Low back buttock groin leg foot pain/tingling

by Ruth

Maigne's syndrome come from the thoraco lumbar junction.

Maigne's syndrome come from the thoraco lumbar junction.

First episode 2 yrs ago mainly right groin pain. Lasted about 6 weeks. No treatment except painkillers. Had abd/pelvic ultrasound and ct scans. Also x-ray to check for kidney stones. Clear.

1 yr later started to get cramping lower leg/toes, progressed to tingling, burning legs and feet; very little back psin. Drs checked vit d, iron levels ok. Given quinine no change. One said maybe restless legs, one "anxiety "

1 yr later groin pain again with some low back and buttock pain. Mainly right side. Tingling and burning in legs and feet, both, but more in right. Very uncomfortable to sit more than a couple of minutes. Lying only ok on left side. Restless, agitated feeling that I need to change position very often. Need to walk to give some slight relief.

Developed severe anxiety and depression 7 yrs ago. Had to retire because of it. Since then have become very sedentary, sitting on saggy chair for many hours each day.

Current pain started 9 wks ago. Currently having physiotherapy appointments , two mobilisation treatments so far and now 3 exercises to do twice daily. Usually take 2 x 2 antiinflamms daily; don't like taking meds. Use ice and heat.

Physio is on 2 week holidays just now. I'm continuing as instructed but no relief yet. Unable to drive etc. It's really getting me down as I can't see any light at the end of the tunnel. I'm female 62.

Sorry this is so long. I would appreciate any comments/ tips etc thank you, Ruth.

Ps physiotherapist says possibly from lumbar spine roots or facet joints/ sacroiliac.

Hello Ruth,
What strikes me from reading your report, not that long really, is that no one has come up with a diagnosis; possibly this, and possibly that.

I won't be so presumptious as to add to that confusion.

It seems that there may be different things going on.

First of all your sedentary lifestyle; that's only going to complicate what's going on. Are you fed up enough with the pain to start taking a walk, or cycle, or swim every day?

Secondly, you mention groin pain quite often; that's likely coming either from the hip, the sacroiliac joint, or a Maigne's syndrome. Lie on your back and pull the knee to your chest, then to the opposite shoulder, and then drop into the lotus position; is it noticeably tight and stiff and painful? Compare with the other hip.

Thirdly, if you're still on anti depressants, there's a 75% increased risk of osteoporosis; but that's a silent disease and you don't know until something breaks.

To test if this is coming from your lower back, sit in a kitchen chair, flex your head and ask hubby to lift each leg in turn parallel to the ground, dorsiflexing the ankle. Are they equal? Is it particularly sore in the leg or lower back?

Now bend slowly forward, backwards and to the side; any sharp pain, any radiation to the leg?

I'm shooting in the dark, Ruth, but these are the kinds of tests I'd be doing.

I hope it contributes. Meantime stick with your PT; give her a chance; Rome wasn't built in a day.

Dr B

» Low back buttock groin leg foot pain/tingling

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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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