Leg pain

April 1, 2001

> A question:

>

> What have I pulled/pinched to have extremely intense pain from just

> the top of my right glute, moving downwards, curving around, down

> through/over my front thigh, ending at the top of my knee? I've

> pulled muscles before, but this is some wicked pain. I think the

> injury occured someplace between deadlifts, SLDLs, and squats.

>

> Diagnosis? Advice?

>

Dear Rael:

Sorry for your glitch. If your not in too much agony go to my post #

#6512 (Breaking Down Scar Tissue: Zenker) first, then read the

following. Just open another window.

It could very well be a Piriformis Syndrome as Dr.Herrick suggested.

However the piriformis by itself (depends) will usually refer straight

down the hamstrings, but it depends if the sciatic nerve is

irritated(active TPs'). The Glut Med will refer down in the pattern

you describe (outside of thigh).

The muscle isn't as important as what's screaming and what isn't.

The problem with trigger point charts and such is the patients never

fit the text books, ( : isn't that right Dr. Herrick? The referral

could be part of a chain (usually is), you might also have a tight TFL

(mal-adaptive, 2ndary) as well as an SI fixation. Are you pronated? A

number of things that only someone skilled in functional

assessment/treatment can pick-up so you recover to 100%. Much of the

grunt work you can do yourself, depends on you. First, get out of

acute pain, the sooner the better (the neural plasticity thing, see

past posts) Especially if it has affected your motor coordination.

You need to locate by feel (AKA palpate) the area that is most tender.

In other words, get in touch with it. The primary area is usually

tender and nodular, depends. If it is unbearable to light touch, it is

probably a fairly significant strain. If the SI joint is tender then

you might also have an SI sprain. It is easier though to slide around

an ice cube or ice cup, treatment and assessment at the same time.

If you don't have any cups frozen, start with an ice cube. (most

people don't, but its good to have them, they last for ever) Then-

Freeze some ice cups, better yet if you have anything that is or

shaped like the old Popsicle stick molds for the ice massage (they

still sell them). The reason is, with this shape you can get deeper

with better control and flick. Go to my post # 6512 and read about

doing the transverse ice massage or nodular flick as I call it to get

across to patients that it is like flicking a guitar string over the

most tender, nodular spots. There are usually many.

Once you find the primaries, there will be a hierarchy, go to the most

tender, then the next and so on. 3-5 minutes until numb then move to

the next. Always maintain the flick sensation and stay with the spot

until its numb. The faster the numb response the more primary area.

After each spot walk, wiggle and see if that was different, sense for

subtle changes and this will guide you to your primary weak links.

What makes it much more effective is to actively and dynamically

co-activate or tension (globaly) the related kinetic chain areas,

moving into and away from the area in question. When properly done, it

will more than double (adaptive) response. This is part of the

methodology I have been developing and describing in many of my posts.

(The name seems to be in limbo at the moment.)

Give this a try, and let me know. But do seek someone with a dynamic

mindset, skilled hands and EXPERIENCE (chiro or physio). These are

only general guidelines and should not be construed as definitive or

conclusive advice. Everyone is unique even with the same identical

pain area, injury or diagnosis.

HEAL HEAL

Good luck

Dr. Zenker DC

Performance Edge Dynamics

Santa Cruz, CA

June 30, 2001

Dear Pepi,

Sorry you are having those strange pains. I use

the Fentyl patch for pain. I wear it for 4 days

instead of three,,works great for me, knocks out neck

and shoulder pain real good. My LLMD gave me Inderal

for headaches. Have you ever tried Klonopin? Some say

it does wonders for them.

((hugs))

Samm

--- Rodney & <rod@...> wrote:

> Today my legs have started a 'new' thing, I have had

> nerve pain in my legs for years. Today the calves

> and back of the legs feel like they are asleep. Not

> that tingly asleep, but how they would feel just

> before they get to that point. I have been taking

> Oxy for days for my headache and its not touching

> this pain. I have Hydrocodon would that be better?

> Dang lyme, I'm getting tired of this crap. Pepi

>

> [Non-text portions of this message have been

> removed]

>

__________________________________________________

July 1, 2001

you know that feeling you get when you go to stand on your

> leg when's it's been asleep for a LONG time, that pain you get as soon

> as you put pressure on it, or move it? THAT'S what my legs feel like! I

> was wondering what everyone else felt?

