Ruptured adductors femoral nerve impingement

ruptured adductors - possible inpingement on femoral nerve

10 months ago did splits while side stepping on moving treadmill during physical therapy.
Have been unable to weight bear on L leg since that day so cannot walk. Severe pain from groin to knee only on inner thigh. Had 3 mri's, back, ms and left thigh, 2 epidural - no help. All doctors scratching their heads...

Hello Maria,
Mmmm, nasty injury.

Maria, I need more info:

1. Lie on your back and pull your knee to your chest, the opposite shoulder, make a circle of the hip using the knee as a lever - in the groin. What do you feel?

2. Again, lying on your back, ask someone to lift (they lift, you relax completely) first the good leg, and then the naughty leg. A difference? Where?

3. First lying on your back, and then sitting, squeeze a ball between your knees. Pain? Where?

4. Did you go black and blue in the adductors when this happened?

5. This test is hard, and frankly you probably can't do it properly, but give it a shot. Lying on your side, painful side down, ask a friend to gently grab your foot, other hand on the buttock, and pull the foot backwards, bending the knee and extending the hip. Now the other side, what's the difference?

6. Sitting, do the Slump test for sciatica ...tell me what happens.

7. Standing, bounce gently on the good leg, feel the strength in the quad muscle in the front of the thigh. Now, gently, on the other leg, holding onto a chair. Does it give at the knee? Pain? Where?

When testing a muscle for weakness, there are two important distinctions: does it hurt when you contract, or is it just weak without pain.

8. Ask whether the knee jerk reflex has been affected.

9. Take a pin and prick your thigh, comparing right and left. A difference?

10. Bend forwards, backwards, sideways... any pain anywhere?

11. Prior to the injury, did you have ANY groin, thigh, back issues? Tell me.

In all of this: we are trying to establish what reproduces the pain most accurately.

A lot of questions, Maria, the kind of condition I would relish to tackle, but alas we live on opposite sides of the planet. Let me have your answers, detailed please, I feel sure this is to be helped with Chiropractic, but first a diagnosis is necessary.

Could you send me a copy of the X-ray of your hip. If plain film, take a digi and send to contact.

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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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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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