Muscle pain from pubic bone to knee

Two days ago I got an unexpected period (2 wks early). Yesterday I started to feel deep pain in a muscle at the top front of my left thigh. I find now when I press on the muscles near the base of my pubic bone on the left side it also hurts. The pain goes all the way to my left knee and it is hard to walk.

I can't lift my leg without pain and bending the knee, bending over from the hips, and turning over whilst lying down all hurt. I can feel it in my lower back now too.

I have a history of lower back pain though it has been many years since I had any major problems. This could be referred pain perhaps. It's the weekend and no physios are available. What is the best course of action till Monday? Rest the muscles? Stretch? Thank you, Jo.

Hello Jo,
It's already Monday alas!

The complicating factor in all this is the early period. Could it be a referred gynae problem? Perhaps. Or it could be quite unrelated.

However, what you describe is quadriceps or adductor magnus problem; some of these five muscles attach to the pubic bone; hence the tenderness.

It's chicken and egg, but more likely the pain in your lower back, perhaps the sacroiliac joint, is secondary to what's going on in the hip.

My guess is, but it's a long shot because many conditions can mimic this pain, that you've strained a muscle in the groin, and perhaps the hip capsule.

I would ice it, gently stretch and massage it, do some gently rotation of the hip lying flat on your back and give it a couple days. Often these things will settle down.

If there's excessive bleeding with your period, or you have the feeling this is a gynae problem, best see your doctor.

By the way, it's the pubic bone, not the public bone!

Let me know how you get on.

Dr B

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Feb 09, 2015
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Hip flexors?
by: Jo

Thanks for your reply Dr B!

I elevated my leg much of yesterday and today it seems much better but not 100%. After some reading, Im wondering if its my hip flexors? Just a day prior to the pain I was turning for prolonged periods during a long drive up to the country (chatting to back seat passengers). Apparently 'change of direction' sports can make it flare up. Not sure talking can be classified as such but I was certainly rotating out of my usual range!

I've done a lot of ab work through yoga n aerobics over the last six months. I felt discomfort around that area over the weekend too.

I will go to physio tomorrow for full check up.

Hello Jo,
It's great that it's improving so much of its own accord; my thoughts too were of a hip flexor problem, possibly adductors. But there are a lot of other important and pain producing structures in that area.

Because of the early period, pain in the tum, and the 50 percent less pain rule (use the search function key at Chiropractic Help to find it) take it quietly now for a couple weeks. If you hurt it again in the near future, there will be drama.

Dr B


Thank you.

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Interesting challenges of the day

1. Mr S is a 76 year old man with neck pain of some 9 months duration. Luckily, most of the discomfort is upper cervical which is only rarely arthritic; his lower cervical spine is a degenerative mess that I've left alone. After seven treatments his pain and stiffness is 50 percent better, and he's happy in the circumstances. He can sleep through the night now and that makes a huge difference.

2. Mr P is 32 year old man with very severe lower back pain radiating to the big toe which is 30 percent numb. He had an episode three weeks ago, took anti inflammatories and was soon better as is typical of the medial disc herniation. But before it healed, after a trivia it came roaring back, much worse. The characteristic crossed sign was evident; sitting in a chair, straightening the right leg provoked severe left back pain and tingling in the leg. He's doing well.

3. Severe lower back pain is scary; just ask Mrs P. Just watching her get out of the car I she was in trouble; she had a slipped disc at L4 making her lean towards the opposite side; luckily she had no pain in the leg. Despite family pressure that this was far too severe for a chiropractor, she persevered. Within five days she was standing upright, and after two weeks almost painfree. 

Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

4. Mr S has had lower back, groin and back of thigh and calf pain for fourth months.

He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

5. Mr T is a wise man; he's taken a warning TIA seriously and has lost 15 pounds, and has at least as much again to lose. A change to a low starch diet and half hour daily walk has made the difference; but the walking is making his foot and back miserable. The expensive orthotic is hopeless; luckily his hips and back are fine, but he needs a simple heel lift.

6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

8. This 65 year old lady is a serious gardener; every day she is bending, lifting and digging for 2 to 3 hours a day. It regularly catches her in the sacroiliac joint, so she has a treatment once a month that sorts it out. She does her lower back exercises faithfully.

9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

13. Mr D, a 71 year old man, has a severe ache in the shoulder and midback since working above his head. Trapped nerve tests are negative but he has advanced degenerative joints of Luschka; after just two treatments he is 50 percent better. Can we reach 90?

And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.



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