Upper thigh, back and leg pain

by Sara
(London)

Does this look familiar?

Does this look familiar?

Hi,
I have been having this upper thigh, back and leg pain for quite a long time.

It is on the top of my right thigh, more on the inner part of thigh, and radiates down to knee, shin and ankle. Then on the ball of my feet.

I also have tingling and like burning sensation on both feet especially in evening when I lay down on the sofa

Also have a bad back pain that has been there for some time.

I also have a herniated cervical disc on C5 C6 for years and I have been suggested surgery but so scared to do it.

And because of cervical herniation, every pain I experience on my legs, my go saya that could all be because of my cervical herniation. And because I haven't done the surgery, he says I have to have the surgery to rule that out and then we can look at other options!

Im soooo worried that might as well be true that I'm damaging my self by not having the infusion, even though my neurosurgeon has given me a written letter that I would not be damaging my self if I decide not to have the surgery!

I'm living with pain for long time now, but the legs are worrying me lately as I can't even turn left or right to sleep at night as if I do, I will wake up with great pain on both arm and leg on the side I slept on.

I have been trying lately doing some exercise myself and even long walking every day, but it is not helping much?

Am I doing myself worse by doing this?
Thank you.

Hello Sara,
Firstly, I had to make 27 corrections to your grammar; normally I wouldn't have answered. If you want to continue this please write on a computer, not one of those not so smart devices.

I agree with you; having a neck operation to rule out that the pain in your leg is not coming from your neck is about the dumbest suggestion I have ever heard! But it's true that a cervical herniation that reaches the spinal cord can produce symptoms in the legs, but they are non dermatomal and associated with increased reflexes. They are called long tract signs because they impinge on the long spinal tracts reaching to and from your brain to your legs, and other parts of course.

The upper and inner thigh stretching down to the lower leg (is it on the inner side of your shin?) and foot is strongly dermatomal and suggestive of a femoral nerve lesion in your lower back. Is the knee starting to give on the stairs?

The femoral nerve stretch would confirm this; and a diminished knee jerk reflex. Prick you leg; is there a change in sensation following one of the dermatomes shown? Early on it's usually more sensitive, later it becomes numb.

Does bending forwards, backwards or to the side provoke pain or tingling in your leg?

The hip needs to be examined too; it often produces symptoms in the thigh, but not usually reaching down into the lower leg. Pull your knee to your chest; do you get groin pain and is it very stiff?

What's needed is a very thorough chiropractic examination; look for someone with a reputation for being conscientious and thorough. A few clicks of your back are unlikely to be of much benefit.

Start the exercises which can be found in the index at Chiropractic Help and do them every morning before getting out of bed for the rest of your life. Regular walks and swims would help too.

A chicken bones bouillon made regularly into a vegetable soup would be a great aid to your cartilage.

You can't just ignore this, Sara, and hope it'll get better; you've got to do something.

Good luck, I hope this all 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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