Bilateral pain in hip and pelvis area for 10 years

by Tina
(Alabama USA)

Bilateral pain in hip and pelvis area for 10 years will be problematic.

Hello. I am a 46 year old Woman, 5'1", about 130 lbs and I have had severe pain in my hip / pelvis area for about 10 years now. It started gradually, just annoying at first, but has gotten progressively worse, until now , it's almost a daily occurrence.
The pain is deep in the front of my pelvis, located along and under the pelvic (iliac crest ?) bone. It usually wakes me up at night, as an aching feeling, and when I stand up, to use the bathroom, or get a drink, it starts to feel like a charlie horse, is the only way I can explain it. It is excruciating. Then the pain starts radiating down the front of my thighs, about down to my knees's. That pain is just as bad as the hip / pelvic pain. I also have low back pain, but not anything I can't deal with.
I've had MRI's that show some disc degeneration in my lower discs with some bulging, but the Orthopedic Dr. says it shouldn't be causing the pain.
I've been cleared by my Ob/Gyn. as far as it being anything gynecological.
I've had a nerve conduction test, with came back good. I've had multiple lumbar epidurals, an R.F. Ablation, and Trigger point injections, all with no relief.
I have done P.T. Bought a personal TENS machine, and when the pain hits, will do almost anything to make it stop, it is that bad.
I'm not supposed to take NSAIDS because of 2 bouts of colitis, and they don't help much anyway, neither do muscle relaxers, hot tubs or hot baths with Epson salts, I am at my wits end and so are my Dr.'s.
If you have any advice or input, I would appreciate hearing it.
Thank you for your time, Tina.

Hello Tina,
Would you do some tests for me please and report as accurately as you can on ALL of them. Do them one by one, writing down the result immediately. A half hearted reply will get you a half hearted answer. Do them off all NSAID or other analgesics for 24 hours.

1. Bend slowly forwards, then backwards and then to the side. Precisely what do you feel and where?

2. Lying on your back, pull each knee to the chest, towards the opposite shoulder and then drop it into the lotus position. Are either particularly stiff or painful? Where? I take it hip xrays have been taken and are normal. Correct?

3. Now roll onto your tum, bend one knee and ask a friend to lift the knee, extending the hip. What do you feel in the front of the thigh. Repeat with the other knee.

4. Sitting, put a little oil on your thumb and then run it from the iliac crest, through the ASIS (do a bit on google), through the groin and down the inner thigh towards the knee. Is it inordinately tender? Compare legs.

5. Using a needle, prick both thighs comparing the sensation. Include the side of the leg. Is there numbness or hypersensitivity?

Is there anything you know you mustn't do because it will immediately provoke the pain?

Keep to this thread please. Accurate answers are needed.

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 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.

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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.

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