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View Full Version : Outer hip, lower back & leg pain (dull ache) - both legs


idaustin
10-05-2008, 06:28 PM
Would appreciate any suggestions/input from anyone else who might have experienced similar symptoms;

Background - 36 yrs old & in good physical shape, work out at gym 3/4 x per week, + "was" playing rec ice-hockey 2x per week.

Around early June this year, while playing hockey, I fell awkwardly on the unpadded portion of my rear-end/right upper hip area. The next day & for the next week, I felt pronounced pain/soreness & tightness along the outside of my right hip going all the way down to my right knee. The pain/sorness subsided somewhat over the next few weeks, but sort of morphed into a dull ache/pain along the outside of my hip. Unfortunately, a few weeks later, I fell again in the same area which aggravated the pain again.

To compound things, I continued to go the gym - my routine at the time included upper & lower body on alternate days. The lower body routine included squats/leg-press & sometimes deadlifts of low-back extenstions.

After the second fall, I still continued to play rec-hockey, & although this pain wasn't severe - it continued to be a lingering, dull ache rather than intense pain, the action of pushing off/skating laterally aggravated the pain.

In late July/early August, I went to a chirporactor/sports injury specialist who diagnosed the injury as a muscular injury & did muscle stripping, massage & ultrasound on the right hip area down the side of my right leg. As this chirporactor was going away on vacation, they suggested I continue the same type of treatment with another chirporactor while they were away. I went to another chirporactor who did similar treatment.

Here's where things got more complicated. This second chirporactor did more intense muscle stripping, did ultrasound & applied currents to the area (while icing the area at the same time). I went to this person for 3 visits.

Unfortunately, the intensity of the muscle stripping on the right hip forced me to start favouring my left leg, & I began experiencing a lighter version of the same pain in my left hip & leg & my left groin started to ache.

Throughout I mostly stopped playing rec-hockey, but played a couple of times during mid-August while wearing an icy-cold patch on the right leg & hip area (as advised by this chirporactor).

I continued to also go to the gym during this entire time, but scaled back on the lower body exercises, as I also began to experience some numb-ness in my right foot especially during exercising.

I have now completely stopped playing rec hockey (since August), but the pain is still there in both hips.

I went to see my family doctor who sent me for xrays of my lower back. The xrays came back clear. He also referred me to a rhumotologist who examined me this week & is sending me for a bone scan at the end of October.

I've stopped seeing the second chirporactor (because it seemed that the treatments were having more of an adverse effect).

My parents suggsted I go & see their chirporactor who's also an MD. He looked at the xrays & diagnosed the problem as;

"Discogenic low back with radiculopathy"

This doctor said the treatments should never have concentrated on the muscles in the first place & it's not a muscular problem because it's bi-lateral & if it were muscular, it would have been concentrated in one place.

I've gone to for two treatments where this doctor has done the "coxtechnique".

Now my lower back is hurting, the pain's still noticeable in both legs, & yesterday, for the first time in a while, my right knee was hurting.

Here's a link to an anatomy chart;

http://www.changingshape.com/exercise/musclecharts/rearviewofthehumanupperleg.asp

I'd say the pain is noticeable in the gracilis, adductor, semitendonisus semimembranosus muscle areas, originating just under the right & left buttocks.

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Questions;

1) Does this type of pain sound familiar to anyone? Could it be sciatica?

2) Am I doing more harm than good by jumping from chiropractor to chiropractor? It seems like every person I speak to has a different theory on the injury. Seems like they have no problem taking my $ though...

3) Will this go away if I just stop any treatment, do light stretches, & apply a heating pad for a couple of months?

4) Should I wait for the bone scan & the rhumotologist's diagnosis of the bone scan before doing anything else?

Thanks in advance - apologies for the long winded description.

It's very frustrating, as this has really been going on since June.

Heidi
10-08-2008, 10:09 AM
Hi,

This is obviously a very complex case which is difficult to really advise on over the internet.

My gut feeling however is that is it a muscular problem, or at least that it was originally. The fact that it is now a bilateral problem doesn't mean that it cannot be muscular, as it started on one side following injury and only came on in the other side after a period of time. Suggesting compensation for the injured side overloaded the originally uninjured side.

I would stick to one person, but maybe not a chiropractor? Have you thought of trying a physical therapist? This is similar to the kind of thing I do (although i am in the UK and have a different job title). And involves soft tissue treatment and exercise rehabilitation.

Definately go for the bone scan and get the results. I don't think it will show anything but always worth it to rule out other causes. I wouldn't wait on this before you continue with treatment though.

The symptoms of pain into the back of the thigh and groin area are consistent with sciatica, but all this really means is that there is an impingement on the nerve. It doesn't specify where the impingement is coming from or what has caused it.

idaustin
10-09-2008, 01:55 AM
Thanks kindly. Yes - will absolutely continue with current treatments & start scoping around (no pun intended) for a physiotherapist - it's worth at least a visit for an assessment. It's been aching since June & I want to get on the road to rehab so I can start skating again.

The problem with hockey is that you can't just go out there for a leisurely skate - it's basically give it your all or don't play. This doesn't help w/ the type of problem I'm having as it delays recovery as I'm constantly stressing the lateral hip muscles by pushing off.

Thanks again!