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UPPER THIGH PAIN

(Keywords: UPPER THIGH PAIN, pain in upper thigh, front thigh pain, anterior thigh pain, pain in thigh, thigh muscle pain, hip and thigh pain)

There are two immediate first thoughts that enter the clinician's mind when confronted with upper front thigh pain. Is this:

  1. A pinched nerve from mid to high lumbar spine?
  2. Or could this pain in the thigh be caused by hip arthritis?

Or, could the patient have both? Always an outside possibility. There are of course many other possible causes of anterior thigh pain.



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Pinched nerve in the back

Mrs S is 82 years old, and I would have believed her had she said 72. But two months ago she stumbled over a shoe. Within a day she had severe upper thigh pain; in the front of her thigh just below the groin.

For two months she had various treatments and then sensibly her doctor ordered an X-ray. These showed how the L3 lumbar vertebra had slid forwards (called in radiographic jargon an anterolysthesis or sometimes a spondylolysthesis.) Forget the words, she had a subluxated vertebra, and the Femoral nerve stretch test was strongly positive.

Happily she is responding well to Chiropractic care.

Update: I saw Mrs S today, and she is doing fine. She has no pain in her left thigh, what brought her to me, though she does have right buttock pain for about half an hour in the morning, until she has done the exercises I have prescribed, and again in the evening, something she has had for years. To be expected, she is elderly and has a very arthritic back - to be helped but not cured alas.


SPONDYLOLYSTHESIS ...

HIP ARTHRITIS

Six months ago Mr P travelled 1000 km to a luxury resort in South Africa's famed Eastern lowveld to see the big five and play some golf. By the end of the week he could barely walk. Severe front thigh pain and buttock pain.

Evenually he ended up with a neurosurgeon who found a bulging disc on an MRI and said only a back operation would fix him. Mr P was doubtful, and this week appeared on my doorstep.

Things didn't fit with the pinched nerve theory. He could bend and move his back with no pain. Nerve stretch tests were negative. Reflexes were all fine. He could ride his bicycle for miles with no pain, but couldn't get on or off without " thigh muscle pain " or so he said. It wasn't in the muscle...

The neurosurgeon never examined his hip apparently, forgetting that hip and thigh pain go hand in hand. Leg in leg! He has all the classic signs of hip arthritis. Loss of adduction, loss of internal rotation, Positive Fabere sign... now to see what chiropractic has to offer! HIP ARTHRITIS ...

KELLGREN LAWRENCE ... how bad is your hip arthritis?

Kellgren Lawrence Grade 1 and 2 often respond well to Chiropractic mobilisation of the hip and sacroiliac adjustments, weight loss if necessary, and fish oil...

I'll update this page once I've seen his X-rays and we've had some treatment. Update: Kellgran Lawrence Grade III. Nasty.

Mr P's buttock pain? It's hard to be sure whether the sciatic tests were all positive 6 months ago and he indeed had a slipped disk. It's interesting that 20% of absolutely healthy young men have a bulging disc on MRI. Whatever, it's going to be a Chiropractic Coalface challenge.

Update: Mr P's hip is much looser with the exercises, and the thigh pain is much less, but he is still having considerable buttock pain. That arthritic hip is being a bugger but then Rome wasn't built in a day, was it? He's adamant: "no surgery, it's improving". So we soldier on, even though in my mind after four weeks the progress is less than satisfactory and I am not altogether sanguine of his prospects. In Chiropractic we expect miracles, but sometimes it really is a long drawn-out process.

Update: Alas a Kellgren Lawrence III was too far gone. Whilst he got to about 30% better, it wasn't enough. He's been for a hip replacement, we'll see how that progresses.


More notes from the CHIROPRACTIC COALFACE ...

SLIPPED DISK ...

FEMERO ACETABULAR IMPINGEMENT SYNDROME

Mr P has the classic signs of a Pincer deformity. Had somebody examined his hip twenty years ago we could have prevented his present miserable upper thigh pain. Anyway, he is slowly improving ...

Dietary considerations with arthritis

Arthritis ...

There is now heaps of evidence that omega-3 oil helps with arthritis. The best sources are flax oil and FISH OIL ...

FISH SOUP ...

  • FLAX OIL @ our newsletter CHIROPRACTIC HELP Obesity in the chiropractic clinic ...

  • More interesting research shows that eating strawberries regularly has powerful anti-arthritic properties, as does research from Harvard about Chicken Bones broth. Not to be taken together! Read more of these INTERESTING FACTS ABOUT STRAWBERRIES ...

