Ramesh

by ramesh167@hotmail.com
(London UK )




Lots of spinal issues that I am trying to get on top of. (MRI report attached)

I am keeping fit and generally feel strong through exercise and lots of activity at age 53.

I came across your website and details on
"Maignes Syndrome" which describes the exact symptoms I have had for many years.

My MRI report did show some issues at the T10 /T11 level could this be causing the symptoms associated with the above.??

I also suffer from (L) side nerve irritation which causes nerve twitching in buttock and involuntary muscle movements in(L)calf.
Occasional painful cramping in calf, Hamstring & Achilles.

These episodes only started 2/3 months after my Discectomy surgery in October 2012 and I still get them. Been told scarring/fibrosis tissue as a result of surgery is the reason.

The most annoying thing is it all kicks off when I am lying down / sleeping .. any advise on this.
Sleeping on my back is the best for me.
If I sleep on left or right side this brings on the nerve twitching (L) side that then sometimes leads to involuntary muscle contractions and occasional cramps.

Hello Ramesh,
It's quite difficult to distinguish cramps that are mediated via a mineral deficiency, most usually associated with sport and the heat of summer, and those that are truly neurological. A change in reflex may give some clue, and also sensory change; try pricking the skin with a needle and comparing with the other leg.

In my humble opinion there's not such thing as a 'cure' for lower back and leg pain, same as there isn't for diabetes. Both need maintenance care and most of that should be done by the patient.
Exercise, diet management and medication in the case of diabetes, and exercise and chiropractic or surgical care for lower back problems.

Many folk think wrongly that after surgery they will be 'cured'. Not so. Nor after successful chiropractic care for a sciatica say; a lifetime of exercise lies ahead.

Lying on your side at night with a pillow between your knees may help.

Those back exercises should be done in bed every morning before arising.

The thoraco-lumbar area can be in some folk quite difficult to adjust with chiropractic.

Good luck, I hope this contributes.

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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