lower back and groin pain

lower back and groin pain

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Jumpingjackflash

Original Poster:

614 posts

184 months

Friday 7th April 2023
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I have had a lower left back pain for six months. It has not stopped me in my everyday activities. To give you some examples when getting out a car, getting off a sofa our getting out of bed my left lower back is sore and stiff bit after 10-30 seconds my back is fine. I can go to the gym with no issues.

On Monday I was at the gym and hurt my back. I got a sharp pain at my lower left back where I have felt a niggle for six months. Since Monday I when I hurt my back my left hip and groin have been very painful. If I sit down my left groin feels like it is on fire. My left lower back only hurts if I stand for more than 30 minutes.

Something is not feeling good and it does not feel like getting any better. Any ideas what is wrong and how to make it feel better please?


Ice_blue_tvr

3,220 posts

169 months

Saturday 8th April 2023
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A lot of my friends reccomended a book by Robin Mackenzie called "How to treat your own back" .

It's very informative about how pain can move around and down your legs when the root cause is your lower back. The further the pain deviates the worse shape your back is in.

However I would still reccomend seeing a physio. The book suggested lots of exercises but my physio diagnosed the issue as hyperlordorsis, which meant I was doing the exact opposite to resolve the problem.

dobly

1,261 posts

164 months

Saturday 8th April 2023
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How is your posture - do you carry yourself symmetrically? A friend of mine had lower back pain on one side and it turned out that she a problem with her right knee which meant that she was compensating in her left hip and lower back. Get yourself to a physiotherapist - they will be able to check you over and hopefully sort out both the symptoms and cause. Additionally / alternatively, your GP could check you over to see if it is a problem in your groin area that is not muscular / skeletal.

Jumpingjackflash

Original Poster:

614 posts

184 months

Saturday 8th April 2023
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I don’t know if I have Sciatica or strained my Psoas muscle. I don’t feel pain down my leg. I only feel pain now in my groin but I do get a stiff leg and tingling on the top of my foot.

dandarez

13,390 posts

288 months

Saturday 8th April 2023
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Sciatica usually is associated with lower disc problems in the back.
Been there. I had severe lower back pain 20 yrs ago, that bad my wife had to put my socks on. I get the odd sciatica down both legs but curl ups, touch toes, and any stretching will ease it. As said above, a physio is the person to see 'if' it is disc or sciatica.
Re the book recommendation above, I'd go for this instead 'The Back Sufferer's Bible by Sarah Key - highly recommend!

Groin pain, that's different kettle of fish, especially if one side, could well be a hernia (inguinal) ie: a rupture.
If it is, at some point a bulge will appear in your groin on that side.
Again, been there.
Had right side groin inguinal hernia when I was just 18. Needs operation to rectify, back then (1968) it meant 14 days in RAF hospital (the option of a military hospital over a civvy hospital was available back then to residents of the UK - I chose the option of a military (RAF) because it meant I could have the op within 2 weeks as opposed to several months wait to get in the civvy (NHS) hospital - who knew, eh?

RAF Surgeon told me when I left hospital that at some point the left side would herniate. Thanks a bunch! I thought at the time.

However, he was right, but it was almost 50 yrs later when my right side herniated! Lot of pain in groin then the 'bulge' appeared. Had that side done 4 yrs ago privately - all done under a local anaesthetic the same day - in fact, I doubt I was in the hospital for more than two hours max. How times change, not always for the better though.


GilletteFan

672 posts

36 months

Saturday 8th April 2023
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OP, it is grat that you are still keeping active. I am concerned your back still feels stiff six months after injury and that you reinjured yourself so soon. Can you share your current exercise program. I have a feeling your groin injury comes from lunging types of moves with some upper body rotation/ lunging and losing balance. Please share your workout program.

Derek Smith

46,300 posts

253 months

Sunday 9th April 2023
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After chronic sciatica, I went to my rugby club's physio, she was NHS. Gave her all my symptoms and she put me through a few tests. Directed me to go to the hospital because she feared a specific problem. She refused to treat me. Went via my GP and was MRIed, seen by the consultant and had everything explained.

I booked a dozen or so periods with their treatment dept, given exercises, and warned off certain activities - notably cycling, my favourite form of keeping fit. Symptoms eased in a fairly short time, but there has, as I was told, steady deterioration over the years.

I was told that had I continued cycling - if I had back pain, I'd get on my bike for an hour or so - I'd have probably lost the use of my legs.

Back pain: it's complicated.

Jumpingjackflash

Original Poster:

614 posts

184 months

Sunday 9th April 2023
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My discomfort started at the lower left side of my back roughly below where your belt line is. I was at the gym on last Monday doing deadlifts. The pain was agony bud it was exactly where I felt the discomfort below my belt line, lower left of back.

I have been resting and taking pain killers but now getting fed up. Now my pain is in my left groin. If I try and bend over or get comfortable on the sofa or bed my left thigh feels like a dead leg.

I am going to physio on Monday but I haven’t got a clue what I’ve done.