    EASY SOUP RECIPES

    It's almost standard procedure now that we use CHICKEN BONES bouillon

    when we make any one of the EASY SOUP RECIPES that we enjoy on an almost daily basis. Whatever's in season, right now it's zuccini and apple, an interesting combination, and leek and potato; quite soon it's going to be green bean and potato... butternut, sweetpotato and ordinary potato is my favourite, but that's late summer... these are all very easy recipes, nutritious, very tasty, and like I said, mostly using chicken bones bouillon. Easy. And if arthritis is the cause of your upper thigh pain then there's a good chance these soups will help the chiropractic treatment of your hip.


    HIP PAIN

    It may come as a surprise, it certainly did to me, that research shows that hip pain, diabetes, vitamin D and Metabolic Syndrome are all closely linked. Folk living far from the equator often suffer from a chronic deficiency of vitamin D. Sunshine and fatty fish are the best sources. Hip pain and vitamin D ...

    USEFUL LINKS @ UPPER THIGH PAIN

    Go from UPPER THIGH PAIN to UPPER LEG PAIN home page …

    Go from UPPER THIGH PAIN to CHIROPRACTIC HELP home page …

    SMOKED SALMON DIP RECIPE

    I always look for easy ways to increase necessary ingredients. This smoked salmon dip you can throw together in a jiffy, and I can promise you it's always a success ... SMOKED SALMON DIP RECIPE ... rich in vitamin D and Omega-3.

    Looking for vegetable sources of Omega-3? Butternut (summer squash) is one of our favourites. If you have the space, think of GROWING BUTTERNUT SQUASH ...and our Recipe for Butternut Squash SOUP.

    MONTHLY NEWSLETTER @ UPPER THIGH PAIN

    BACK ISSUES

  • Chiropractic Help Backissues ... our monthly newsletter
  • Issue #25 Chronic arthritis / Parsley benefits / Trick or Treatment
  • Issue #24 Cold hot therapy / Aloe vera
  • Issue #23 Maintenance Chiropractic Care / Ways to cook salmon
  • Issue #22 Slump Test for sciatica / How to grow radishes

    ...

    Issue #09: Friday Fun: Headache

    Issue #08: Spinal Stenosis/ Celery

    Issue #07: Root of all Healing / Garbanzo beans /Chickpeas

    Issue #06: Safety on the Stairs / Ginger

    Issue #05: Safety in the home / Red foods

    Issue #04: Whiplash and the Joints of Luschka / Parsley

    Issue #03: How to stop falling / Danger of a low fat diet

    Issue #01: Tingling in the arms and hands / Apples

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    UPPER THIGH PAIN

    Did you find this page useful? Then perhaps forward UPPER THIGH PAIN to a suffering friend.

    BERNARD PRESTON's chiropractic anecdotes.

    It's not secret now that Bernard Preston is my alter ego, he is the author of my fun stories from the Chiropractic Coalface.

    This website is funded by sales of my books such as Frog in my Throat, or the latest

    STONES IN MY CLOG ... anecdotes from the Dutch clinic. Meet a different people, find out more about chiropractic, support Chiropractic-Help.com, wonderful bedside reading, a story a night. Only $2.99...



  • LOW BACK and LEG PAIN




    L4 lumbar spine casefile

    FALLS



    CHIROPRACTIC HELP How to stop falling



    L4 lumbar spine



    Lateral disc herniation



    BENDING AND TWISTING



    DEGENERATIVE LUMBAR DISC DISEASE CaseFile



    POSTERO LATERAL DISK HERNIATION



    LOWER BACK AND LEG PAIN

    SITTING



    CHIROPRACTIC HELP FOR SCIATICA PAIN

    Short leg?



    LEG LENGTH INQUALITY and Low Back Pain



    Low back and leg pain



    LOWER BACK AND LEG PAIN



    LUMBAR FACET SYNDROME



    SLIPPED DISC SYMPTOMS Case File



    SACROILIAC JOINT TREATMENT



    SPONDYLOLYSTHESIS



    EXAMINATION



    SACROILIAC JOINT Case File



    SLUMP TEST



    Can you stand on one leg on your heel, and raise the big toe? Can you stand on your toes without your leg shaking?



    CHIROPRACTIC TIPS



    Prick your foot with a pin. Is the feeling the same in the other foot?



    Chiropractic Therapy ...what is it?