Comments for Thigh pain after walking (Femoral nerve trapped?

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Feb 09, 2013
Additonal Strech Ideas after your walk.
by: Garry Anderson

Hi Mr. B. Watling:

Thank you for trying my suggestion.

Today, I went for a walk to test what muscles were becoming tight, then when I finished, I tried some stretches to see which ones were most effective. Thus, I would like to suggest you try the following stretches as soon as you feel the problem coming on, for example while you are on a walk:

1. Stand straight with your back against a wall, a fence, or a tree, then slowly bend forward at the waist and stretch down to touch your toes and hold your ankles. Hold this for about 5 seconds, then slowly lift up again. Repeat 5 times. This will stretch your back muscles, mainly Q.L. and other back muscles. This stretch really helped loosen up my back after my walk today.

Careful here, if there is a disc injury, this could make it worse. Listen to your back and leg, they will tell you if this is threatening. Dr B.

2. Sit on a chair or bench with feet on the ground. Left your right leg with ankle on your left knee, then hold your right knee with your right hand. Now, wrap your left arm around your right leg, at the shin, as far as possible. Now, lean your chin and head into you right elbow going as far as you can while pulling your right knee toward your body while you stretch into it. You should feel a stretch in your right buttocks (right gluteal media & piriformis) and your left shoulder and upper back. Hold for 5 seconds, then unwind. Repeat 5 times. After this, swap legs and do the opposite side. This stretch really helped my gluteal & piriformis muscles which had tightened up during the walk. You can see the video by googling "desk stretches for relieving lower back pain at the office".

If this is an impingement syndrome that is causing your groin pain, this MAY hurt right in the hip, but probably not as it's usually internal rotation of the hip that provokes the pain. Dr B.

After these stretches, the tightening after my walk was relieved. You may find they help your condition.

Let me know if any of these ideas help.

Garry Anderson.

Ask your doc to do the Femoral nerve stretch. This will tell you if it's a pinched nerve in the back. Dr B

Feb 07, 2013
Lower leg problem
by: Anonymous

Many thanks for your comments, I tried what you suggested but no difference between my to legs.Have been to Physio, referred by my Doctor but they could find nothing wrong. Have had Xray and that apparently is OK as well.I think after studying various conditions on the net that it is either a partially trapped or restricted artery. I did used to smoke but stopped in 1977.

Hello Mr Watling,
Frankly I have my doubts about the trapped artery. Your doc would certainly have found a diminished or absent pulse behind the ankle. And you stopped smoking a very long time ago.

What you describe is far more likely to be a hip / psoas muscle / irritated Femoral nerve, or branch thereof.

Is it possible to get a copy of your X-ray? Take a photo of it with your digi (no flash) if it's on plain film. Send to contact.

Dr b

Feb 03, 2013
Stretch Your Iliopsoas Muscle Before and After Walking
by: Garry Anderson

Hi Mr. B. Watling:

In respect of your posting, I have some thoughts I would like to share with you, in the hope that they may help you with your situation.

When my symptoms first developed, they were the same as yours, deep pain in the left groin, and weak left knee with swelling and difficulty walking. I, too, had to lift my leg to get it into the car, with any twisting being very painful.

I posted my article about entrapped femoral nerve with a detailed description of my symptoms. When my symptoms first began, they came about by sitting too long, which resulted in the Iliopsoas muscle group becoming tight, thereby pinching the Femoral nerve (both motor and sensory).

In your case, I am thinking that your Iliopsoas muscle may be tightening by walking (like calf muscles, and hamstring muscles, if overused). The fact that you gain relief by resting tends to suggest that your Iliopsoas muscle relaxes and thereby allows the pinched nerve to function normally again.

As you know, it is important to stretch your quadriceps, calf, and hamstring muscles both before and after any long walks. This becomes more important as we get older. However, it is easy to overlook the Iliopsoas muscle because most people don't know it exists, since it is hidden behind the intestines.

In your situation, I would suggest you try stretching the Iliopsoas muscle both before and after walking, to test if it is a contributing factor.

The best stretch I have found is the yoga stretch called "Deep Lunge" with your arms and elbows on the floor. An alternative is the "Pigeon Pose", but that may be difficult on your knees. With your left leg behind you, flat on the floor, and your body arching up and backwards, you stretch the entire Iliopsoas group.

A simpler alternative for stretching the Iliopsoas muscle, is to lie on the edge of a massage table, and let your left leg hang down under gravity, while pulling your right leg toward your chest with your hands behind your right hamstring. The pulling movement forces the pelvis to pull upwards, while the gravity pulls your left leg down and stretches the iliopsoas muscle.

For more information, I suggest you Google the phrase "ILIOPSOAS SYNDROME: THE HIDDEN ROOT OF PAIN" and see what you find.

Best wishes, and let me know what you find.

Garry Anderson in Canada.

Thanks for this Garry, great post.

Mr W: Google "deep lunge" - there are some good Youtube videos.

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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