Supertraining

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Re: [Supertraining] Pain in Hip and L3-L4 Dr J Michael Smith Mon Jul 14 07:56:26 2008

Greetings Stephen,

The primary innervation of gluteus medius is the L5 nerve which exits at 
L4/5 not at L3/4.  Thus I doubt that is where your problem arises from.  
I have been fouled before by sacral iliac joint problems causing 
referral into the hip extensors.  However, your chiro should have picked 
that up.  I can probably help you with a phone call.  I will post you my 
clinic # so that we can work through a few tests.

Dr J Michael Smith, MSc., DC.
Whangarei Chiropractic Centre
Whangarei
NEW ZEALAND



> Its been 2.5 years since I first strained my right glut medius after
> doing glut medius work and then doing straight leg dead lifts (warm
> up weight). After a week of my torso leaning over to my left most of
> the time, i felt almost normal but it took a year for me to run.
> 9 months ago i reinjured it doing a no weighted squat (after doing
> trigger point therapy work on my glutes the night before).
>
> Since then i have had chiro work, physio work and more trigger point
> therapy work and had a sports doctor tell me (after a CT scan) that
> they dont know what the problem really is as all they can see is L3-
> L4 has a minor/hair line bulging disc - my symptoms seem too chronic
> for the diagnosis. I think the original glut med injury was actually
> something occuring in L3-L4 now.
>
> I have no flexibility or obesity or fitness issues, i still exercise
> 3 days a week with weights mainly machines but cant get the right
> help or diagnosis from anyone. Ive spent too much money and today
> woke up as stiff as a board, with my torso leaning over to my right
> hip.......I can push my torso back, but i think the gluteal nerve at
> L3-L4 is compressed and hurts and certainly doesnt like it. By the
> way the impingement gets chronic when i try standing up after sitting
> down especially in buckets chairs.
>
> Helpful feedback or advice needed!!
> Sounding like a horror movie at 33y.o.
> Stephen Morris, CSCS
> Sydney, Australia
>
>