Severe pubic, sacral, and right hip pain

by Stacy
(Oakdale, TN USA)

Severe pubic, sacral, and right hip pain is suggestive of a pelvic condition involving the sacroiliac and hip joints.

I am a 58 year old Caucasian female, 140 lbs. 1 1/2 years ago I had pain in pelvic area radiating to the right hip that slowly improved but did not resolve.

A year ago I bent over to pick up a paperclip from the floor. It felt sharp, intense burning pain as if something tore and radiated to right hip. Ice and heat ineffective. Went to ER 24 hrs. Later, after a CT scan, they shrugged, said they didn't know and referred me to my family doctor. It slowly eased but never resolved.

Two weeks ago I fell landing on my right top femur. Sore but no problem. Then 3 days ago after some lifting of fairly light boxes, it began again but this time it is severe in the sacral area as well as pelvic bone area, groin, right hip including upper right front thigh. Also noted bone pain. ER visit again, x-ray negative, pain meds and muscle relaxers prescribed, heat recommended.

It feels like it is all horribly inflamed and the pubic bone area and sacral area has piercing burning pain that seems localized but radiates to hip is the best description I can give. Standing and walking is less painful than sitting and laying down. Sitting with right ankle on left upper thigh eases it somewhat. Ice packs I have to leave on continuously on the sacral and pelvic area to get relief. Hot epsom salt baths effective only while in the bath. I got a few minutes relief when I put my forearms on counter and hang down letting my whole weight rest on my arms and relaxing lower half of body.

Please if you have any idea of what is wrong please steer me in the right direction. My doctor has no clue. I haven't slept even with pain medication for 3 days. I am unable to take NSAIDS due to Recurring Acute Pancreatitis, nor can I take steroids. I hope to God you can help. I will gladly buy several e-books from you if you have any suggestions at all. I apologize for the long post. I wanted to be as clear as possible.

Thank you in advance for any suggestions.

Hello Stacy,
I can understand you being frustrated. If I may suggest it, the ER is not the right place; you need someone who specialises in the pelvis. That could be a chiropractor, but not every DC has an interest in the hip as I do. Or, an orthopaedic surgeon.

I would dearly like to see a copy of that x-ray. Could you get help in sending them to contact?

One little test: lie on your back and pull the left knee to the chest, towards the opposite shoulder and then drop it into the lotus position; remember what you feel.

Now repeat with the naughty hip. What's the difference?

Dr B

» Severe pubic, sacral, and right hip pain

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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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