Thats PN=Peripheral Nuropathy. There is a PN discussion board at

http://www.neuropathy.org/

July 4, 2001

Sounds to me like you are in need of

> " Ann's 3-Step Action Plan " . >

* reach out to someone who loves you warts and all - a person with

> whom you can safely vent, whine, bitch, rage, sob , ...whatever.

do that, regularly LOL

>

> * call in the troops -- " warn " your loved ones that you are having

a

> really rough time right now and ask for their understanding and tolerance

of

> the evil imposter who is inhabiting your pain-wracked body

Hubby is fine with me, he knows and understands when this gets bigger than

me and I cant handle it anymore. I just hate appearing 'weak' to him and

fight and try to be 'the good little soldier' and just press on.

>

> * retreat -- take you meds, take a long hot bath with bathroom

door

> LOCKED, perhaps a glass of wine or cup of tea, favorite candles, music or

> not, NO overhead lighting allowed. For the h/a..........maybe add an ice

> pack for your head (especially if h/a is blood-pressure related).

Do this too LOL used to go riding, but the pain and the Texas heat dont let

me do this nearly as often as I would like. hot baths, even warm baths, make

me hurt so much more, they feel good while I'm in there, but when i try and

get out, ayy yaaa yaay!

>

> In other words, be very, very good to you. And don't even think about

> feeling guilty!

moi`? Feel guilty? Never! *-)

>

> Do you have a sense of whether your h/a is tension, b/p related or

> attributable to some other source?

Last year LLMD dxed them as abx induced Lyme Meningitis, all the 'players'

are the same, new abx, etc. think its just what I have to deal with for a

bit.

What's your b/p?

Usually low. not a prob.

And even if it is

> Sunday, I think it would be OK to call the after-hours nurse at Dr. S's.

If

> nothing more than to have it documented -- seems like they are sometimes

> so hurried there that not everything gets addressed or documented. Maybe

he

> has a better idea? He is one of the most creative docs I've ever met --

> and I did a whole year of hospice nursing! And if all else fails, maybe

> you can find someone willing to just chop that sucker off for you <grin>.

I love Dr S and wish I had gone to see him looong ago. I tried to deal with

the pain for entirely too long by myself. Dr M threatened bodily harm if I

didnt go to a pain dr and recommended Dr S.

>

> Don't forget to breathe, and I send you " headache be-gone " energy.

Ty think its helping already heheheee. When I come up next, probably

the week of 7-16/20, we need to get together for lunch, you, I Rose and

, and anyone else that wants to join in! There is a Papadauex that

hubby and I discovered lst visit eheheheehehee its a callin my name *-)

August 19, 2001

Have you tried heat? Do you take magnesium supplements? Magnesium

reduces muscle spasms.

Queen of pain,

Jen

August 20, 2001

Hi ,

Sorry to hear you're hurting so badly. My calves hurt terribly, or at least more

than usual, with the heat. Could it be the excessive heat/humidity here lately,

and have you been doing more than usual outside? Even inside, our temps aren't

staying cool enough, so I am having more cramps and leg-pain problems.

Other than massaging the calves, elevating the legs, using a vibrator for deep

stimulation, you might try soaking in a hot tub with Epsom salts. Really

penetrates deep into the muscles and the bones to relieve pain.

I've had to get into the vibrating heat/massage chair that I got for

Christmas every evening before bed for at least an hour to be able to relax hip

and leg pain in order to be able to sleep. I also have a deep-penetrating

hand-held massager with heat that has a flat heat that I used to press up

against the calves to relax the clenched muscles.

I also use alternating moist heat (heating pad) and ice packs for painful muscle

conditions. That works well also. Hope something helps.

Also, LOTS of pure water, and a supplement like Slo-Mag (combo of magnesium,

calcium, and (I think) potassium. Not sure on the potassium, but potassium (in

bananas) does help with leg cramps.

Hope something helps you. I hate these kinds of pain!

Love ya, Rose

=========

wrote:

<snip>I woke up with very

painfull calfs. It feels almost as if I have elastic

bands around my legs just below the knees. I cant

get the pain to stop, ...

<Snip>I cant even sleep they hurt

to bad. Anyone have any clue what this is or how

to stop it?

T.O.I.L. for Lyme!

T=Teach tolerance; O=Overcome ignorance; I=Initiate insurance reform; L=Labor

for Lyme literacy

*Websites*

http://www.angelfire.com/tx3/RoseWriter or

http://www.angelfire.com/biz/romarkaraoke/james.html

---------------------------------

October 1, 2001

Hi!

No idea. Because there is a history of Parkinson's in my family, I attributed

the wooden leg syndrome to the start of Parkinsons (I'm 59) and the pain in the

legs going up stairs as a build-up of

acid that occurs when exercising.

I got the idea to try digestive enzymes (bromelain) from one of the email sites

and it made a difference the very next day. Obviously, there is a deficiency of

some kind.

