Ask:

I am 18 years old and for more than a year I have had pain in my left leg. Twice a day, usually in bed, I have excruciating pains in my leg, through my pelvis and lower back. My girlfriend put it down to exam stress. I’m sure it’s not this, and I’m upset that she hasn’t sent me in for further testing. Please help.

Answer:

I’m sorry your doctor hasn’t sent you for further investigation. I’d like to see you for a diagnosis, but I’ll try to help you solve your problem based on your description of pain traveling through your pelvis and lower back. Having said that, if within two weeks of doing what I suggest, you don’t get better, you should go back to your doctor and ask for a referral for scans and/or a neurologist.

Over the years I have discovered that most lower back pain originates in the pubic area. This is the reasoning: the muscles of the back (erector spinae) that run on the sides of the spine act as pulleys to keep us upright, because we have a tendency to lean forward due to the weight of all our organs, which are located towards the front of the back. the body. (That’s why if people pass out, they often fall flat on their face.) The muscles end in thick tendons in the lower back at the top of the sacrum (the triangular part in the center just above the buttocks). So when people gain weight or carry heavy loads, or when women become pregnant, these tendons are put under extra stress because the muscles have to counteract the force that causes the body to lean forward. An underrecognized cause of the same low back pressure is a strain in the groin just above the pubic bone, the area where the abdominal muscles end in tendons attached to the pubic bone. I believe this is the pelvic area you are referring to.

I don’t know what kind of lifestyle you have, but various sports can cause groin strain, such as squash, horse riding, tennis, golf, cycling, weightlifting, sit-ups, martial arts, kick -boxing, even Pilates. In most cases, these groin injuries are minor, but if the body continues to lean forward defensively, the muscles and tendons become tight and sore. The pain can then spread to the gluteal region (buttocks) and/or the hamstrings of the legs. Doctors sometimes misinterpret this as sciatica.

Try to put pressure on your pubic region on the same side as the leg you’re having trouble with, in your case the left. If it hurts, your pain is related to the muzzle/pubic distention I’ve described. Be careful though: it can be agonizing when you first touch it.

I suspect your leg pain indicates something wrong with your discs. What can happen is that groin and pubic pain cause the pelvis to twist and this, in turn, can cause the discs in the lower back to bulge, due to what is medically called torsion. from the bottom of the column. The pain is caused by the bulging disc touching sensitive nerves. Think of the puck like a hot water bottle held between two blocks of wood: if you press on the bottle in one place, it bulges in another. If you turn the blocks in different directions (lateral twisting), the bottle also bulges.

This is what I suggest you do

* Massage the pubic area with Joint Oil or Peppermint Balm. Also massage the abdominal muscles, they will also be sore. Do this for five minutes before bed for two weeks. You may find immediate relief from leg pain; Sometimes the experience of pain while being massaged sends a message to the subconscious brain to release muscle spasms in the lower back to decompress the disc.

* Lie on your stomach and have someone massage your lower back, particularly the upper part of your sacrum, where the two thick tendons of your erector spinae muscles meet. Then move on to the gluteal muscles (in the buttocks) and hamstrings of the affected leg. This should be done for ten minutes every other day for two weeks.

* Be sure to drink plenty of water, 1.5 to 2.5 liters of plain still water a day between meals, as dehydration can cause muscle cramps.

* Avoid citrus and fried or spicy, also alcohol. Excess acid in the stomach can impede the healing process.

* Practice yoga, particularly cobra, half-bridge, and boat poses.

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