Very difficult walking, gait closed from understanding limping

by Michelle
(Macon, Georgia US)

I was first injured in an accident when I was 19 years old; I am 50 years of age now. The second car accident, was when I was around 27 years of age; hit from behind. Both times.

Also my brother finance had toys on her floor I was walking downstairs fell on my knee, bone has been sticking out so much lately. Happen almost 17 years ago.

Dec 2015, I also fell at home on my left side, I drag my left leg. I went to a doctor he sated one side my left side shorter than my right leg. My gait closed. Can not walk with both legs swinging. I drag my left left sometimes needing assistance.

My pain in the middle of my back. I do have swelling almost daily. I've been seen by (Neurosurgeon, one last year Dec 2015 and the other, last month Nov 2016 they both have said back is fine.

Chiroprator, treatment started 2012 ended Sep 2014 focus was my back for two years. Now after all this time finding out no back issues, from Neurosurgeons. Then not to complicate the matter. I had an Ortho doctor see me, August 2016 of this year said Foraminal Stenosis. My matter has gotta worse, with what I truly need. I can usually feel the pulling in my low back when I cross my leg, righ over left leg that is. Like there is a sticking of some sort. Especially when stretching or any kind of physical activity with my spouse.

This year April until May 2016 I have had physical Therapy as of this year, for six weeks, they focused on my back more so than anything. Not their fault. They noticed I dragged my leg, didn't get much leg attention or exercise for my leg. They always had me lying down more than anything.

I was injured 2011, my mom slipped fell on me. My weight at that time 145 lbs, hgt 5.3 my mom weight 185lbs or more hgt 5.8
I am about 125, now.

I am such need to see, if going back to a Chiropractic, can help me regain my life back. Thank you so kindly, & May you be blessed to help others as we seek for better & true understanding.

Hello Michelle,
I've done my best to correct things but your description is written so poorly that it's difficult to follow.

It seems that you have back pain, but the neurosurgeon says your back is fine; the orthopaedic surgeon, chiropractor and physical therapist appear to be of a different opinion.

Interesting that crossing your right leg over the left provokes the symptoms; that suggests to me that the problem is possibly in your sacroiliac joint, or even your hip itself.

I understand you are having difficulty walking, but I confess I don't grasp "gait close from understanding limping." Forgive me if English isn't your home language; then I'm being rude.

It seems to me that the basic problem is that there is no consensus on the diagnosis of your problem. And since I have no access to the important clinical data, I'm unable to contribute much on that score.

When walking is difficult, I always start with the hip itself, and the sacroiliac joint. Do you have groin pain?

You obviously have a real problem, Michelle, but I'm having difficulty understanding it.

Think about what provokes the pain, and where does it hurt? For example, is bending forwards painful, or backwards? Or to the side? Does pulling your hip to your chest cause discomfort? Where?

What do the x-rays and scans show?

Get some help with writing your reply please so I can better understand what's causing your pain.

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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CLS writes:

Greetings, Dr B.
You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

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Knowing that up to 70% of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there's a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong! Give plenty of detail if you want a sensible reply.

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