Maignes Syndrome

by lesley
(morecambe lancashire uk)

I am a 55 year old female. I have always been physically active and very rarely poorly. I was an FA referee and worked out at least three times a week in the gym. All of a sudden out of nowhere I started to have lower back ache.

I had every treatment in the book even botox injection into the base of my spine. After five weeks as an in patient at the physio department they decided that I must has mechanical back pain.

At this point I had enough of all the idea's and moved house to another region. After my back became very trouble some I condescended to go to the doctors. Same routine back to the pain management. After nearly twenty years of trying everything under the sun I was not hope full of anything new happenings. On my second appointment I was having a very bad flare up.
So as I was walking down the hall to the department I had to hold the rail to assist me.

When my time came to be seen my physio said "Hi, how are you doing". "Not bad thanks" I replied. I did not realise that she had been following me along the corridor and watched my movement. She took me into her office and told me that she thought that I have something called Maignes Syndrome. She advised my doctor to prescribed Pentagabalin which soon rose to 75mg twice a day.

The spasm in my legs and bottom have got worse. So much so that I actually cry out with the sudden pain every time that I am upright, when I sit there is nothing. I can ride my bike and there is no pain or when I sit and rest but as soon as I stand upright the spasm starts in my leg which then leads to pins and needles in my foot as the pain is only in my right side.

Back to the doctors this week who prescribed me diazepam 5mg three times a day. I am really frighten now as the pain is unbearable, I no longer go out as I shout out when I get the pain spasm. Please can you tell me if this does sound like Maignes syndrome and if so what can be done to make me better, Many thanks for any assistance that you can be in this matter, kind regards Lesley

Hello Lesley,
No, you don't have Maigne's syndrome. The nerves from that part of your back don't reach the foot.

Have you had an xray of your back? Probably you have; can you get a copy of the report for me? Type in, keeping to this thread.

As a general rule, do you have more pain bending forwards, or backwards? As you bend, does it shoot down your leg?

Sitting in a kitchen chair, raise each leg in turn parallel to the ground. What happens?

It's interesting that you have more pain standing. I'd be thinking of two things.

Ask someone to stand behind you, and place their hands on the crests of your hips. Are they level, or nearly level?

A sacroiliac syndrome often gives more pain standing and walking. But you could have a disc or facet injury too.

Let me have answers to these questions. Take your camera to the hospital, and ask if you can take photos of the xrays. If they are digital, ask for copies on a memory stick.

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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