GilletteFan

672 posts

36 months

Sunday 9th April 2023
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Jumpingjackflash said:
My discomfort started at the lower left side of my back roughly below where your belt line is. I was at the gym on last Monday doing deadlifts. The pain was agony bud it was exactly where I felt the discomfort below my belt line, lower left of back.

I have been resting and taking pain killers but now getting fed up. Now my pain is in my left groin. If I try and bend over or get comfortable on the sofa or bed my left thigh feels like a dead leg.

I am going to physio on Monday but I haven’t got a clue what I’ve done.
It's hard to tell what id could be. However, one week is more than enough for a muscle sprain to feel a heck of a lot better. I suspect you may have injured a disc. Which one and the length of your recovery time depends on your proportions, weight and type of deadlift. It may be L4/5. Whatever it is, do not put any weight overhead and avoid any leg exercises that force your hip into flexion - machines will be your best friend. E.g. I would use the seated preacher curl rather than standing with heavy dumbbells and curling them. I would also not do shoulder presses and would sub in the seated lateral shoulder raise machine. All to reduce weight burden on the lower back. Do keep bending actively though. You want to ensure blood flow to facilitate recovery.

You can most certainly train and progress through this injury as long as you take out those exercises that load the back with additional weight burden and require hip flexion. Stay active. Lift conservatively.

the tribester

2,549 posts

91 months

Sunday 9th April 2023
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Are you drinking enough? Could this be your kidneys or an infection?

Jumpingjackflash

Original Poster:

614 posts

184 months

Wednesday 12th April 2023
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I went to chiropractor yesterday. The 30 minutes drive was torture. The chiropractor was shocked when he seen me from last week. He was surprised how much pain I was in. He check my back, hips, sciatic nerve and manoeuvrability but everything was fine. His conclusion is that I have deep muscle damage. He believes the pain in transferring down my thigh and groin.

I am not sure the best thing to do for recovery. He said relax and rest until muscle heal but everything I read says do stretches and build strength. When I lie down on a bed there is no pain but if I try to sit on sofa, go for a bath or stand and walk after 10 minutes the pain is so bad I can’t stand without holding onto something.

HustleRussell

25,121 posts

165 months

Wednesday 12th April 2023
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Would be a bit of a coincidence with the dead lifts but as others have said, personally I would be keen to rule out any potential causes of the pain which are not musculoskeletal.

egomeister

6,831 posts

268 months

Wednesday 12th April 2023
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the tribester said:
Are you drinking enough? Could this be your kidneys or an infection?
I wouldn't rule out a small kidney stone. A few years back I had one which caused back pain for a few months. It was inconsistent - sometime it would be fine, sometimes showing like the stereotypical back pain and then occasionally it would flare up. I remember a couple of occasions where I had mild pain when standing or walking but could barely bend to put shoes on.



ATG

21,118 posts

277 months

Wednesday 12th April 2023
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It sounds like a slipped disc, but who knows, eh?

Go see a GP. Oh, but nothing. Go see a GP.

Jumpingjackflash

Original Poster:

614 posts

184 months

Wednesday 12th April 2023
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I phoned My GP yesterday. He said it is typical to have a sore back for 2-3 weeks and would give me strong pain killers. Hopeless .

I am going to phone some other chiropractors or osteopaths for a second opinion.

ATG

21,118 posts

277 months

Wednesday 12th April 2023
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Jumpingjackflash said:
I phoned My GP yesterday. He said it is typical to have a sore back for 2-3 weeks and would give me strong pain killers. Hopeless .

I am going to phone some other chiropractors or osteopaths for a second opinion.
Your chiropractor and your GP seem to have said the same thing, so you've already got a second opinion, but, genuinely, seeing someone else can't do any harm. Maybe they'll find something, maybe they'll put your mind at rest. Personally I'd be seeing a physio.

DiscoSINGH

272 posts

150 months

Wednesday 12th April 2023
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Back problems could be related to the way you walk OP? Consider seeing a podiatrist as custom insoles might work for you?

cheeky_chops

1,599 posts

256 months

Wednesday 12th April 2023
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From memory (did a 1 year level 3 anatomy/massage course) muscle tears are grade 1-4, partial to complete, just like a cut to skin, it takes many weeks to heal but then add on rehab to mobilise, break up scar tissue and strengthen. I get you're in pain/rush but the time frame cant really be speed it up

Muscle testing is quite prescriptive - eg thomas test https://www.physio-pedia.com/Thomas_Test so your osteopath would do a bunch of tests they feel relevant. It sounds like hes done some tests and come up without a positive. The psoas attaches to the spine so its possible this is aggravating the spine esp when sitting up as its active

How is your mobility? Could you do single leg deadlifts with good form?

Jumpingjackflash

Original Poster:

614 posts

184 months

Wednesday 12th April 2023
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Yesterday at the chiropractor I was surprised how much I could move lying down on my back. When I lie down I have no discomfort. when I stand up and try to do every tasks like walk, make a cup of tea, shower, go to toilet or even try and sit down the pain is unbearable after ten minutes. The pain is all around my groin, hip and top of my leg especially on outside.

Last night and today I notice when I was chewing food I could feel cramping on my left thigh. Crazy but I swear it’s true.

One positive is that when I sneezed today it didn’t hurt my groin lol.