Question
I am a 25 y/o male I have had groin/testicular pain(Dull Aching) along with back pain for about 2 years. It started with groin testicular pain and I went in to get that checked out. I was given antibiotics and sent home. The pain was still there. I went in again it was hard for me to walk they did an ultra sound blood test urine test and told me I might need more fiber everything else was negative. Went to one urologist she said I don抰 feel anything wrong do whatever you do until it really hurts. So I went to another urologist was given more antibiotics and that didn抰 help. So he stuck the camera down my urethra to the bladder all was negative by this time my back pain started in the lower lumber. I went to the spine doctor and pain doctor, 4 weeks of PT, x-rays, mri, ct scan, discogram,4 cortisone injections in my L-4 and L-5, and severing of a couple of nerves in my back, steroid pills, pain pills, and I still have the pain. The pain in my back seems to shoot lateral more so on the right side along the 2 nubs on my back I think they are called the pelvic girdle. The doctors have no idea what抯 going on all my tests are negative and nothing seems to work. Where else can I turn to for answers? What else can I do?
Thanks,

Nate

Answer
back pain, lower lumbar, severed nerves, steroids, pain pills, cortisone, nothing seems to work, pinched nerves, herniated discs, radiculopathy, vertebral subluxation,

Hello Nate,

Sorry to hear of your continued pain.  Two years, wow, a long time to be hurting with no good answers.

I do not see info on what your Doctor of Chiropractic has concluded or treated with all these tests.  You seem to have exhausted the medical approach; physical therapy, severed nerves (radiotherapy- burning the nerves? surgical ablation?- should have left you numb and painless and without sensation), injections, pain pills.

This Staten Island Chiropractor sometimes gets frustrated when a patient says, "... I have tried EVERYthing...", but they have not been to the 'spine specialist' (often called the 'spine specialist' by lay people, the Doctor of Chiropractic works all day every day on the spine and nerves).  I may be incorrect, but it seems you have not been to the local family Chiropractor.

Pain, numbness, tingling, aches; sometimes these symptoms radiate far from the source of the problem.  My office utilizes a device called the 'Neural Scan' which is a sensory nerve conduction test to help pinpoint the source of the pain: """""Referred pain results in 30% of patients misdirecting doctors away from the source of pain, and physical exams have even less sensitivity. This explains why the Massachusetts General Hospital Handbook of Pain Management states; "In MOST cases (over 50%) of neck and back pain the anatomic and physiologic diagnosis remains unclear."

The mechanism causing this is explained by Guyton's Textbook of Medical Physiology: Over 90% of A-delta fibers reach the sensory cortex allowing exact localization of the source of pain, but C fibers do not reach the cortex. C fibers are so poor at localizing pain that it can seem to be coming from the opposite side. Following injury C fibers continue firing, but A-deltas fibers down-regulate, so localization is poor. Guyton states; "This explains why so many patients have serious difficulty localizing the source of pain."

The Neural-Scan detects down-regulated A-delta function to locate injured nerve(s) with 95% sensitivity. Its patented modulated electrical signal selectively stimulates A-delta fibers. The higher the amplitude causing an action potential is above the normal range the more indicative of pathology. The Neural-Scan potentiometer verifies firing by detecting the amplitude of the action potential. The patient is his own control, so the test is independent of age, gender and population variables. High potentiometer amplitudes have been reported to have a close correlation with high VAS ratings. The Neural-Scan can also test C and A-beta fibers, which is useful when RSD or sympathetically mediated pain syndrome is suspected.  http://www.nervepathology.com/ """"" , perhaps you can find a Doctor of Chiropractic near you that uses this or similar technology.

You have had a bunch of tests already, you have had a lot of treatment already.  I think it is time for you to go to a different perspective- Chiropractic; get evaluated, bring your previous tests, perhaps have treatment if appropriate.

We ARE nerves.   Nerves are where we 'live'.  Nerves are where we think, feel, function.  Nerves CONTROL our body.  Chiropractic works on nerves.  To a medical evaluation you may be 'normal'.  Chiropractic evaluation does look for 'medical' pathology, but also looks at things from a neuro-musculo-skeletal perspective, from a holistic perspective, and evaluates for the 'Chiropractic Lesion'- the Vertebral Subluxation.