Went for a 6 km bike ride along the irrigation canal yesterday and am fine

today. For the instant relief for leg problems, low cost, plus the probable

benefit to the digestive system, I think

Digestive Enzymes should be on the shopping list of everyone with CFS.

Merle

Ho wrote:

> Merle

> DO you have any idea what the cause is stiffness/wooden leg syndrome/leg

> pain. Do you know why these supplements have helped you?

> Thanks

>

> Leg Pain - Judith W

>

> Hi! Judith W

>

> I got good results with stiffness/wooden leg syndrome/leg pain with a

> digestive enzyme tablet. The tablet contains 50 mg of Bromelain, Betain HCL,

> Amylase and 25 mg of Papain. It is inexpensive

> $12.00 Cdn for 90 tablets, made by webber.naturals and I take one - two a

> day. The recommended dosage is 3 tablets a day, but I rarely need more than

> 2 tablets max.

>

> Hope that helps,

> Merle

>

October 1, 2001

Merle

Funny you should mention enzymes.... been thinking about them and

taking them haphazardly for some years. In the mail a couple of days

ago, got a booklet from a mystery source on enzymes.

The big think I learned is that there is benefit to taking not

only with meals, but also between meals for some additional benefits.

MJH

PS My increasingly worsening leg pain was recently diagnosed as

venous insufficiency. I increased vit E and CoQ10, made sure my vit

C had bioflavanoids and added Horse Chestnut (the store was out of

Butcher's Broom). Saw a difference and decrease in pain and swelling

in a couple of days.... can wear shoes again. Swelling is something

new to me.

> Hi!

>

> No idea. Because there is a history of Parkinson's in my family, I

attributed the wooden leg syndrome to the start of Parkinsons (I'm

59) and the pain in the legs going up stairs as a build-up of

> acid that occurs when exercising.

>

> I got the idea to try digestive enzymes (bromelain) from one of the

email sites and it made a difference the very next day. Obviously,

there is a deficiency of some kind.

>

> Went for a 6 km bike ride along the irrigation canal yesterday and

am fine today. For the instant relief for leg problems, low cost,

plus the probable benefit to the digestive system, I think

> Digestive Enzymes should be on the shopping list of everyone with

CFS.

>

> Merle

>

> Ho wrote:

>

> > Merle

> > DO you have any idea what the cause is stiffness/wooden leg

syndrome/leg

> > pain. Do you know why these supplements have helped you?

> > Thanks

> >

> > Leg Pain - Judith W

> >

> > Hi! Judith W

> >

> > I got good results with stiffness/wooden leg syndrome/leg pain

with a

> > digestive enzyme tablet. The tablet contains 50 mg of Bromelain,

Betain HCL,

> > Amylase and 25 mg of Papain. It is inexpensive

> > $12.00 Cdn for 90 tablets, made by webber.naturals and I take

one - two a

> > day. The recommended dosage is 3 tablets a day, but I rarely

need more than

> > 2 tablets max.

> >

> > Hope that helps,

> > Merle

> >

October 2, 2001

>>For the instant relief for leg problems, low cost, plus the probable

benefit to the digestive system, I think

Digestive Enzymes should be on the shopping list of everyone with

CFS.>>

Hi.

I find it interesting that you had such a positive experience with

Bromo for leg symptoms as well. I've had an extremely awkward gait

for as long as I've had CFS--it varies acc. to how I'm doing overall,

and whether I've been pushing myself. My legs feel weak and unstable

and I end up walking like an old lady...people are always asking me

if I have back problems, or what I've done to my foot. But it's very

generalized weakness, and not really any pain--it's mostly

embarrassing, and frustrating to be getting around soooo sllllowly,

and sometimes have to hold onto walls like a drunk.

When I started bromelain, I was doing quite badly, and had that walk

pretty much consistantly. From the first day I took it, there was a

big difference in my coordination, and it felt more natural, not so

awkward, to walk. Huge difference. Now that I'm taking bromo

regularly, I still get that walk from time to time from overdoing it,

and when I'm doing reeeeeally badly, but there's a definite, dramatic

difference from the bromo.

Bromo was suggested by my doc as I had an abnormal ISAC, and it is

supposed to help clean up fibrin. I was just happy to find something

that actually helped, as I don't tend to respond noticeably to most

supps.

November 30, 2002

Pattie - can you please remind me what Shwachman is?

Ursula Holleman

Macey's mom (7 yr. old with CVID, asthma, sinus disease, GERD, Diabetes

Insipidus, colonic inertia)

http://members.cox.net/maceyh

Immune Deficiency Foundation - Peer Contact for GA

http://www.primaryimmune.org

/

April 30, 2003

Hi Pam..

geez...doesn't this just keep getting more fun!!?? NOT!!

