Any ideas on my strange groin thigh hip pain?

by Lonnie
(Vancouver BC)

I have inner groin up close to pelvic crease pain. Like a trapped nerve or tendon. Upper thigh pain on same leg. Not able to do straight leg raise unless I have a lacrosse ball applying pressure on my piriformis.

This pain makes it difficult to bend over and touch my toes on my affected side and pain and weakness when trying to do lunges. Sometimes there is a pain in my outer lower leg like a twisting feeling.

Often there is pain in the pirformis as well. I have done all kinds of treatment with physio, chiro and neuro kinetic. Strange thing is when I do heavy barbell back squats there is no pain and it relieves the pain a bit. I use a foam roller and lacrosse ball to release my groin pain, thigh pain and the referred hip pain.

I also use the ball to trigger my psoas. Nothing is really working and I have had this for two years. Marginally better in the last six months but I still can't walk for more than a block without my back seizing on both sides of the lower back. Any ideas?

Hello Lonnie,
You're not going to like my suggestions but I think it's important; you have to stop all that heavy exercise until this heals. You are simply reinjuring the tissue - whatever it is - before it gets a chance to knit.

The alternative is pain for life, pills, threat of operations and huge expense. You've got to go back to square one, and yes, I know it's not easy. But the alternative is too ghastly to contemplate.

Ask one of your gurus for some SIMPLE exercises and do them faithfully every morning before getting out of bed, and at night, and perhaps in the day too. You'll find some in the navigation bar at Chiropractic Help.

The real question is whether the groin pain is referred from your back or sacroiliac joint, or whether it's primarily a hip condition; and perhaps one of the hip flexor muscles.

Do you have a family history of hip conditions?

Lie on your back and pull your knee to the chest, towards the opposite shoulder and then make a circle. Compare with the other hip. Is it restricted or painful in the groin. Drop the knee into the lotus position; what happens? Have you had an xray of your pelvis?

My best suggestion is to start a hunt for a chiropractor who is strong on a thorough examination. Despite all the treatment you've had, there's no certainly about the diagnosis, so little wonder that treatment hasn't been successful.
Then there are a host of lower back and sacroiliac conditions that can refer pain to the groin and anterior thigh via the femoral nerve or superior cluneal nerves.

Back to square one gentle exercises and a thorough examination is my recommendation. Obviously I haven't a clue and am only throwing out a few thoughts; treat them in that light.

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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