Pain in groin leg and buttocks

by Froso

» Pain in groin, leg and buttocks

Hello. I am a 38 year old female. I have been dealing with a lot of pain for the last 4 years. The pain and burning is in my left buttocks, hip, groin, front of thigh and sometimes very weird sensations in the vaginal area; also accompanied by some back pain.

I have had every test known to mankind. They can't find anything, just normal wear and tear.

When I have the leg groin etc pain I also have weird sensations in my toes. I can't tell you how frustrating all of this is. I have done accupunture, physio, reflexology, swimming and NSAIDs. Natural remedies too, but nothing has worked. I am now taking pain management classes as it consumes my life.

I have so much to be grateful for but this pain is just tormenting. When I touch my back I feel sensations in my toes. Can you please help. Thanks

Hello Froso,
I understand your frustration.

First can we start with a few tests? With no meds for 24 hours.

1. Bend slowly forwards and tell me EXACTLY what you feel.

2. Repeat slowly backwards, and then

3. to either side. Please be specific.

4. Sit in a normal chair and straighten first the normal leg, lower it, and raise the naughty leg parallel to the ground. Exactly, what do you feel? Repeat with your head flexed on your chest.

5. This one's difficult. Lying flat on your tum, with the knees bent at 90*, ask hubby to place one hand on the buttock, and the other under the right knee, and now raise the knee pulling the leg into extension. Remember what you feel in the front of the leg. Repeat with the left. Exactly, what's the difference.

6. This one's also tricky. Still lying on your tum, on a cushion, legs down flat, ask him to press on the SI joints, and then going up the spine from the bottom, counting from L5 to L4 and so on. Does anything really stand out?

7. Lying on your back, pull first your right knee to the chest, then to the opposite shoulder, and now make a circle of your hip using the knee as a lever. Repeat with the naughty hip.

8. Use a pin to prick first one buttock, then the other in various places; look up Superior Cluneal nerves using the search function at chiropractic Help. Repeat on the side of the thigh, and then the front of the thigh, right up to the groin. Is there an obvious difference? I expect the neurologist did this.

9. And lastly, stand on your right leg and gently spring up and down testing the strength of the muscle in the front of the thigh, the quadriceps. Repeat left. Any obvious difference. Does your left knee conk?

If you want a useful answer from me, you must please be VERY SPECIFIC.

These tests can aggravate the condition; do them carefully.

Lastly, please watch your grammar and spelling; it's tiresome for me to correct it!

Dr B

» Pain in groin, leg and buttocks

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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.

Have a problem that's not getting better? Looking for a different slant on your pain? Want to pose a question?

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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.

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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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