Sciatica in lower back and hips and groin and pain after treatment

Sciatica in lower back and hips and groin and pain after treatment is not uncommon at the Chiropractic Coalface; but does your doctor show concern?

This is the first time in my life I've ever seen a chiropractor so I was wondering if the following is normal? This is the second time I've had my neck adjusted the first time I was fine. The second adjustment I've had soreness ever since. Maybe two weeks ago this happened.

That same visit he adjusted my middle back between the shoulder blades. I am now experiencing soreness; I've used the Heating pad I've taking my pain meds and I still hurt.

Today is Monday March 6th and I will be going again on the 8th. When I go I'm just going to ask him to use the massaging machine on my back and on my shoulders. And I'm going to ask him to only adjust my lower back and my hips.

I'm going to let him know I don't want my neck or the center of my back adjusted anymore. He has adjusted both of my hips before but I hear cracking in his hands but I don't feel the cracking in my hips so is that considered an adjustment?

Because I felt when he did the center of my back it was loud and I heard it and I felt it. But with my hips I don't hear it and I don't feel it. He says it's because I'm inflamed. Is that why I don't feel anything?

Is that true am I being adjusted and I don't feel it because I'm just inflamed? I'm so swollen? Thank you for taking time to read my comment and concerns.

Hello Lana,
You've opened a can of worms, and I must confess there are strongly divergent opinions in the profession.

Let me first say there is some research that many of the unexpected benefits of chiropractic are dependent on how many areas are adjusted; for example relief of menstrual cramps and constipation. This is the underlying philosophy of 'full spine chiropractors'. And they will adjust your whole back and neck too.

Then there's a group who belong to the 'if it's not broken, don't fix it' philosophy; I personally lean in this direction, but I adjust many patients full spine too.

My own observation after 36 years in practice is that it's best initially to concentrate on the area of the chief complaint; in your case your lower back and hips. Then, when that's resolving look further. I too had cases of patients who came with lower back pain, and went home with a sore neck; it makes no sense to me either now at this end of my career. I understand how you feel.

It's your body and you are quite at liberty to say to any doctor what he may and may not do to you; so by all means, if you feel so compelled, tell him to leave your neck and midback alone.

I think what is important is being able to talk to your doctor; does he listen to you? Does he take your opinions seriously? Did he show concern that he may have hurt you? Did he take it into account at the next treatment, or just continue in his groove?

In most cases, whether you hear or feel a popping sound is not important. Sometimes it is, but not generally.

Groin pain demands that the hip joint is examined; did he test the ranges of motion of your hip, and put it into the lotus position? In fact, do you feel you were thoroughly first examined throughout the areas that were treated? I'm afraid all doctors get lazy and tired, and I'm included and am also sometimes tempted to take shortcuts; I resist the devil and hope your chiropractor does too.

If your chiropractor comes strongly recommended by friends or family, then stick with him in the interim provided he takes your concerns seriously; if you found him in the yellow pages, and the above resonates with you, then perhaps it's time to look elsewhere; read our page find a good chiropractor first.

I hope this all contributes.

Dr B

» Sciatica in lower back and hips and groin and pain after treatment.

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Mar 15, 2017
Thank you Dr. B
by: Anonymous

Hello Dr.B,
Thank you for answering my questions; yes, you did shed some light on my situation.

To answer your question, does my doctor listen to me with concern? Yes, I told him everything that I wrote to you and he massaged me with his hands and he said there was like a bump in the middle of my back and he just massaged me and said he did not adjust anymore and he did not adjust my neck again, and now we're going to see each other every other week.

And I've also started aquatic physical therapy for my hip. He's a very nice doctor I was just wondering about the techniques and how I should be feeling and I do thank you for your advice. Have a good rest of the day.

Please, glad it was helpful.

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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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