Monday, September 01, 2014

Wednesday, November 04, 2009 Paul, Community Member, asks

Q: I have a bad pain in upper left thigh only. I'm ok when sitting or lying down.

I have a very bad pain in my upper left thigh only.  I'm ok when sitting or lying down, but hurts very bad when I stand and/or walk.  DVT was ruled out today after an ultra sound. I Did not injure it at any time and do not have any swelling or marks.  I thought my next step should be an xray of my bone.  Any advice?  Doctor only wants to give me ibuprofen and pain-killers, but I'm not comfortable with that. Something is going on in there that happened all of a sudden.

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Answers (2)
11/ 4/09 9:20pm

Your pain could be caused by a few different options. Thigh pain with weightbearing could be caused by hip arthritis. A x-ray and physical exam should be able to rule this possibility in or out. Anterior thigh pain with standing or walking is frequently caused by a condition called Meralgia Paresthetica. This fancy word means that the lateral femoral cutaneous nerve could be irritated usually at the inguinal ligament. The nerve can become stretched or pinched at this point (the crease in your groin). Another possiblity is lumbar stenosis causing nerve pain into the proximal leg (the thigh) which is roughly the level of L2 or L3. Nerve tests of the leg could be very helpful.

 

These are the likely suspects. A physician who understands the nerve, muscle and bone system should be able to take a closer look and find the offender. Sometimes primary care providers just can't and don't know all the answers. It is what they don't know that can be scary, especially when they don't refer to someone who might know. Look for a Physical Medicine and Rehabilitation specialist.

 

Dr. Christina Lasich, MD

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Paul, Community Member
11/ 6/09 2:57pm

Thank you so much Doctor.  This information is very helpful.

 

Paul

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Mary Ann, Community Member
11/ 5/11 9:00pm

Hi,   5 years ago I woke up and could'nt walk!!! The pain behind my uppper thighs was horrible!!  I had every test made and finally I was told I needed  new hip. I have one now ,but the pain is still there, and it's from spinal stenosis. If I stoop over when I walk the pain stops.  Try it.  I need another operation and I'm not happy.  I thought after the hip replacement I could begin to live again.  Hope you find an answer.. Good Luck,  Mary Ann

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By Paul, Community Member— Last Modified: 11/05/11, First Published: 11/04/09