femoral nerve causing thigh and lower back pain

by lynette
(collinsville, il)


I am 70 years old with lower back pain and arthritis. Recently I began having severe quad pain and pain in the buttocks to the point that I can't walk very far or long. My knees both are bad, but I was used to that pain and hoping that PRP might help.


After being treated at the chiropractor today, he mentioned that the spot I was having a lot of pain it that I showed him was the S-1.

Within 2 hours of the treatment my quads were aching again so I searched the internet and found your wonderful site with detailed information. I am sure that my femoral nerve is being pinched.

When I am at yoga class and bringing my feet up into the pose of a baby or pulling my legs to my chest the front of the thighs don't hurt. Also the lower back and buttocks seem better.

Many years ago I went to a chiropractor (now retired) who used traction which was the only thing that helped my neck after severe whiplash resulting from a carnival ride. Now none of the chiropractors around my area use traction.

My internist blamed "aging" and arthritis, but this happened suddenly. It even hurts in bed, and I am wondering if much of my knee pain could come from my lower back and femoral nerve rather than the actual knees.

Hello Lynette,
Because knee, hip, sacroiliac and lumbar conditions all can cause quad pain only a very careful and thorough examination can determine what's what in the zoo; and of course you can have more than one of these contributing to your discomfort and disability.

S1 can certainly cause lower back pain, and radiation to the leg, but not the quad. So your lumbosacral pain may be quite unrelated to the thigh pain.

It's great you are doing yoga exercises; take them home and do them every morning; gently; they won't have a place for you in the team to go to the Winter Olympics!

Also, remember that hyperextension exercises like the cobra can certainly provoke lower back and quadriceps pain; just treating a patient who has that after yoga.

Ask your chiropractor for other gentle lower back exercises; I recommend doing them every morning before getting out of bed. I do them myself being not much younger than you; prevention is better than a cure.

I hope this contributes.

Dr B


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Apr 14, 2017
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by: Don

Ok, I'm no chiro, but have been doing chiro for over 40 years.
Wherever it came, the pain definitely was not FROM the knees, but IN the knees, and coming from somewhere above the knees, and the Chiro fixed it for me.
Apr 11, 2017
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by: Don

Regarding your comment...................and I am wondering if much of my knee pain could come from my lower back ........ rather than the actual knees.

That's the exact problem I had while on the job, many years ago.

One particular operation I had to perform bothered my lower back but the pain manifested itself in my knees. It didn't take the chiropractor long to alleviate the problem.

Hello Don,
It's possible but perhaps more likely coming from the hip; if you lie on your back and pull the knee to the chest, is it inordinately stiff or painful in the groin?

Dr B

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