Left medial leg pain around hip, left lower back pain, high in the lumbar region
Is Patrick's test stiff and sore?
I am a mostly healthy 54 yr old female. Very good diet; no one eats more kale than I do! I have had back problems for years. A horse fell on me when I was 13. I had hairline fractures of both hips and a huge contusion on my lower back where the horse kicked me as I fell. I spent a few weeks in traction of one leg, probably left leg.
I healed fine, ran cross country in high school, and became a massage therapist at 22, and worked hard for years.
At 30 yrs old I was injured in a workshop on pelvic stabilization. The techniques taught, in my case destabilized my pelvis so I have never been partial to St John's technique for hip stabilization!
I have fought for hip stabilization for years and continue to this day. It was a life changer for me. I know how to correct my perceived leg length discrepancy coming from the ANTERIOR hip rotation on the left with the sit up test. I can block my hips, (SOT blocking.) I can align my pubic symphysis with the shotgun technique. . At times I use an SI belt for stabilization, and I know every appropriate exercise to correct glut med weakness and strengthen the core.
In spite of all this knowledge I am in nearly constant chronic pain in my left low back and for the last 2 yrs medial thigh pain. I did have active sciatica down my left thigh for a few years but at the moment it's Ok.
Today I had the brilliant idea to try some orthotics as my left foot is flatter than the right side and perhaps this is playing into continual 2 years of left medial thigh pain. I have had a MRI two hrs ago and there was no issues found. In fact my spine looked very healthy. Good spacing. I had a hip X-ray and this too, proved to be normal. I have full range of motion in my hips. Actually the left hip when it is this sore, does not like to flop out away from the midline although this does change on a week to week basis.
I skate ski a lot in the winter. I thought I had injured my left adductor two years ago but as time went on and I really didn't heal I started to wonder what is the real problem?
I am wondering if you think this is partially due to immobility in the thoracolumbar junction(Maigne syndrome) or if you have other suggestions?
My condition is definitely irritated by walking and at the moment working, doing massage therapy but it is hard to not walk. Lying down feels good. After 1/2 hr of being up in the morning I have problems in my medial leg (pain) and left upper lumbar pain. I am currently committed to taking Voltarin for a few weeks as the pain can get so bad that I can't move. Antiinflammatories help a lot but I would rather not take drugs.
I do take fish oil and meriva( turmeric) . Any insight you have would be welcomed.The medial thigh, hip pain is very tiring. Shannon
Hello Shannon, You're going to be cross with me, Shannon, but here goes. I believe in talking straight.
There's an old saying: He who treats himself has a fool for a doctor and an idiot for a patient.
I'm absolutely in favour of folk taking responsibility for their own health, as you do, but after a period you have to ask yourself: am I missing something?
Clearly you need professional help. I don't know whether you have a femoral nerve lesion, or a pubic bone problem, or a femoro acetabular impingement, or other, but clearly something is happening. It's going to take a thorough professional examination to work this one out.
All of those incidentally will give you groin and medial thigh or adductor pain.
Start hunting for someone who can help you with this.
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.
You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.
The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.
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Issue #46: Lower backs and ankles/ kaempferol and cancer prevention
Issue #45: Tingling, weakness and malaise/ vitamin B1
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Issue #43: Art and science of chiropractic / Kale
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Issue #40: Ominous lumbar signs / Too much medication?
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