not the back of the thigh- then you are looking at the sciatic nerve.
Do you have any pain/ stiffness in the upper lumbar spine? When you bend backwards and sideways, is it stiff in the back, and does it radiate to the thigh?
Do you have any pain in the groin, and just medial to the ASIS where the nerve emerges from the pelvis?
It's an area that I have a particular interest in, but you would need to ask. I suspect a fair number of chiropractors (Physios, and medics too) have never heard of MP. They have to address the upper thigh and the high lumbar spine. Both, or it won't get better.
Important to rule out a Femoral nerve lesion, then the quad reflex may weaken, the muscle too.
But of course, it could also be a sacro-iliac joint problem. What's needed is a careful,thorough exam. Take your X-rays to the chiro.
Try the Maignes syndrome exercises at Chiropractic-Books.com. They might help.
Look too at a short leg. Even a few mm of a leg length deficiency can make a huge difference. Don't believe the stuff that it must be 15mm different to be clinically significant. Bunkum.
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.
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.
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.
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