femoral nerve impingement or torn adductor muscles?

by kylie

Hiya, I am a 100m hurdler and compete at international level. I train 8-9times a week. I was doing a regular hurdles session. I had eaten and hydrated well and had a thorough warm up going through all the movements I would use to hurdle.

I set three hurdles out; I run three strides inbetween each hurdle. On the first rep I felt tightness in my trail leg, the leg which comes down last and goes around the hurdle. I thought nothing of it as I tend to feel a bit of tightness.

The second run however I felt a tightening pain in my groin as I completed my rep. The pain was indistinguishable and it felt tight and constricted and it was not obvious if it was cramp, torn adductor or trapped nerve. The pain got worse and worse over time to the point I could not walk at all and I state at all!! The pain was intense.

What set the pain off was the instigation of me trying to lift my quad upwards or to move it. It was a feeling of shear tightness in my groin like a contraction that would not let go. I went to the walk in centre primarily to get a mobility aid in this case crutches. I could not weight bear on my left or right side respectively without pain, but could weight bear if I was centered evenly. I made my way home some how, the pain was so intense.

I was traveling by plane the following day so had to pack my case. I leant backwards as if it stretched my hip flexors, I didn't think anything of it, but miraculously I could walk and weight bear with no pain. I could not believe it!!!

Since then i have been getting shooting pain down my groin that stops me in my tracks; I am using the crutches as support. My leg feels like it is buzzing all the time with twitches mostly in the damaged left leg but also in the right leg down the sciatic nerve. Weirdly I noticed the skin on my damaged left medial side of the distal end of my adductors and quads near my knee, was very sore to touch; a type of burning sensation and very sensitive to temperature change such as water or body lotion. As I have been writing this lying down in bed, my nerves have felt very active in my groin area, with the occasional quad twitching.

I seem to have full range of movement in my adductors with no pain and can resist both inwards and outwards and generally don't seem too restricted in the muscle and I can medially and laterally rotate my leg and no pain there either.

I have suffered with patella femoral syndrome on the left leg too my burning sensation is always the medial lower side of my knee.

Whether related or not I get a muscle spasm every night if I lie on my left side for too long as my right lumbar goes in to spasm and I jerk uncontrollably to lie flat on my back. I have had this for years now.

Would be really great if you could point me in the right direction on how I can rehab this area and what professionals I will need to see to get it fixed asap.

Thank you for your time

Hello Kylie,
The change in sensation in your leg, and the twitches, known as fasciculations, certainly point to a condition primarily related to a nerve, probably in your back.

That weakens the muscle, and then you end up with a muscular strain to complicate things.

What's needed is a careful and thorough examination of your spine, sacroiliac joints and hip in order to work out what the primary cause of your problems is.

Contact the British chiropractic association and ask for the name of a local FICS trained chiropractor; that's a sports oriented post graduate diploma.

As a general rule I don't believe in rushing off the doctor or chiropractor for every little snivel and muscle pain; but this has clearly been talking to you for years. Now you have to stop, go through some treatment and rehabilitation before you can go back into competition.

Take it seriously; injuries of this nature can end your career.

Let me know how you get on in a few weeks; meantime start the simple, basic exercises which you can find at Chiropractic Help.

Dr B

» femoral nerve impingement or torn adductor muscles?

Comments for femoral nerve impingement or torn adductor muscles?

Average Rating starstarstarstarstar

Click here to add your own comments

Aug 02, 2017
Was there a resolution on this? I have this problem
by: Anonymous

I'm experiencing this right now and can't get the release to happen. Any more details on what the situation was? My SI joint was severely out of alignment but has been adjusted back into alignment, but still no release of the femoral nerve problem. It feels like muscles at the ASIS/AIIS are tangled. Would really love to understand this. (I have an MRI scheduled in 10 days' time--had this happening already for 10 days.)

Mine happened while I was sleeping--woke up to intense pain. Dr here says it's an L4 disc herniation, but it doesn't seem like I have other low back symptoms. Since day 1 most relief is found by sitting on a stair, directly on my sit bones, or flexing forward, or crawling on all fours.


If you have no back pain, bending forwards, backwards and to the side doesn't hurt in the back or leg? then I would be thinking a hip condition.

Flexing forwards relieves the pain; does extending increase it? Bending backwards.

If you lie on your back and pull your knee to your chest, make a circle, drop it into the lotus position. No pain or stiffness? Compare with the other leg.

L4 disc herniation would cause a strong sciatic or femoral nerve stretch and loss of the quadriceps or medial hamstring reflex. And sensory change; try pricking yourself with a pin, is it the same in the other leg? An MRI would show it up.

Sitting in that chair where you get relief, does raising your knee actively (not lifting with your hands) hurt? Where? Straightening the knee so the leg is parallel to the ground: does that hurt? Where? Compare with the other leg?

Has an x-ray of your pelvis been taken?

Long and the short of it is that there really are many possibilities, and I'm not sure. I hope these thoughts may help.

Dr B

Click here to add your own comments

Join in and write your own page! It's easy to do. How? Simply click here to return to Femoral nerve.

Did you find this page useful? Then perhaps forward it to a suffering friend. Better still, Tweet or Face Book it.

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.

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 is 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 pain-free. 

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 is well pleased; sixty-five percent better after three treatments.

5. Mr T is a wise man; he has 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 stroll 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; he has a short leg.

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. X-rays 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 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.

Do you have a problem that is not getting better?

Are you looking for a different slant on your pain?

Do you want to pose a question?

Interesting questions from visitors

CLS writes:

Greetings, Dr B.

You helped me quite some time back with a soothing and professional response which turned out to be exactly correct. I now consult a local chiropractor. You write a superb newsletter, too.

Your own unresolved problem. Pose a question

Knowing that up to 70 percent of the time the correct diagnosis is made with no examination, no special tests, no xrays, but just from the history, there is a fair chance I can add some insight to your unresolved problem. But at least 30% of the time, I may be quite wrong. Give plenty of detail if you want a sensible reply.

You visited this chiropractic help site no doubt because you have a problem that is not resolving and want to know more about what a DC does.

The quickest and most interesting way is to read one of my eBooks of anecdotes. Described by a reader as gems, both funny and healthful from the life and work of a chiropractor, you will love them. Priced right at $2.99, though Kindle fiddles the amount without telling me.