Inner thigh pain

by Ace
(Lakeland, Florida)

65 year old carpet installer and while standing I get a dull achy feeling which turns into a burning sensation at the crease of my right leg and thigh area. I can cross both legs ok while sitting one at a time and there’s no pain at all while laying flat on my back in bed or either side. Sometimes if the achiness starts while walking in a store, it turns into the burning to where I can barely walk. A short sit makes the pain subside to where it feels like a hot pointed tip is touching the area. Doctor looked and said it wasn’t a hernia but did say I had a pinched nerve in my back. After prescribed meds of ibuprofen and steroids it hasn’t helped much so, I visited a chiropractor and he took ex rays showing some arthritis in my back but not bad. After 5 alignment visits, he says he thinks I have a torn ligament in my groin. What’s weird is the pain can come on very fast from just standing and leave completely just as fast. There’s also no redness or rash in the area. Researching on my own I have the exact same symptoms as Ilioinguinal Neuralgia but after showing the chiropractor what I found he disagreed and said it’s definitely a slightly torn ligament. This whole thing started out as a pinched nerve around L2 and L4 but now is a torn ligament in my groin. He prescribed ice when it hurts and a compression wrap. Sitting in a recliner causes no pain nor does driving a car. Only constant nagging pain is a slight prickly sensation that only leaves while sleeping. Working on knees, going up and down, doesn’t cause any pain UNTIL I’m done with work and relax or standing. Also I have no idea how I may have hurt myself other than right before the holidays, we worked hard and often as in every day. I almost forgot that there’s a section above the crease of my leg and on my thigh that feels numb. That numbness doesn’t change!
What will make this nagging go away?

Hello Ace,
It certainly sounds like nerve pain. A high lumbar affecting the femoral nerve would be my first guess; then the femoral stretch would be positive, there would be sensory change to pinprick, compared to the other leg, and possible loss of the knee jerk and weakness of the quadriceps muscle? Does any of that fit?

Do any movements of your lower back, bending forwards, sideways, backwards, provoke the inner thigh pain?

Does pulling your knee to the chest and rotating it feel stiff and sore?

Using a little oil, run your thumb down through the groin; is is particularly tender?

When sitting, does lifting your knee provoke the pain? Straigtening the knee?

Frankly you need to trust those who are able to examine you. I'm only guessing.

Dr Barrie Lewis DC


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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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