Female 49 years old with lower back and buttock pain possibly sciatica and femoral nerve pain.

by Melissa
(USA)

I am 49 yr. old female. I have an ache and pressure in my right buttock and an intermittent sharp and sometimes sudden quick pain in my groin and hip.

When this is acting up it is hard to lift my leg to take a step. I have also had an achy feeling in my lower back like it is off or needs to crack.

I had an x ray of my hip and it showed a bit of arthritis that the radiologist said was not uncommon in a woman my age having had 4 children.

I have had this condition on and off for the past 6 years or so. I also sometimes have a feeling of pressure on an artery behind my uterus. This happened more often when I was pregnant and lying on my back. My last child is now 11. I have a retroverted uterus and a Merina IUD for the last 9 years.

Hello Melissa,
If lifting your leg is difficult then I'd think that this would primarily be a hip condition. Here are a couple of tests to confirm it.

1. Getting into the car, does it hurt to lift the leg? Where is the pain?

2. Lying on your back, pull your knee to the chest, then towards the opposite shoulder, and now make a circle. Is it stiff or sore in the groin or side of the hip?

3. Lying on your back, do Patricks Faber test; you can find it using the search function in the navigation bar.

To test for sciatica is relatively easy; sitting in a kitchen chair do the Slump test. A femoral nerve problem is more difficult.

Have you seen a chiropractor? If not, after six years of progressive pain, perhaps it's time for a second opinion?

I would think the gynaecological problems are unrelated.


Dr B

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Nov 15, 2016
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starstarstarstarstar 		Groin and anterior thigh pain
by: betty

Groin and anterior thigh pain can stem from many different sources.

Hi, for the past 2 weeks I have had lower right back pain, into the groin and shooting down to the knee; when walking I feel like my thigh is being stabbed by a knife; when I stand the thigh feels like electric shocks.

I've been to a chiropractor 3 times, been taking painkillers every 4hrs, freeze spray, ice and heat rub, but nothing works; I've been to the doc and stronger painkillers; any ideas as to what is causing this?

Hello Betty,
I take it we are talking about the front of your thigh, below the groin.

Did any of these doctors examine you thoroughly? Did they come up with a diagnosis?

What provokes the pain other than standing and walking? For example, if you bend forwards, backwards or to the side, do you get pain in the back and leg? If you pull your knee to the chest does it hurt. If you drop your knee into the lotus position does it provoke pain? Where?

Were there any changes in the knee jerk reflex? Do you have numbness on the front or side of your thigh? If the run your thumb down the inner thigh does it hurt?

So many questions, and without answers I cannot give further direction. This could be your hip, sacroiliac joint, midlumbar spine or even a Maigne's syndrome perhaps.

Has anyone suggested an xray of your spine or pelvis? How old are you?

Dr B


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