femoral nerve problem

by Dave
( Sugar land, tx. Ft. Bend county)

Maignes syndrome referred pain pattern.

Maignes syndrome referred pain pattern.

femoral nerve problem

Bent down to take clothes out of dryer 8 days ago. Felt sharp stabbing pain in lower right back. Developed numbness and very slight soreness in right groin and thigh. Also sitting in chair upper right buttocks throbs. Has improved as far as back pain and had massage today that helped. Last 3 days have done some stretching of hams and back.

Hello Dave,
For starters I wouldn't stretch your hamstrings; if this is a sciatica or even femoral nerve problem it would likely make it worse.

Do a little test. Sitting in the chair, straighten first your left leg parallel to the ground. Lower your foot. Now extend the right knee; if it does nothing slowly flex your head on your chest. What happens when you do that? It's called the Slump test and measures the dural tension on the sciatic nerve. The femoral is more difficult.

Also, it's not wise to bend over; if you have a disc injury, it will make it worse. Not sure how you are stretching your back. The safest is to lie on your back and pull one knee at a time onto your chest. Pulling both together would relieve a lumabar facet problem, but aggravate a disc injury. What's needed is a diagnosis.

If it's going to the groin and upper front of the thigh, it's most likely related to a mid to high lumbar region. You might try the Maignes syndrome exercises, as well as lower back exercises. Type these terms into the Site Search function at chiropractic help site.

Meantime, just be careful. Ice your back, sit less particularly in comfortable television chairs and the car.

When it radiates into the leg I usually recommend a professional opinion sooner rather than later.

I hope this contributes to your femoral nerve problem.

Dr B

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Jul 01, 2014
Femoral nerve pain reply
by: DaVe

Dear Dr.,
Thanks for the reply. It's been 15 days since the back spasm and it has improved tremendously. I still have slight numbness and soreness in the thigh area but has improved. Lower back pain is gone. Sitting pain in my buttocks is almost gone. The back stretching exercises that you described is one of the ones I am doing.

Didn't know not to stretch my hamstrings but I have played tennis twice, singles, and didn't want to be too tight. I will lay off the hams though for now. Thanks very much for your advice.

Hello Dave,
Pleasure. Stretching the hamstrings is important but not for six weeks until this has healed. Remember the pain goes away faster than it heals; hurt it again in the next month and you'll be in real trouble.

Stay away from tennis for a month, and then do a disciplined warm up and cool off regimen with all your sport. Tennis players are naughty! Just walk on the court and start bashing the ball; that's not enough of a warm up, particularly after injury. Good luck, stay well.

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.

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.

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