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Pain at back of thigh

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I am a woman age 50. Starting Saturday of last week I started having pain in the back/side of my left thigh. Over the last few days the pain has gotten worse. I have not done any new exercises or other activities that would make it hurt. The area is not bruised or discolored. The pain is worse at night when trying to sleep. It seems better if I am up and moving about. To sit or stand from a sitting position is very painful. I have been taking Advil (not consistently) and have alternated heat and ice. Nothing seems to make it better. It is a dull pain but when moving it is a sharp pain.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 23 Doctors Online

Hello,

Thank you for choosing DoctorSpring.

I would like to get some additional information from you so that I can provide my best and learned opinion.

1. Is the pain radiating down to the legs ? or only present on the thighs ?
2. Is there any shock like sensation / pain while bending or moving ?
3. Is there a "lightning pain" or "shooting pain" occasionally in addition to the current symptoms ?
4. While lying down, which position makes you comfortable - eg lying on the right side. Lying on back with a pillow under knees etc

You can reply as a followup
Thank you


Patient replied :

The pain is only present in the thigh - left thigh
There is not a shock like sensation when bending or moving.
When bending or moving there is a lightning/shooting pain - but just in the area - not down the leg
When lying down, lying on my stomach is the most comfortable position.


Hello,

The symptom pattern is suggestive of an pinched nerve or lumbar radiculopathy. