Maigne's Syndrome (?) and other lower back issues

by JK

Maigne's Syndrome (?) and other lower back issues

Doctor, I have a long history of back injury and issues, all beginning with a car accident in 1993. Severe adult scoliosis developed in the years following the accident. I tried everything from chiropractic, to acupuncture, to steroid injections. I had positive results from one chiropractic doctor, but, unfortunately, had to move to another location and found no one else as good. Eventually, I developed stenosis and had a great deal of pain, trouble walking, etc. I optioned for an L2-L5 fusion in 2010 - short term results were good, but only lasted a few months. The x-rays and radiology report will tell you a lot. The last doctor I saw said the pain in my left buttock was a referred pain from my spine.

Hello JK,
What a sad story, but you're after something more than my sympathy.

1. Is it not feasible to see the great chiro you consulted before once a month?

2. Do you get any groin pain? The pelvic Xray doesn't have a R/L so I'm not sure which side, but one hip joint appears to have a pincer deformity. Femoro Acetabular Impingement Syndrome. That would certainly affect your walking, and if on the side of your buttock pain, could certainly be a part of the problem.

3. Lie on your back in bed and pull each knee to the chest and then towards the opposite shoulder. Is one hip much stiffer than the other? Any pain in the groin or hip? Is it on the side of the buttock pain?

4. Yes, the T12-L1 area can refer via the Superior Cluneal nerves to the buttock. And that area doesn't look great, so it needs to be considered.

5. I strongly recommend you EVERY SINGLE MORNING FOR THE REST OF YOUR LIFE do these Lower back exercises in bed. Several times a day would obviously be better. Because one size doesn't fit all, I would recommend professional opinion on which would be most suitable.

6. For the pain at T12/L1 these exercises would be suitable: Maignes syndrome exercises

Your problem is obviously not simple, I've had no chance to examine you, so take these comments not toooo seriously, print this out, and talk to your current chiro as to what is and isn't appropriate.

Lastly, I'd be trying Thompson drop technique on your pelvis and Chiro Manis traction. SacroIliac Joint treatment ...

I wish I could offer more, JK. If you start the exercises, start slowly, listen to your back, there's no perfect set of exercises that fits everyone, and ask your chiro to vet them and make sure you're doing them correctly.

In particular, if pulling your hip to your chest hurts in the groin, please let me know.

Let us know how you get on.

I hope this has contributed.

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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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.