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Chiropractors/femoral artery/nerve blockage??

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Expert: - 7/31/2007


Question
Dr. Durnin,
For the past 48 hours, I have been having a strange "thundering" feeling in the Inguinal region where the femoral artery should lie. It is not painful, but feels like when your stomach gargles, but in an artery/vein.  (But then again, I am not sure exactly where it is happending, maybe it is the Femoral Nerve causing the symtoms??)  It has been happening once every 60 seconds or so. Could these be symptoms of an impending Femoral Artery blockage? I am a young, healthy and athletic female, but was diagnosed with SVT in 2000, and had an ablation to fix the problem in 2005. The right side is where I am currently having symptoms, and the right side is also where the surgeon entered to do the ablation.
Any additional information or advice would be greatly appreciated.
Thanks,
Lauren
p.s. I am currently a student of chiropractic, and am looking forward to what you think about this matter! I am always interested to get multiple opinions and see how they connect. Thanks in advance!

Answer
Hi Lauren,

Congratulations on being a D.C.! I am sure you will make the profession proud!

As you stated in your question, two things are quite possible, auscultation over the artery (remember NAVL)- Nerve, Artery, Vein and Lymphatics order from lateral to medial- should reveal any bruits. A Doppler would be ideal and should catch it since it happens ever 60 or so seconds. Fasciculation from nerve conduction imbalances can feel vascular as well. If the vascular component is ruled out, easy enough, then it is neurological. If it is, there are many noninvasive remedies that help abate further episodes. Have a clinician auscultate the area to listen if it is vascular first, then peruse a neurological etiology.

Good Luck!

Dr. Timothy Durnin
drs.chiroweb.com

P.S. Where are you attending school?

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Dr. Timothy K. Durnin

Expertise

Anything Chiropractic related, Internal Medicine, Neurology, Hematology, Physical Therapy, Orthopedics Herniated or Slipped disc problems, Sciatica, Carpal Tunnel Syndrome, Spinal Injuries, Arthritis, Nutritional Advice, Diet and exercise, Supplement Knowledge, Orthotics, Laser Therapy, Pinched Nerves, Imaging Interpretation,(X-ray, MRI, Ultrasound, CT ect), any and all Neuromusculoskeletal Disorders. Expert Witness for 19 yrs, dealing with Medical Malpractice, Personal Injury, Workman's Compensation, Medicare and HIPPA issues. Active in clinical practice for 16+ yrs, I am a second generation Chiropractor, my father practiced for over 50 yrs in private practice and as a Diplomat in Radiology (DACBR) Currently on staff at Olympia Fields Osteopathic Hospital, active in private practice with several disciplines including Pediatrics, Orthopedic Surgery, Family Practice, IME's and Internal Medicine M.D.'s.

Experience

I own or am actively involved with 24 multidisciplinary clinics in the Chicago area employing M.D.'s, Orthopedic Surgeons, Pediatrics and Family Practice. My home practice is a continuation of my fathers which has existed for more than 55 yrs.

Organizations
AASP, ACA, ICS, AASP, AOPA, CPA, BBB, FCER, PADI

Education/Credentials
B.S./D.C. National College of Chiropractic 1991 Board Certified AMA impairment ratings. Presidential Cabinet Member NUHS. Phi Theta Kappa National honorary fraternity

Awards and Honors
Phi Theta Kappa/Who's Who in America Chiropractor of the year award 2001

Past/Present Clients
Many Chicago Bulls players

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