Burning on front of thigh, above knee, while sleeping - femoral nerve?

by Wendy

Burning on front of thigh, above knee, while sleeping - femoral nerve?

I am a 31 year old female; for a few years I have noticed a burning or numbness on one thigh, front side, above knee, after a full night of sleeping. It is worst when laying on my back, and slightly alleviated if I curl in fetal position on my side. It's gotten worse the past few months which led me here.

Hello Wendy,
Would you do five little tests for me please, and give me exact answers.

1. Bend forwards, backwards, and to the side; does it give you any back pain, and does it increase the burning on the front of your thigh?

2. Take a pin and prick both thighs. Is there a difference, and exactly where?

3. Stand on one leg and bounce, compare with the naughty leg. Does the knee give?

4. Starting at the crest of your hip, using some oil, run the tip of your thumb down through the groin and inner thigh towards the knee. Compare sides; is it particularly tender anywhere?

5. Do the Faber test as in the graphic.

Do you have any buttock pain?

Let me know; precise answers please.

Dr B

» Burning on front of thigh, above knee, while sleeping - femoral nerve?

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May 27, 2019
Please help
by: Tara

I'm a 34 yr old female, not overweight, healthy/ active and I'm experiencing the same pain. My left front thigh BURNS, feels "dead" to touch, gives a hot /cold or wet sensation at times. Mine is more mid to upper thigh. It is extremely painful and constant. Worse at random times. I try to rub it to keep circulation and comfort but it's driving me crazy. Praying for some answers.

Hello Tara,
Apologies for the delay in replying.

Do you have no back pain? If you bend forwards, backwards, to the side, is there no lower back or increased thigh pain?

Lying on your back, pull your knee to your chest and then towards the opposite shoulder, and finally drop it into the lotus position. Is it the same as the other leg? No pain in the groin or side of the hip?

Lying on your tum with the knee bent, ask your partner to lift the knee and compare with the good leg. Are they the same?

Finally, place a little oil on your thumb and run it from the iliac crest (find the ASIS on googs) and go down through the groin and inner thigh. Is it particularly tender?

In particular, just medial to the ASIS is it very tender; this is the site of an impingement of a little branch of the femoral nerve; the condition is called meralgia paresthetica. Often if you prick the thigh with a needle it will be different to the other leg.

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 have left alone. After seven treatments his pain and stiffness is 50 percent better, and he is happy in the circumstances. He can sleep through the night now and that makes a huge difference.

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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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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.

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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 few months 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 is a non-complicated upper cervical facet syndrome, and she is doing well.

12. Mr D is a 38-year 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 could not 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 should not be treating the elderly most medical sites state but that is so much bunkum.

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