Burning in right front quad

by Justin Villeneuve
(Canada ontario)

Femoral nerve can cause burning in front quad

Femoral nerve can cause burning in front quad

Burning in right front quad is typical of a femoral nerve lesion.

Going to start with I am into power lifting been doing it for 1.5 years now. Never had any serious injuries yet but one day I was unpacking some luggage and grabbed something out of my bag and my lower back locked up. It was so painful that night I could hardly get out of bed to go to the bathroom.

Next day wasn't bad; could walk bend and even pick up stuff with a dull pain. But now when I stretch my hip flexor. Left leg up and kneel on my right and lean forward with my abdominal muscles locked on I get a burning in the front of my right quad. Also been 3 days now pain is almost gone but burning sensation is still there.

Hello Justin,
That quad stretch that you are doing is an interesting variation of a femoral nerve stretch; it's obviously a positive test.

The femoral nerve emanates from the midlumbar spine, unlike the sciatic which is from the lower end. It supplies the front of the quad and the inner lower leg, and the quadriceps muscle.

It's difficult to tell exactly what happened in your lower back, but most likely an injured disc is pressing on one of the femoral nerve roots.

At the very least, be careful now for a month or more; no lifting suitcases or power lifting. Do some gentle lower back exercises, sit less and generally be sensible.

Tiger Woods was right where you are a year ago; you don't want to go that route.

I hope this contributes.

Dr B


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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.

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

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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.

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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.

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