Femoral nerve & Inguinal pain

by Merrill Reno
(Oregon, Ohio USA)

Approximately 6 weeks ago I was extremely exhausted and fell asleep in the recliner chair. When I woke up I was bent up on my left side in the chair, in a very awkward and uncomfortable position. My lower right side of my back was hurting and my thigh was very numb. As the days went on the pain spreed to my hip and inguinal area and my thigh was on fire. The pain in my back, groin, hip, and thigh along with the burning had become so bad that I could not even walk with the help of a walker.

Two days ago I was searching the internet for stretches I could do to help alleviate the pain and when I did one of them my back cracked so hard I felt it in my teeth. The pain has subsided somewhat but it's still bad. Especially in my thigh and inguinal groin area. It is going on the 7th week like this and it is beyond horrible. I was able to finally convince my insurance company to OK the MRI my doctor ordered and in two days I have my first ever appointment with a local Chiropractor. Any feedback would be greatly appreciated.

Hello Merrill,
Nerve pain is indeed horrible.

The Femoral nerve itself is a motor nerve too, it supplies the Quadriceps muscle in the front of the thigh, amongst others. Does your knee feel weak, as though it might give. Ask your chiro to give special attention to the knee jerk. Hop on that leg. Does it give?

The other smaller filaments supply the area the side of the leg (Meralgia paresthetica - if you press just medial to the hip in the groin, is it VERY tender?), the groin (Maigne's syndrome) and even the labia.

The Femoral nerve stretch test will be particularly painful. Is it?
It's a trying condition, Merrill, and you've had it quite long now. With nerve pain it's better to seek advice sooner. That MRI will be useful to rule out a disc injury, but in the first instance (in my book) perhaps wasn't necessary. Don't expect miracle relief now that it's two months plus pain.

Type "Maignes syndrome exercises" into the Search this site function at C-H. Ask your chiro if they are suitable.
Good luck, this should respond to chiropractic. Let me know in a month or so how you are getting on.

Dr B

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Mar 25, 2012
Chiro seems like best call
by: Anonymous

Hello I was just wondering if you can actually remember if there was something you did prior to falling asleep that could have cause damage? It seems to me that the chiro will be of benefit to you if your back cracking eliviated some of the pain. I do suggest a higher water intake. What is your sodium intake? Do you have any higher than normal water weight? Sleeping wrong can cause the body many different things think of a cricked neck from sleeping wrong it takes awhile for it to get normal. I however have a nerve on my left side at the so let of my hip and leg that if I sit wrong lay wrong or hit it I develop the same symptoms. It usually goes away in a couple of days though. You may not only need to find stretches that work but look at how you are still sleeping. If you are causing aggrrevation to the nerves while you are even in a resting state it may be prolonging your pain. I hope the chiropractors helps.

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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.

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.

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