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Author Topic: Back Problems since 2004  (Read 12916 times)

Steve Lockhart

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Back Problems since 2004
« on: December 05, 2010, 02:10:04 AM »
Dear Steve,

Your mails are very interesting.  I would really like some advice as I am desperate now to find a solution to my problem.  However, I am based in Belgium Europe and can't afford to call you by phone so maybe you could assist me by mail?

Here is my case history:  Female 48 years old

In 2004 and 2006 my back went into spasm twice and I was completely blocked at home for three weeks each time.  Both MRI's showed minor problems with the L4/L5 disks at that stage but nothing major

In June 2008 I twisted my ankle on a paving stone flew up in the air and landed on by right hip.  Resulting injury was a sprained ankle.  Then in September 2008 I started to have pain in my legs whilst on holiday after a 15 hour car journey and thought it was bad circulation!  I ignored thinking it would go away up to December 2008 when I finally went to the Dr. who gave me some medication.  Then in Feb 2009 I left work one morning in so much pain that I knew I would not be back there for a while.  I drove home and from that point my back just gave up.  MRI and scans showed two disk protusions L4/L5 (very popular these days!!!) result being I was at home bed ridden most of the time for 6 months. Physio is excellent McKenzie method plus deep massage which I am still doing now once a week.   I went back to work in July 2009 but was still in bad pain and the stress there did not help.  Then in December 2009 I was made redundant after 23 years! relief to be honest it had contributed to my back over the years all that stress.  I was hoping to look for work at the beginning of 2010 but found I could not sit due to awful pains in my right buttock down my leg to my knee - it is still unclear as to whether it is true sciatica but I do get fluttering occassionaly, its a burning tingling, needle pain but chronic.  My Dr. has kept me away from the specialists here as they just want to operate.  I have been to an osteopath 4 times did not like that it hurt too much the inflammation is bad.

We tried mesotherapy for three months but each session caused me to be in too much pain afterwards - now we are back to anti-inflammatories which I had two years ago for three days but they upset my digestive system badly so had to stop.  After 4 days there is an improvement this time so fingers crossed.  I am also taking natural anti inflammatory products and I do have acupuncture that seems to help my mental state but not this constant pain.

I should point out that I also have chronic planta fascia in my feet and although I have custom made insoles my feet are agony I can not stand still for more than 1 minute and walking is just awful - I am hypermobile and have had problems with my knees when I was a kid the muscles holding the kneecap would just give way and the kneecap would twist and I would collapse on the floor! that does not happen these days but still worth mentioning.

The inflammation I have in my lower back left hip mainly is like inflammed lumps I guess this is the muscle?  I tried the tennis ball approach but that just hurt even more and set me back a week or so.

My actual back pain is much better its this burning needle pain when I sit its right where the buttock joins the thigh at the back and pain from the small lumps in my right and left hip which I think are inflammed parts of the muscles?.

This pain as also brought/ on a few weeks ago an awful Urine infection - the Dr. thought it could be related to one of the nerves irritating this area - in fact I feel like I have nerve pain down there (if you get my drift!) 

If I could just sit then I can start looking for work.  Currently I drive, shop do all the things everyone else does but I can't sit in a restaurant or walk around the shops for more than 10 minutes or maybe an hour on a good day with my feet.

I hope that based on the above that maybe you could send me some advice?

I would be so grateful

Yours sincerely

CLAIRE

Steve Lockhart

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Re: Back Problems since 2004
« Reply #1 on: December 05, 2010, 02:20:52 AM »
Hi Clare,

There is a lot of free information on my website www.backpain.com.au that should answer most questions you have and give you a good idea of what your problem is and the direction you should be taking.

When problems go on for this long it can get a little complicated but based on the idea that muscles imbalances cause pressure to build up in certain areas and you have identintified a problem with L4/ L5 it does sound like your pelvis tilts. This would show up as a short leg.

I am astounded that you say your physio is excellent when after all this time you are still not better. Excellent in my mind would be you would be fixed and back at work after a couple of months at the very most. I know I would be seriously doubting my ability to fix someone if after a few months they weren't better or well on the way.

