sore lower back, hips & pain in groin.

Greetings from P.M.B

I do competitive cycling but have had to stop as after riding for about 30kms the pain starts in my lower back and graduates to the front of my legs. It eventually effects my power. This is irrespective of whether I ride in drops or on top of the bars. I have had my bike set up checked and saddle height etc is correct.

When off the bike I have a niggling pain in what seems to be my right lower back and have pain in my right groin. If I lie on my back and bend my right knee and then rotate my right leg over my left I feel a sharp pain in my hip area.

I,ve tried running instead of cycling but this aggravates the pain in my groin.

Please help


Thanks


Erik (age 42)

Hello Erik,
Thank you for a very full explanation.
The lumbar spine, sacro-iliac joints and hips are very interconnected, sharing many of the same muscles and nerves. So quite often it's difficult deciding which is the chicken, and which the egg. That only a careful chiropractic exam will identify as the real underlying cause.

It would seem from what you say that the hip joint itself is key: pain in the groin, and pain rotating the hip.

I would recommend you start by getting an X-ray of your pelvis and lumbar spine. There are a number of hip conditions like hip dysplasia, femero-acetabular-impingement syndrome and hip arthritis that need to be considered. All are very treatable, but we would need to know what is happening and if present, how advanced the condition is. And you want to know too.

Enter these terms into the Search this Site function at C-H for more info.

When you've got the X-rays, let me know. I could fill in the requisition forms, or you could ask your GP.

I hope this has contributed.

Dr B.

Comments for sore lower back, hips & pain in groin.

Average Rating starstarstarstarstar

Click here to add your own comments

Jun 01, 2011
Piriformis Muscle
by: Dr Rene

I must agree with Dr B.

I have also seen this numerous times is my practice. One of the keys that I have found was treating the Piriformis muscle with Myo-Fascial Dry Needling, after Adjusting the relevant joints that are disfunctional (all the way to the neck)

This has helped so many cyclists.

Get the whole Kinematic chain functioning to the best of its ability.

Regards

Check out my page and feel free to comment

http://www.chiropractic-help.com/chiropractor-nelspruit-white-river.html

Dr Rene

Click here to add your own comments

Join in and write your own page! It's easy to do. How? Simply click here to return to Chiropractic help Questions (Neck pain).


The search this site function in the navigation bar on the left enables you to find stuff on this site.

Google has gone through an enormous shakeup in the last year, giving webmasters much grief.

Meantime, use that search function to find more information about subject material mentioned on the page where links have probably been removed.  There are over 360 pages at chiropractic help; it's become a veritable encyclopedia dedicated to better health.


Did you find this page useful? Then perhaps forward it to a suffering friend. Better still, Tweet or Face Book it.


Interesting challenges of the day

1. Mr B  came initially for a painful and stiff neck and then asked whether chiropractic could help the cold numb feeling running down the side of his thigh for six months. Meralgia paresthetica is a double crush syndrome with the nerve affected in the back and groin. He's 80% improved after five treatments.

2. Mrs C has a long history of severe, disabling migraine headaches since having her wisdom teeth removed. She clenches her teeth at night. After six treatments she has no migraines but some jaw joint discomfort remains; a bite plate is in the offing.

3. Mrs U has the trophy for the worst back this year. After major surgery with plates and screws two years later she still had paresis in the lower leg and severe disabling back pain. She's doing far better than expected, in no little part due to a lift in her shoe for a very short leg.

4. Mr V is 86 years old and hurt his back helping his wife into the car. Just one treatment of the sacroiliac joint and he's eighty percent better. It's not always like that.

5. Mr W lay on his back knocking down a pillar. Turning his head causes severe vertigo. He needs the Epley exercises, not pills, research shows. Update, he's fine.

6. Mrs X, a young mother has severe lower back pain, with numbness down the posterior thigh, calf and side of her foot. It started after a long drive in the car. After six treatments she is 60 percent better, but it's slow and is going to take the full 6 weeks to heal.

And now a setback, after lifting her child she now has leg pain. It's going to the be difficult.

7. This lady is a 70 year old woman, is on maintenance care for a nasty lumbar stenosis despite having to do everything at home. Her husband has a hospital acquired infection after a total shoulder replacement. After four operations he is incapacitated.

8. She is an 78 year old woman, is doing remarkably well with a bad sciatica. But over 200 pounds she is not losing weight; in fact, gaining despite my suggestions. She's high risk for a stroke. I have referred her to a dietician to crack the whip.

9. This man is a 73 year old engineer, still working, is doing fine after a long episode of lower back pain. Some pain on the side of the hip remains after five treatments. I reassured him it's not hip arthritis.

10. A 64 year old woman has had scheuermanns disease; it's left her with a spinal kyphosis and chronic middorsal pain. She responds well to chiropractic treatment provides she come every six weeks or so for maintenance treatment.

11. Mr 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. Mrs D, a middle aged woman with hip pain of one year duration, despite other treatment. Xrays reveal an impingement syndrome and early hip arthritis. There's much to be done.

13. Both Mrs E and I can't believe how much better her lower back and leg pain are. Surgery for a scoliosis and spondylolysthesis three years ago helped greatly for one year. But then her leg went lame and weak. He was responded extremely well despite all expectations.

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?


Interesting questions from visitors

CLS writes:

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.

Your own unresolved problem. Pose a question

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.


You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what chiropractors do.

The quickest and most interesting way is to read one of my ebooks of anecdotes. Described by a reader as gems, both funny and healthful, from the life and work of a chiropractor, you'll love them. Priced right at $2.99, though Kindle fiddles the price without telling me.