right side low back pain, buttock pain, front groin pain toward the hip, weak leg, tingling and numbness in the lower leg and foot

by Linda
(Melbourne Florida USA)

Maigne's syndrome referral

Maigne's syndrome referral

Maigne's syndrome referral
Lotus position

I took a fall out of a armored vehicle overseas and all my weight landed on my right side leg and foot. At first it was only pain in my front groin and butt that hurt, but days later it was my right side low back and butt, off and on groin and back of leg down to the front of my leg and then my foot.

I even ended up with plantar fasciitis on the right foot, that went away. This has been going on and getting progressively worse for 2 years in July. I have been to doctors; Workers comp doctors said there was nothing wrong with me, all age related. My personal back doctor said there is a bulging disk and disk degeneration.

The groin pain has come back and some of my leg symptoms they say are not normal. I cannot drive long distances and cannot sit for any length of time. It is driving me crazy and my quality of life is going down the tubes.

Hello Linda,
Groin pain classically comes from a problem in the hip, the sacroiliac joint, rarely from a femoral nerve lesion in the upper lumbar spine, and perhaps a Maigne's syndrome.

And it can be a combination of these.

Using a drop of oil, sitting run your thumb down from the ASIS (use Google to find it), through the groin and down the inner thigh. Is it very tender compared to the other side?

Lie on your back and pull your knee to the chest, to the opposite shoulder and then drop your hip into the lotus position. Does this reproduce your pain? Where?

Sitting in a kitchen chair raise straighten your leg parallel to the ground; compare with the left leg. Testing the femoral nerve is more difficult.

Bending forwards, backwards, to the side, does it provoke leg and back pain?

Then there's the neurological examination that your can't really do; try comparing sides with a needle; is there any numbness?

I get umpteen letters about injuries in the service and it would seem that Workman's comp doctors are told to deal only with the most dire cases. So, officially you are imagining all these pains; it's quite normal at your age. You and I both know it's bullshit but you'll have a hard time changing their opinion.

There's no easy solution; start gently exercising your back and hip every morning before getting out of bed. You'll find exercises in the navigation bar at chiropractic help.

If after a month you have no relief at all, it's time to start looking for a local competent chiropractor; there's probably one right down your street; talk to friends and family and even your doctor; he seems to be more sympathetic.

Dr B



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» right side low back pain, buttock pain, front groin pain toward the hip, weak leg, tingling and numbness in the lower leg and foot.





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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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