Pain in left groin going around back to my hip and buttocks, down my leg.

by Michelle
(Phoenix, AZ 85023)

Where does it hurt?

Pain in left groin going around back to my hip and buttocks, down my leg could be a back, sacroiliac or hip problem; but which?

I am a 58 female. I am a cashier; I was at work one day 4 months ago, when I felt a sharp pain in my left groin, right at my panty line. It never really went away but sometimes wasn't as bad. Then it started hurting my left hip and my left buttock so badly, even down my left thigh and sometimes I feel pain in my left foot. No numbness really, or burning, just sore as hell, sometimes to the point of bringing tears to my eyes.

I can take a lot of pain, so THIS really is hurting me. One day, it was so bad I couldn't even put weight on my foot. I drove myself to the ER and they did a CAT scan, looking to see if there was anything wrong with my hip, nothing. They gave me ibuprophen.

Went to my primary doctor; he didn't think it was my sciatica. He thought I should get some physical therapy done. So, for almost 2 months, twice a week I go to physical therapy for about 45 mins where they have me do different exercises. They seem to think I just have a weak butt and need to build up my muscles. Some of the exercises hurt and half the time I don't do them at home.

I can't tell any specific time that I'm in bad pain; sometimes when I'm just standing there at work. Right now sitting here writing this my left lower back and butt are killing me. I DO know that whenever I spread my left leg out is when it really hurts bad.

I am going to make another appointment with my primary and see if I can get a cortisone shot or something. It's affecting my work. I need something done. Massaging makes it feel a little better.

Like I said, it's ALWAYS there, just not as painful sometimes. Any suggestions would be appreciated. I DO have a herniated disc between 4 and 5 diagnosed 15 years ago. Doesn't really hurt anymore, not sure if that has anything to do with it. I've tried hot packs, ice packs, my tens unit, nothing is getting rid of it. HELP!

You're going to say go to a chiropractor, but one time they twisted my neck (when my herniated disc was hurting) and it scared me so bad, I haven't been to another one since. I ended up getting 3 cortisone shots at 3 different times in my neck. That helped it.

Hello Michelle,
Actually, it may surprise you, my first thought is not to send you to a chiropractor necessarily. The problem here is we don't have a diagnosis; no one seems to know what wrong with you, and that's why none of the treatment is working.

Please do three things for me; if you want a useful answer to your conundrum, need to be as accurate and specific as possible.

1. Where exactly in your leg does it hurt; which part of the foot is affected?

2. Sit in an ordinary kitchen chair and ask a friend to lift your right leg parallel to the ground. Now slowly flex your head onto your chest. Remember what you feel. Repeat with the naughty leg. Precisely what is the difference?

3. Lie on your back and pull your knee to the chest; make a circle using your knee as a lever. Now drop your hip into the lotus position. Compare right and left. Precisely as you can, what's the difference?

4. Explain to me what you mean by spreading your leg out, and where it hurts.

Do you have the CT of your pelvis? Could you ask a technobof to send me a few slices?

Let me have some answers and we'll take this further; keep to the same thread.

Dr B

» Pain in left groin going around back to my hip and buttocks, down my leg.

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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've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's 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's 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 painfree. 

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's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's 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 walk 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.

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. Xrays 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 year 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's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 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 couldn't 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 shouldn't be treating the elderly most medical sites state but that's so much bunkum.

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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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