Lbp with hip pain.


I have low back pain; always have had. However this time it was different.

The pain I feel is isolated around my QL ON MY LEFT. I will have random spurts of nerve pain to the head of the fibula and sometimes into the back and lateral side of my calf but this is far and few between and not constant.

The main pain I also feel is from my ASIS to my PSIS and left glute med is extremely painful.

Any ideas?

Hello Daryl,
Firstly I actually recommend that everyone does some simple lower back exercises, simply because we sit to much and there's an epidemic of lower back pain; rather like brushing your teeth.

This is even more true of those like you who suffer from chronic pain; you can locate ours in the navigation bar on the left, but it might be better to get some professional advice for those most suitable to you.

Pain in the leg is an ominous development; it means that your LBP has progressed from grade one to two. Take this seriously.

This is particularly true if the Flip test is positive; ask someone to raise your good leg first, and then the naughty leg parallel to the ground. Is it painful or more tight in the calf area? It's called sciatica.

The sciatic nerve emerges from the back via the buttock in the area your describe and it's often painful in the gluteal muscles.

There are a lot of other structures there, so it's not guarantee that's the problem; only a careful and thorough examination will determine just what is causing your pain.

Have you seen any chiropractors? Start those exercises and do them faithfully every morning before getting out of bed. They only take about two minutes.

Dr B


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May 23, 2016
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Hip or back
by: Daryl

Hi well I am actually a physiotherapist and presenting simaler as described of a discogenic nature. However no tenderness on my spine. Nor other symptoms simaler.

The pain is more as said into the hips, which I have found more debilitating than the back.

Hello Daryl,
Pull your knee to the chest, towards the opposite shoulder and then to the lotus position, or fabere. Is it stiff and sore in the groin or lateral hip?

What was the result of the Flip test? If you bend forwards or to the side does the one leg feel much tighter or painful than the other?

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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