Lower back and right groin pain. Trapped femoral nerve?

by Gill

Lower back and right groin pain. Trapped femoral nerve or hip condition, or both?

I have had several riding accidents over the years and seem to have been left with back and neck pain that comes and goes.

Over the last 3 months I have had severe, sudden onset pain in my right groin that makes me gasp out loud and stops me in my tracks. General stiffness and pain is worse after sitting and better when I am 'on the move'. Recently I have also had pain in my neck and outer thigh, sometimes going below my knee. I have had occasions when I can hardly put one foot in front of another and have been 'frozen' to the spot unable to bear weight on my right leg, but whilst riding my horse I have little or no pain.

I also have stiffness and swelling in my finger joints.
Where my back hurts there is a slight swelling on the spine.
Please advise what I should do. I am 62 and have always been active; mucking out, gardening and still work full time.
but now find I suffer if I am doing the above work; even getting out of the car can be difficult and I have to straighten up before I can walk.

All in all its a big nuisance and one I would like to get rid of!

Hello Gill,
The first question is whether this is primarily a hip condition, or a referred pain from your back or sacroiliac joint.

From what you describe, I favour a hip problem as weightbearing hurts, but riding your horse doesn't. How about swinging your right leg as you climb on to your horse?

We'll take this one step at at time. Firstly, lie on your back and pull your left knee to the chest, then towards the opposite shoulder and then make a circle, using your hip as the pivot.

Secondly, put your left foot on your right knee and drop the left knee into the Faber position.

Remember what you feel, and now repeat with the naughty hip. Is there a significant difference? If so, where is the stiffness and perhaps pain?

Let me know, keeping to this thread.

Dr B

» Lower back and right groin pain. Trapped femoral nerve?

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Jan 25, 2016
I have some ideas about your condition
by: Garry Anderson

Hi Gill: What you are describing is quite similar to the condition I have. I have some ideas about the cause and the remedy, however, I don't want to say anything that may be out of line with Dr. Barrie because he has helped me get to the bottom of my condition. Here is what I have found with my condition, so you may draw parallels to yours. My Psoas muscle has gone into contraction, compressing the lower spine joints L1-S1. The compression has caused a slight bulge in the discs at L4-5 and L5-S1, causing mild pinching of the nerve roots. The pinched nerves cause weakness in the leg and no power with the leg. Sitting for long periods makes the matter worse, keeping moving and walking makes it better. The pain in the groin is like a "stitch" that we used to get while running too much as a child. The pinched nerve keeps the Psoas muscle in contraction, not allowing the spine to recover, so I have a positive feedback loop that needs to be fixed with external manipulation. What I have found is working, and almost cured the condition, is three things: (1) I hang upside down on my inversion table for 5 minutes every morning and evening to stretch the Psoas muscle, (2) I walk about 30+ minutes each morning and evening, and (3) I get monthly chiropractic adjustments and weekly deep tissue massage treatments for the Psoas muscle combined with table extensions like the "cobra" pose in yoga. With this treatment, my leg is working again, and the groin pain is almost gone. There is a condition called "neural edema" which is swelling in the body resulting from nervous mis-function. For me, it started in the knee joints as soon as the Psoas went into contraction. Now, with the treatments, the swelling has gone away. In my case, I paid for an MRI to get a picture of the Lumbar Spine region so that the bulges could be seen and documented. The deep tissue massage therapist, that helped me recently, has returned to England, so she may be able to look at your condition. You can follow my postings at https://www.chiropractic-help.com/lateral-femoral-cutaneous-nerve-pinched-by-knotted-iliopsoas-muscle.html

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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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