Pelvic groin lumbar hip fingers painfully stiff

by Deborah

Fell down 4 steps at school aged 13. Landed heavily on coccyx impact with steel grid at step's base.
Rigid spine for months. Numb glute muscles for years after during and after prolonged sitting.
Today at 58 I have limited mobility of hips. Unable to sit cross legged on floor or legs straightened. The latter doesn't allow my hips/pelvis to be at right angles to legs. Work as a cook 8 hour shifts. After sitting (breaks) I'm stiff to stand and often have pain as I stand in groin of right leg. It stops me from standing so I bend a little wiggle my leg and slowly stand or it goes 'SNAP' with tremendous pain. Where do I stop!
Personal stuff here, I am unable to perform the missionary position as my groin will not allow me to spread my thighs/legs. I started noticing difficulty 8 to 10 years ago. The ligament/tendon or what ever it is maybe the psoas muscle is like a metal cable down the centre of both inner thighs. I can pinch it with thumb and fore finger with no pain yet to try and spread my knees with them up and soles of feet on the floor sends massive pains and twangs up through that cable, deep into my groin on both sides and to the outside of my hips. More severe on the right side. Both hips have the same moderate degeneration of joints. The physio says the right side of my pelvis has no movement and has seized in an inappropriate position. She can't tell me why the right side feels worse. I ride a push bike to and from work.
I could go on and on. Maybe to much information maybe to little.
Time will tell.
Thank you in advance if you can give me some clues.
I don't know how else to explain it except as I have.
Hope it's not gobble-di-gook!

Hello Deborah,
Do you have a family history of hip disease? Did your mother, aunt, brother or grandfather have a hip replacement?

It's possible that it's because of the injury when you were 13, but in case it's fixed in concrete; of academic interest only.

Certainly what you describe is fairly typical of progressive hip arthritis; if you pull your knee to the chest, to the opposite shoulder and drop it into the lotus position I suspect it will be painful and stiff; typically in the groin but sometimes on the side or back of the hip.

What then frequently happens is that one of the sacroiliac joints locks up and everything becomes miserable.

I'm guessing of course, but even if I'm wrong it would do no harm every morning before getting out of bed to gently pull your knee to the chest and then rotate it; you'll feel it of course, but don't provoke pain. You can do it sitting in a chair as well; several times a day.

The adductor magnus in the inner thigh typically becomes very tight and painful; talk to the PT about that.

I'm not sure what techniques physios use to mobilise the sacroiliac joint but, if you decide to go to a chiropractor, ask if they have a Thompson drop table; that works best and doesn't stress the hip joint.

Then you will need to exercise and mobilise those hips for the rest of your life.

I hope this helps. If you are able send a copy of the x-ray to Contact.

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'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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