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.

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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

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Interesting challenges of the day

1. Mrs D, a 78 year old woman has very severe sacroiliac joint pain, and even more severe cramps in her right leg. There are two problems; she is on two diuretics but no slow K. Taking her temporarily off one diuretic and adjusting the SIJ brought 50 percent relief within four days. 

2. Mr S, a 48 year old man, has right low back pain, groin pain and a numb feeling in his lower leg when he sports. For six months he's been off football. He too has two problems; a very treatable lumbar facet syndrome and a very serious blocked artery in the groin; it's called intermittent claudication. Smokers beware.  

3. Mr S looks like the leaning tower of Pisa; he has a slipped disc at L5 making him lean towards the opposite side. It's called the postero lateral disc hernia; we'll fix it, but he has to stop for a week or two. Antalgias are serious so take them seriously. 

4. Mrs V too has  two conditions; a chronic low grade sciatica giving her an ache in the right leg, and a threatening Morton's neuroma. She's glad I'm back in Holland; chiropractic fixed it before, and we'll fix it again. 

5. Mrs W is one of the lucky ones, says her doctor. I agree. He says only 40% of patients with lumbar stenosis have a successful operation. We fixed a nasty slipped disc three years ago, but it came back two years later; the surgeon did a fine job but she has a weak ankle now giving her subtalar joint pain; it's routine stuff. 

6. I myself had an acute exacerbation of a femoral nerve lesion last year. One immediate treatment of the new strain by my colleague has fixed the pain in the lower back, but there's some residual numbness in the lower leg; no soaring tomorrow alas.

7. This lady is a 86 year old woman with a 63 scoliosis. Chronic lower back has been her lot in life but she's well pleased with chiropractic and comes for chiropractic help once a month; some conditions you can never cure.

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. A 61 year old man with upper cervical pain yesterday; it's not severe but also not getting better of its own accord. He's afraid it may turn very acute as when I treated him three years ago. Since then it's been fine. 

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. 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. 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. Mrs B has had one of the nastiest of conditions; vertigo caused by a disturbance in the inner ear. Falling repeatedly and vomiting she consulted her doctor but medication didn't help. After two sessions of the Epley manoeuvres she was 50 percent better. After two weeks 75 percent improved. No longer vomiting all falling. She's not enjoying the Brandt Daroff home exercises.

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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