Your doctor also it sounds has been working with you on this problem since 2004? Your loyalty is admirable but very surprising. I wish my patients would continue to see me and pay me money for that long when I didn't fix them!

Luckily for you there is a female therapist who has started my SLM training in Belgium and she is being mentored by another of my very good students from the UK so I would get along to see her as soon as possible and see what she can do for you.

Her name is Nadia and her contact details are:
rue Edouard Michiels 50
Bruxelles 1180
Belgium
Phone: 32/2/3477212

barbie

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Re: Back Problems since 2004
« Reply #2 on: December 05, 2010, 06:10:52 AM »
Dear Steve,

Thank you so much for your response.  I will definitely contact Nadia tomorrow and get an appointment - will keep you posted on progress.  The Dr. has been assisting me since begining of 2009 I changed Drs. at that time for other reasons.  I say the physio is excellent because he got me walking again, the problem with him is he only treats the back.  However he does not seem to be able to help with the remaining sciatica type pains and inflammation. Apparently my muscles are too tight in my legs and this I am sure contributes to the pain - I will definitely see Nadia and see what she has to say.  You are correct my pelvis does tilt but I had the xray on length of leg and there was a 3mm difference which they told me was nothing to worry about, not sure now if it is or not? Will post back soon when I have news

barbie

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Re: Back Problems since 2004
« Reply #3 on: February 13, 2011, 03:00:01 AM »
Hi Steve

FYI Contacted your lady here in Belgium in December and she told me that she was a very busy lady and that appointments have to be booked 3 months in advance and that she specialises in stomach massages of some sort and that she had not even had not completed SLM training - not very promising and she was rather disagreable!


Steve Lockhart

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Re: Back Problems since 2004
« Reply #4 on: February 13, 2011, 03:07:29 AM »
Sorry about that Barbie I wasn't aware.

Regards
Steve

barbie

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Re: Back Problems since 2004 Update
« Reply #5 on: February 26, 2011, 01:31:55 PM »
Dear Steve,

Thought I would take this opportunity to update on my status as it may assist others.

Following on from your response to my first mail - I ditched my doctors referrals after having been referred to yet another useless specialist here in Belgium two weeks ago who after not bothering to read my notes or past scans etc. looked at my latest MRI told me I had a great shaped backbone and suggested two epidurals within 15 days of each other.  Seeing as the latest MRI showed disc protusions but no contact with sciatic nerve unlike 2 years ago! - I thought this was completely mad and refused to have injections which don't fix the problem for me it is necessary to find the cause! 

Epidurals are are to me like putting a plaster cast on a wooden leg! 

So took an appointment with another Rhumatologist recommended by a friend of a friend and hey presto - EMG (for those of you scared of this procedure - it did not hurt one bit!) this week proved there is nothing wrong with my sciatic nerve!!! - I have "false sciatic".  I am due for an ecography of right hip next Tuesday as there is inflammation lump that comes and goes on my hip and constant "nerve" type pain which the new Rhumatologist is 90% sure is caused after having examined my hip joints thinks it maybe severe type of "tendonitus" - also inflammed leg ligaments.  I have not been able to sit for nearly two years so am intrigued to find out if he is correct.  I will update further when I know more. 

Thank you for being quite harsh in your initial response it made me wake up and smell the coffee! I am doing my own thing in order to resolve my pain which is too much after 2 years.  Also I have tried Mylostan which I don't really like but hey presto the first medication that gives me some relief for the first time in over a year or so! all the nerve meds provided rcently never helped and now I know why - it's not the nerve after all! 

Will post again when I have results.

Thanks again

Barbie

Steve Lockhart

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Re: Back Problems since 2004
« Reply #6 on: February 26, 2011, 03:58:46 PM »
Hi Barbie, sounds like some good news. If you have inflamation around the hips, (ligaments or tendons) it usually means a tilted pelvis and the ball release work and floor exercises from the SLM yoga will help correct that.

The Doctors Rhumatologists or speciailists o whoever are only going to deal with that symptom which will return if you don't treat the cause.

