right leg pain

by Bob
(Canada)

right leg pain

I have developed a pain in both my legs last October after purchasing new work boots that where later on found to be so heavy they where causing knee and leg pains. The pains slowly subsided after purchasing lighter foot wear however the right leg seemed to never get completly better.

I later found other people who experienced this same problems with too heavy work boots including my own son. My doctor says I have arthritis and advises a knee replacement. I can't seem to get through to him that I never had problems before these heavy work boot insodent and did all my regular workouts, cycling ,and walking for years without a problem like this.

He sent me to physio but this did nothing. i then tried resting it for a time and it started to feel like it was getting better, then I started in with my regular exercises like cycling etc and the pain came back and am now back where i started. When i walk or stand for a period of time the pain in my right leg progressivly gets worse till it is so bad i have to get off of it

and also the pain is sometimes in the calf and sometimes in the back of the thigh like it is a muscle issue or nerv.

The pain gets so intense I can't bend my knee on my own but can bend it without much pain if I lift it from behind the knee without using the muscles.

If I sit down for half hr i can walk again without much pain but it all starts over again and i have to sit down.

Antimflamitories don't do anything for it but tylenol does relieve most of the pain but i can't keep taking them forever. In the morning it is best before i get out of bed but the slight pain is always their at the best of times. The pain goes away if i get off it but tha calf muscle sometimes feels tight and as if it needs to be stretched out.

The doctor keeps telling me it is the knee that is the problem even though the pain is not cumming from the knee. The hot bath relieves the pain at night so i get in the bath every night.

My chiropractor says it could be a nerve problem and that i should keep seeing him every week and i have but the problem is not getting much better. Sometimes it seems to be getting better then all of a sudden it starts giving me problems on days at a time with little relief.I have never had anything like this that has gone on for so long. Do you have any thoughts on this problem.

Hello Bob,
Mm, let's summarise:

* You can bend your knee if you pull with hand but not using the hamstring.

* Walking brings on the pain in the lower leg. After a short rest you can walk again.

* Standing also gives you pain in the leg.

* Your doctor thinks it's knee arthritis, your chiropractor says it "could be" a pinched nerve. What did your PT think?

* NSAIDs don't help, but a hot bath does.

I need more info:
1. If you bend forwards, is one leg much tighter, tingly, painful than the other?

2. If you bend backwards and sideways, don't it hurt anywhere?

3. Does the Slump Test for sciatica give you pain in the leg?

4. Ask one of your doctors to check if the Posterior tibial pulse and the Dorsalis Pedis pulses are present. Are you a smoker?

Frankly I'm unsure. Let me know the answers to these questions. Keep to the same thread please.

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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