Leg weakness; pain and now arthritis in hip and knee

by Michelle
(New Mexico)

Often there are pre existing conditions in the hip too.

Often there are pre existing conditions in the hip too.

Leg weakness; pain and now arthritis in hip and knee after an injury demands plenty of gentle exercise, good nutrition and watching your weight. Swimming would help.

I was in a car accident in 2009 I was in the passenger seat and had my right leg tightened against the wheel well as I was setting the papers for my new car on the floor, a few blocks away from the dealership, wham. 90mph impact into this wheel well. I can no longer pull my leg to my chest and my leg falls outward/way from body.

An MRI of my back shows "the back of a person much younger" minus one spot in my mid back of "little concern". The doctors "didn't want to get involved", so claimed all my symptoms were MS (I was incredibly active before this accident). I am in my mid 40s. I moved out of that town after "settlement" in 2014. In 2015, I had two hours worth of ortho surgery to my right knee (every tendon and ligament was broken or ruptured minus the medial); have arthritis in my hip and knee.

I have been told that my femoral nerve is trapped, but they can't figure out where; MRI doesn't show it. Meanwhile my thigh muscles are disappearing. The Ortho surgeon just gave me a steroid injection in my knee for arthritis and is talking about sending me to another state for the paralysis as my area doesn't have the expertise and testing. Any suggestions? I can send copies of MRIs if you need them.

Hello Michelle,
I replied to this but apparently didn't save it, such a kluts! so here goes again.

Since you are unable to pull your knee to your chest, this looks like a classic hip condition to me; there could be a femoral nerve problem but in the absence of back pain, and radiating pain to your leg when bending in various directions, my thoughts are directed to your hip.

Mm, cars are like toothbrushes; lent to others and even allowing them to drive you, especially in a brand new Ferrari is not such a good idea!

Both knee and hip conditions cause what is known as 'arthrogenic inhibition', most frequently to the quadriceps muscle which will waste and the leg become weak; it's fairly classic.

My best thoughts are regularly to do quad sets, I like to do them sitting with the leg straight, and knee extensions, also sitting, with knee and hip cases. Google it. I should do a video on it too.

Then you must gently mobilise that hip every morning before getting out of bend; some discomfort, but no pain.

Nutritionally look to fatty fish and freshly ground flaxseed for omega-3, and save and freeze your chicken bones; then cover with water and boil, or better still in a pressure cooker. Interesting research from Harvard Medical School on the benefits of the cartilage nutrients from a bouillon turned regularly into a soup.

Using the search function at Chiropractic Help, see our chicken bones page. Sunshine remains the best source of vitamin D, so important for bone integrity; a daily walk in the sun with a hat is the solution.

I hope this contributes; oh, and watch your weight; obesity on top of those injuries will lead quickly to complete knee and hip joint replacements; very expensive, and not nice if they can be avoided.

Dr B

» Leg weakness; pain and now arthritis in hip and knee

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Aug 15, 2017
Thank you Dr. B.
by: Michelle

Thank you Dr. B. I went to Startpage (I don't use Google) and looked up ANI. Found an article that had specific PT for this: TENS, Cryotherapy of the joint; very interesting and it made sense. I tried so hard to move my leg and do the PT after my knee surgery; my foot and thigh just didn't like doing stair climbing or anything like this; my butt gives out and I fall if I overuse; I have a walker now. I've also bookmarked the normal PT you recommended. Only question I still have: What do you recommend for the arthritis I now have in my hip and knee joints? I've order a Calcium, Magnesium, Zinc, Copper and Potassium supplement. I can't have as much Omega Oils and are normally recommended due to Von Wilibrands Disease (Omega Acids, according to my ND is a blood thinner; so instead I eat fish; Atlantic. I will bring the article I found to my Ortho Surgeon and DO.

Hello Michelle,
Confess I had to look up Von Willebrand's disease. I would agree with your ND; fatty fish, not capsules of omega-3.

There are continually shifting opinions as new research contradicts old practices. The latest is that calcium supplements, unless you are very active, gets deposited in the coronary arteries and increases the risk of CV disease. Thus, there too, get your calcium from your food.

Gentle mobilisation of the joints every morning before getting out of bed, and preferably several times a day, and swimming with strengthen the muscles.

Chicken bones bouillon made into a soup.

As a chiropractor I'd be checking your sacroiliac joints too as they often fixate and cause pain with an abnormal gait.

I'm afraid that's about all I have to offer. I hope it all helps.

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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