Back pain and leg numbness

Middle and lower back pain, numbness in legs and tingling in hands. Strange feeling like something is leaking down my back and left leg. More images

Clinically there is far too little information to make even an informed guess. Do you have neck pain, is there a history of trauma. Weight loss, abdominal pain?

Nothing in the lower back ( the only X-rays) would be likely to cause the numbness and tingling in your hands.

Do movements of the back increase the back pain and/or leg pain?

I am not a qualified radiologist but there appears to be sclerotic changes in the right sacro-iliac joint and a Pincer deformity in the right hip. Any groin pain or difficulty walking?

It's never wise to make pronouncements on what's seen at the edges of a film, but I'd like to see more detailed X-rays at the thoraco-lumbar junction. Is the numbness and tingling at the back of the legs, or the front and side of the legs? Groin?

All in all, I'm really not sure. More information is needed, both clinical and further X-rays of the neck and T/L junction. The above is really speculative. I am unable to comment on the abdominal scans shown at blogspot - quite unqualified in that domain.

Sorry, I fear I have contributed little.

Dr. Barrie Lewis

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Dec 01, 2011
regarding the numbness and....
by: image provider

You asked about the numbness, groin and neck pain.
The numbness and tingling is all over the legs but I have a cold sensation at the outer side of the left thigh and I have 2 times got weird muscle spams close to the knee. Not groin pain but sometimes dull pain around the pubic bone.
No pain in the neck, just these clicking sounds. Occasionally facial numbness.
Thanks again:)

Dr. Barrie Lewis Dr. Barrie Lewis

What's needed is a careful and thorough chiropractic examination. Your jaw joint, the range of motion of the hips, the Si joints, the rib joints...

Dr. Barrie Lewis

Dec 01, 2011
More informations
by: Image provider

Hi Dr B.
First, thank you so much for your informations.

There is a history of trauma to the middle back 15 years ago (fell of a horse). After the accident I have always been sore in the middle of the back.

The lower back and pelvic pain started when pregnant 2 years ago but seamed to heal after birth.

9 months ago sudden chest pain in the center of the chest and breathing problems.

7 months ago I got an instant pain in the lower back, got swollen and could feel lumps and bumps. The mornings where horrible. I lost a lot of weight but was eating more. Bending and lifting is what makes it worse. Also pressure, than it gets all swollen and light colored bruises can appear.
The ribs also started to click a lot when moving and sharp stabbing pain in the lower ribs. Yes lower abdomen pain.
I need to check my web-page, there is suppose to be on the first page a video with CT images of the lumbar spine.
Thanks again:)

Dr. Barrie Lewis Dr. Barrie Lewis

Hello again,
Making suggested diagnoses without examination is a hazardous business! But a few thoughts:

* Unexplained weight loss ALWAYS needs to be followed up. Perhaps due to pain, but one should not assume that.

* It sounds like that midback injury may have set you up for a costo-chondral syndrome, sometimes called Tietze's syndrome. It responds well to the correct chiropractic treatment, BUT NEVER LET ANYONE MANIPULATE YOU HARD IN THE MIDBACK, POSTERIOR TO ANTERIOR. It will aggravate the rib pain.

* The side of the leg is affected by the mid-to-upper lumbar spine where I thought there may be some changes on your X-rays. It can be a Meralgia Paresthetica or a Femoral nerve root lesion.
Plug all thesse terms into the Search this site function at C-H for more explanation.

* Everything needs to be considered in the light of the abdominal pain.

Dr. Barrie Lewis

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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 have left alone. After seven treatments his pain and stiffness is 50 percent better, and he is 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 is 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 pain-free. 

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 is well pleased; sixty-five percent better after three treatments.

5. Mr T is a wise man; he has 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 stroll 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; he has a short leg.

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. X-rays 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 few months 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 is a non-complicated upper cervical facet syndrome, and she is doing well.

12. Mr D is a 38-year 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 could not 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 should not be treating the elderly most medical sites state but that is so much bunkum.

Do you have a problem that is not getting better?

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Interesting questions from visitors

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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.

Your own unresolved problem. Pose a question

Knowing that up to 70 percent of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there is 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 a DC does.

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 will love them. Priced right at $2.99, though Kindle fiddles the amount without telling me.