I utilize informational handouts in my Staten Island Chiropractic office to explain to patients about 'subluxation' which could be the cause of your problem  (and certainly may be the cause of your complaints- since you have already had such an extensive medical workup and medical treatment regimen which has failed).

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Vertebral  Subluxation           (  慥SC?,    憇ubluxation?  )

Vertebral Subluxation  is  actually  a  quite  common  condition.   Doctors of Chiropractic look for pathological conditions which may require referral to other specialties, and also look for 慡ubluxation? Other disciplines look for pathology, but overlook the importance of alignment and movement in the spine which affects our nervous system  (the master control system- ALL health disciplines learn this).   

Only a Doctor of Chiropractic will evaluate and treat for VSC.   The course of VSC is highly variable.   Some patients with VSC literally cannot walk, yet other patients with similar test findings may be able to run marathons or lift heavy weights.    Some patients immediately develop symptoms related to the VSC,  some patients take years to develop symptoms.  Some people suffer for only a few days with pain and symptoms, some people suffer for months.  Some people recover in days, some take months or years, depending upon severity of the condition.

         Vertebral   Subluxation   Complex    (a.k.a.  憇ubluxation?
The vertebral subluxation complex is the underlying cause of many healthcare problems.

A subluxation interferes with the proper functioning of the nervous system (the master system which controls and coordinates all function within the body) and may cause various other conditions, symptoms and problems.

Subluxation  is  a  serious  condition  identified  by  its  five  parts:

    Spinal Kinesiopathology:
         This is fancy way of saying the bones of the spine have lost their normal motion and position. It restricts your ability to turn and bend. It sets in motion the other four components.

    Neuropathophysiology:
         Improper spinal function can choke, stretch, or irritate delicate nerve tissue. The resulting nerve system dysfunction can cause symptoms elsewhere in the body.

    Myopathology:
          Muscles supporting the spine can weaken, atrophy, or become tight and go into spasm. The resulting scar tissue changes muscle tone, requiring repeated spinal adjustments.

    Histopathology:
         A rise in temperature from an increase in blood and lymph supplies result in swelling and inflammation. Discs can bulge, herniate, tear, or degenerate. Other soft tissues may suffer permanent damage.

    Pathophysiology:
         The VSC contributes to OsteoArthritic degeneration.  Bone spurs and other abnormal bony growths attempt to fuse malfunctioning spinal joints. This spinal decay, scar tissue, and long-term nerve dysfunction can cause other systems of the body to malfunction.

The Vertebral Subluxation Complex describes what happens when spinal bones lose their normal movement patterns and position.  When subluxated, joints are in a stressed, vulnerable, compromised condition.  Subluxation may cause Arthritis, Disk Herniation, or aggravate such conditions.
  
         Vertebral  Subluxation   cannot   be corrected through chemicals (medicine), stretching,  yoga,  vitamins  or  physical  therapy  alone.       Subluxation- a neuro/skeletal/muscular-    mechanical-    problem  requires  a    mechanical correction-  -  - - -  a manipulation,     best performed with the chiropractic adjustment.
Dr. Victor E. Dolan,   Doctor of Chiropractic;   Diplomat, American Chiropractic Board of Sport Physicians; Diplomat, American Academy of Pain Management; Certified Clinical Nutritionist (IAACN); FIRST  Chief of Chiropractic  in  a  Hospital  in  New York State (DHSI);  As  Seen  in  PREVENTION  Magazine

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My recommendation:  gather up your test results, visit your local family Doctor of Chiropractic, get evaluated, and if appropriate- get treated.

I hope this helps.  I wish you good luck, and Good Health Naturally.
Your Staten Island Chiropractor friend signing off,

Dr. Victor Dolan, DC
http://drvictordolan.chiroweb.com       (email newsletter)
http://www.GoodHealthNaturally.info
http://www.DocDolan.net