lower back pain with numbness in anterior part of leg

by erica

I feel pain in my lower back pain around sacroiliac joint region, sometimes, I can feel numbness in my anterior part of leg. i cannot sit for long period of time.

Hello Erica,
Yes, it's of concern. I need some more facts. Bend slowly forwards, then backwards, then to the side and slightly backwards. What happens in your back and leg? Do it carefully.

Then go to Chiropractic Help home page and type Slump Test into the Search function in the navigation bar on the right. What do you feel?

Something to watch out for. If the knee starts to buckle, on the stairs or even walking, then you definitely shouldn't delay. Also, when walking are you having difficulty dorsiflexing your foot. Raising the toes. Are you tripping?

Take a pin and poke your legs, comparing sides. Try and isolate as exactly as you can where that numbness is. Does it go below the knee? Where?

The rule of thumb is, get a professional opinion without delay if the pain in your back starts spreading down your leg.

Let me know the answers to these questions. Keep to the same thread.

Dr B

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Mar 27, 2014
reply to Dr B
by: erica

My doc said that my L4 and 5 have some trouble, they are more forward as compare to others. When I lie down on back, I feel serious lower back pain and I can feel numbness and tingling from the side of thigh down to the side of leg before ankle. This happens on both side, my doc just mention to me that this is considered 'premature degenerative'. Can you let me know the exact problem that I am facing right now? And what should I do next? Thank you so much!

Hello again, Erica,
An exact diagnosis depends on an examination and perhaps an xray or scan. I have access to neither and can only answer in general terms.

I'm not sure what this premature degeneration is; but young and old get attacks of acute lower back pain radiating to the leg. What is of concern is that your doctor's treatment isn't working and he's giving you a fuzzy diagnosis.

Start doing the gentle exercises you'll find in the navigation bar at the chiropractic help site. Type slipped disc rules into the search function and start following some of them. Like, sit less and stop bending.

Please don't write from a smartphone as I have to spend ten minutes correcting your grammar.

Dr B

Mar 27, 2014
Response to the Slump test
by: erica

When I bend forward my lower back is painful, but I feel ok with bending backward and sideward. When I was carrying out the slump test, I feel alright with it, just the muscle stiffness. But after the test, I can feel the numbness on the lateral side of my leg very clearly.

Hello again, Erica,
You may well have a bulging disc but it's not clear from this at what level. I think it's time you decided whether you are going to go the medical or chiropractic route. Your leg may start going lame just now.

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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