Regards
Steve

barbie

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Dear Steve

After another MRI on my hip they have found a small calcification on the large hip tendon (in french tronchater)! where the hip joins the buttock so the pain was not sciatica after all!!! Seems my back issues are resolved thanks goodness but now I am left with a a decision and don't know what to do.  The pain is excrutiating and I can not move much infact sitting, lying down are agony - The recommendation is physio? or alternatively they can inject into the calcium deposit under ultrasound with a saline solution and it should dissolve????  Any ideas or input would be so much appreciated.  Basically as I understand it it's like having a kidney Stone in your hip! The alternative is physio where it would be massaged quite hard???? thanks for you precious input

Claire

Steve Lockhart

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Re: Back Problems since 2004
« Reply #8 on: March 31, 2011, 02:42:58 AM »
Hi Clair,

The calcium deposit has probably come about due to an irritation and it may be this that is causing you the pain rather than the deposit itself. Normally a hip jt irritation comes from a short leg on the opposite side which is perhaps why you are in constant pain.

In the video I posted at http://www.backpain.com.au/getrehab you can see a way of checking your leg length and determining if you do in fact have a short leg.

If this is the case you should be focused on dealing with this first to see if it takes the pain away rather than worrying too much about the hip joint itself, That can come later.

Regards
Steve

barbie

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Re: Back Problems since 2004
« Reply #9 on: March 31, 2011, 11:12:14 PM »
Dear Steve

Thanks for the information.  The results of the scanometrie I had

Show that I have a minimal tilt of the hips of 2.5 mm

And that my left leg is 4mm longer than the right - all my hip pain is most severe on the right.  Up to now all the doctors have sent this is minimal and does not need correction?  If it does in your opinion how do they do it?  I have severe tendonitis or planta fascia in both feet I walk on the tendons!!! agony - I have had many different shoe inserts made and none help the crippling pain in my feet either.

Thanks for some more precious advice :)

Claire

Steve Lockhart

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Re: Back Problems since 2004
« Reply #10 on: March 31, 2011, 11:36:04 PM »
Hi Claire,

Try an extra insert in your left shoe first because if your problem is with the right hip I'd bet the short leg is the left one. You could also try having an insert in your left show but nothing in your right one.

If you want me to be sure attach a photo (cick additional options below the post box) taken from behind standing in a bikini or bra and pants and I will be able to tell which is your short leg from that.

All the symptoms are from a tilted pelvis so I don't agree with the comment that is not enough to make a difference.

Regards
Steve

barbie

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Re: Back Problems since 2004
« Reply #11 on: April 01, 2011, 12:24:41 AM »
Hi Steve

Thank you very much although I am unclear ;D  if my left leg is 4mm longer than the other then it is the right leg that is shorter? correct? the pain in hip is on right side.  Thing is the pains in my left foot are worse than my right foot! Oh a bit confusing.

Sorry to bother you again

Thank you

Claire

barbie

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Re: Back Problems since 2004
« Reply #12 on: April 01, 2011, 12:43:42 AM »
If this helps

Length of right femur 434mm     Length of left femur 428mm

Length of Right Tibia 360mm      Length of left Tibia 362mm

Total length right leg = 794 mm  Total length of left leg 790mm

Pelvic Tilt = 2.5 mm

Steve Lockhart

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Re: Back Problems since 2004
« Reply #13 on: April 01, 2011, 01:04:47 AM »
Hi Claire,

Those measurements would make your left leg the shorter one as I summised, although I have never been impressed by the measurements they do. It is just a case of looking and seeing which side the pelvis drops.

I don't expect your leg length difference is a structural difference anyway, it is just the muscles supporting the hip that are unbalanced and causing the leg to LOOK short. That is why it can be corrected by a good muscle therapist.

The only people I have found to have a structural or unfixable short leg are those who broke their leg during their growing years.

Regards
Steve

barbie

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Re: Back Problems since 2004
« Reply #14 on: April 01, 2011, 01:27:58 AM »
Thank you so much for your input Steve - looking in the mirror I drop on the right side.

Will leave you be for now

Good day :)

 

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