Sorry you are having this pain..sure seems as tho more things

keep popping up with us..I am 55 in July and do realize some of

my problems will be age related so i just deal with that.

It is those that i am not sure what is hep or what is what or

would tx help, etc etc.

i have had a deep boring pain in my thigh from knee up..

don't know what it was..so many 'little things' come and go.

I hope your Neuor will be able to find something out..has he put

those electrode like things hooked up to your leg to see what the

nerves are up to?? I had that when i broke my hip/pelvis and had

sciatic pain up my leg so bad.

Ultram..that should help..i was given that for my knees recently.

I just went to the hep Dr. yesterday..and had tests from other

dr come back..showed NO rheumotoid, arthritis, or osteo!!

Talk about confused here!!

Hep dr says the fluid on my knees is

not just there..also starting on ankles, feet..said i have fluid

retention and rx diuretics..has anyone else had fluid retention

and taken diuretics before????

Also he is checking AGAIN my thyroid..says with hep it is like

a yo yo..already had a bout with hyperthyroid..now it looks like

it may be going other direction..have gained 25 lbs..totally out

of character for me..could be water retention, thyroid..something

is causing it!!

As far as pain goes..he said it is hep, age..and it would not hurt

to try tx.

Also the cryo..did not seem real concerned about it..also said

try tx for that, otherwise just watch it.

Did blood work..so i hope to find out what is what..this is getting

very annoying tho..My daughter had the nerve to call me a 'Pill Freak'

....what????? i hate taking pills and NOW have a new one..MAXZIDE..

for water retention..also some good creme for dry skin on palms

of hands and feet. Dr. said the Cryo only REACTS to cold..so the

redness on my hands since happen more in heat is not related to

Cryo.

The pain you have in your leg..i get recently in my right forearm..

i believe from using computer and cleaning, etc..just a quirk nerve

thing.

Again..i hope you get some relief..there must be something to

block the nerves some how..be anxious to hear what Neurologist

says..and i KNOW you are in ..is this pain worse when certain

pressure is put on a certain area??? just curious here..hmm.

You hang in there..the beat goes on................**

.

-- In Hepatitis C , " ma_at_beach "

<ma_at_beach@y...> wrote:

> Hi All

>

> For the last two days my leg pain has been horrific. The outside of

> my thighs have this deep burning pain......on a scale of 1 to 10 it

> has been about a 7. It's worse in a sitting position. I have to

keep

> my legs elevated. I don't have an appointment until May 14th with

> the neurologist. My gastro just sent in to my pharmacy a

prescription

> for Ultram. Gosh, I hate to take any more meds but the Neurontin

> isn't doing its job to relieve this pain. Does anyone else suffer

> with this kind of pain.

April 30, 2003

Pam, I've lost no hair. Also Hep C is not anything to be ashamed of.

Anyone can get it. I told everyone and am not ashamed. Keep in there,

you'll make it!

October 15, 2003

Hi Vicki!

This one is a hard call, and you really should go back to your binder and

read about symptoms to watch for in the first three months. I know leg pain can

be a sign of blood clots, but if you were just exercising a lot after being

sedentary, well, that WILL cause leg pain, too. Is the leg pain in one leg? Is

it hot? Does it feel muscular? If you have any doubts at all, please call

the Doctor's office.

Hugs and blessings, Ann

October 15, 2003

> Hi Vicki!

>

> This one is a hard call, and you really should go back to your

binder and

> read about symptoms to watch for in the first three months. I

know leg pain can

> be a sign of blood clots, but if you were just exercising a lot

*********************************************************

no i dont think its a blood clot. its in both legs, its not hot, no

fever, and it feels like ive lifted 200 pound leg weights. weird huh?

vicki

August 29, 2004

I've had problems of this sort a few times. I have a couple of pairs of

compression stockings that help me, and I add a knee Ace bandage. I don't

know if it will help you, but it certainly helps me. I've found that

anything can happen at any time. Today I mowed some of the yard, but last

week I couldn't even walk 50 feet. It's like a box of chocolates...

Dennis

[ ] leg pain

> I was wondering if anyone else has experienced this my left knee,

> foot and ankle is very swollen and jurts a lot. The knee you can

> feel throbbing No matter what I take it is not relieving I haven't

> slept good for a couple of days Don't know if I should call the

> rheumy or just stick it out a while longer I am still trying to

> find a new rheumy so I am in between doctors right know I am sure

> the one I have been seeing would still see me if I have too Just

> wondering if this is just another part of RA it is worse then the

> pain I was having before I go diagnosed Thanks for any informatiion

>

> Angie

August 30, 2004

Please call your rheumatologist, Angie. Let him decide if you need to be

seen.

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org