Pain in upper leg
Area of pain
For over a year now, a have a pain in my right thigh. It is around the hip flexor, to the inside of the leg.
There was no specific injury. One day I started to feel a sensation like a there was a tear in the muscle. It is not very painful. Over the past year, it has worsened, whenever I start working out. It is not very painful but is an ongoing discomfort. I only feel it in certain positions: e.g. lunges or if I stand and bend my leg pulling my foot to my butt.
- I work out about 30 minutes 3 times a week. I do various activities, spinning, group classes, elliptical machine.
- I work in an office, walk 25 minutes two times a day.
I have been to months of treatment – physio, chiro, osteo, massage therapy. Nothing has resolved my issue. I have seen two different doctors more than once. Here are some things that my treatment providers have told me:
- I naturally hold myself in anterior pelvic tilt. I now make a big effort every time I am walking to be in a neutral position.
- One doctor said I had hip bursitis and gave me a cortisone shot which did nothing.
- Scar tissue from an injury (although I don’t know of an injury I have had). I need to keep moving so that the scar tissue comes apart and heals.
- I also have very hard knots in my quads all the time. I do regular rolling. At one point as part of my physio treatment, I was also getting dry needling to release the knots. It did not provide any sort of lasting solution.
- My toe muscles are weak on this leg – in the abductor hallucis area.
- My glute muscles are weak.
Thank you for any advice you have.
Firstly, congratulations for taking the time to spell things out clearly.
Let's start with five tests. Please respond as accurately as possible; only then can I possibily help.
1. Sitting in a kitchen chair with your head flexed on your chest, ask someone to left your left leg parallel to the ground. Now repeat with the naughty leg. Is there a significant difference? Where?
2. Standing raise your left big toe and ask your friend to press down on the toe. Remember how strong it feels. Now repeat with your right big toe. Is there a significant difference. In other words is it actually weak, or only feel weak?
3. With a little oil on your thumb run it down from the ASIS through the groin and down the inner thigh. Are both sides about the same?
4. Let's add a fourth; bend slowly forwards, then backwards, then to the side. Any pain in the back and in particular any radiation or pain in the upper leg?
5. Lying on your back with your hip and knee at 90*, ask your helper to push hard on your knee towards your toes, and you pull your upper leg equally hard towards your chest. Pain? Weak?
Please write down what you feel after each test and reply in detail what you are experiencing.
I take it you've had an x-ray of the pelvis; if not get one, preferably taking standing.
Ask your various doctors if the femoral stretch test and quad reflexes were normal.
Let me know.
Dr Barrie Lewis DC