Right lower back- and right gluteus pain, spasm & irritation

by Mariska
(South Africa)

Struggling almost 2 years with this. Was a hurler most of my life (leading right leg. Went to fisio, chiro & docter. Outcome of evaluation: left leg is longer (but not after chiro corrected it), left anterior hip tilt, tight right quadratus lumborum, psoas major & rectus abdominus. Weak right internal-, external obligues & multifidi. Docter says it is stiff neck- and upper back muscles that throws biomechanic chain. wore an inner sole for a small while.

Nothing really seems to help. Not even sure what exercises to follow anymore. Always in spasm - especially after exercising and picking up heavy things.

Do you have any advice?

Thanks alot, Mariska.

Hello Mariska,
Can you describe to me what provokes the pain. Bending forwards, backwards, sideways? Where in the lower back?

Quite often a Maigne's syndrome may be missed, the Superior Cluneal nerve supplying the buttock area. Any pain where the lumbar and thoracic spine meet?

There are two kinds of short leg. An anatomical short leg, one leg is simply shorter than the other. Ask someone with a keen eye to stand behind you and place their forefingers on the iliac crests. Is one obviously higher than the other. The solution is an insert the shoe, though how much, and whether the whole shoe, or just the heel can be problematic.

The other is caused by a pelvic subluxation, and temporary. Correcting the subluxation corrects the apparent short leg.

My best suggestion: go to our Lower back exercises page, and do them faithfully EVERY morning before getting out of bed. They take less than two minutes.

Good luck, leg me know how you get on.

Mm, one last thought. Lie on your back, and pull your left knee to the chest, then to the opposite shoulder. Then the naught leg. Is there a difference?

Dr B

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Dec 13, 2012
This worked!
by: Mariska

Hi, thanks for the advice & questions.
Though I did a few exercises I decided I need help from another fisio..she applied Fascia Release technique on me. It worked!
The knew method I'm talking about is called Lynosport or Lynotherapy(go google it).
It's all about the strong/stiff & loose/weakened fascia lines in ones body.

In my case the anterior & posterior line was stiff. Thr moment when we released it my back&glutea felt better. I assume its because of the pelvis going into a posterior tilt instead of the anterior tilt it was in. I now do certain stabilisation for my adductors & left quad, and stretches that's held only 2 sec, 5 times for the R glutea,R psoas major& R quad. Will roll on foam roller/tennis ball when I feel irritation/spasm again.

It's not completely gone-but much better!:)

That's very encouraging, Mariska. One of our rules: fifty percent less pain is the dangerous time. The reason, the pain goes away much faster than it heals. So be careful for at least six weeks.

Not that you have to sit in the wheel chair, but none of that heavy lifting, hear!?

Do your exercises faithfully.

Keep at it now, and go on to complete healing.

Good luck.

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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