excruciating pain in the front of thigh

by Kathy
(Atlanta, GA )


Lighten up as you cross the mid groin.

My excruciating pain in the front of thigh comes and goes.

Today my thigh ached all day as I walked around and stood still. I am a sales associate so I am on my feet all day. The pain is also on the bottom of my left heel.

This type of pain began in October after a fall in September. At one point today I could barely walk the pain was so bad; then after some rest and manipulation, just seconds,and it was tolerable.

At night I wake up with excruciating left leg pain that actually accelerates until I move around and manipulate and finally eases, it's not Charley horse, pain is worse.

I am at home now and just a few minutes ago while sitting here in my recliner with my legs elevated I had another episode of excruciating pain including my left low pelvis area on top and to the left of pubic bone - I usually call this my groin area. I have had x-ray and MRI of hip and shows only mild, age related arthritis. Anyway, that's my story.

Hello Kathy,
The two common causes of this kind of pain are a referral down the femoral nerve from your lumbar spine, or one of the several hip conditions that cause groin and excruciating pain in the front of thigh; not just hip arthritis.

You make no mention of lower back pain but, to be sure, bend slowly forwards, then backwards and to the side; do any of these movements reproduce the pain in the front of your thigh, or LBP? Do you know if anyone has done a femoral nerve stretch, tested the knee jerk and the sensation in the front of your thigh?

More likely I suspect, is a hip condition. If you lie on your back and pull the knee to the chest, then towards the opposite shoulder, and then drop it into the lotus position, what happens?

Using a little oil, run your thumb from the ASIS, see the graphic, through the groin and down the inner thigh; compare with the other side. What do you feel? Lighten up in the mid groin where the femoral artery and nerve run.

You mention manipulation; is that something you do yourself, or do you consult someone?

The heel pain I suspect is unrelated; and ankle problem.

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.

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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