hip pain or femoral nerve entrapment?

Where is the restriction and pain? If there is any.

Where is the restriction and pain? If there is any.

I have been having treatment for disc bulges since March 2015. A MRI scan revealed there was two bulges pushing in the spinal canal area L4 L5 and L5 S1. I have not been to the GP with this until this week as I wanted to sort it with chiropractic help and exercise. The initial pain was all around both sides of my sacrum and I could do very little, I had problems emptying my bladder for 48 hours, bending and standing was very painful.

It gradually got better but has never gone all together. I work on a farm and it is heavy going at times so every time I felt better I did a bit too much then back to square one. I have been having treatment at least every two weeks. Although I get a dull ache in my lower back the pain is in my hip, it is okay when I stand but after sitting and driving I can not straighten or weight bear on my left leg for a good while.

I walk with a limp and lose my balance a lot. My quads ache just above my knee like toothache, a real nagging pain. I also get a weird tingling sensation in my calf and toe numbness from my pinky to the third toe but this is mainly when driving.

I cannot adduct my leg so have to put my socks on by picking my leg up behind. I don't have full range of movement as I find it hard to bend down. I have been using inversion therapy which has helped my back relax but done nothing for my hip pain. I took myself off to the doctors this week as it is affecting my work, and walking which we love to do. I am a 46 year old female 5ft 6 weigh 10 stone and have always been physically fit and flexible. I have been referred to a spinal specialist but want to avoid surgery at any cost.

Thank you for a very clear post. I wish everyone took as much care.

Firstly, it's always emphasised in a chiropractor's education, that the patient can have two diseases. It's possible that you have both a hip problem and another completely separate one in your back.

Let's start by following that train of thought. Lie on your back and pull the normal knee to the chest, then towards the opposite shoulder and then drop it into the lotus position; note what you feel. Now repeat with the naughty leg.

Let me know EXACTLY what you feel, and then we'll take the lower back issues further.

Have you had an xrays of your pelvis? Could you attach it or send to contact. Are you doing any lower back exercises faithfully every day?

Dr B

» hip pain or femoral nerve entrapment?

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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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Interesting questions from visitors

CLS writes:

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.

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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.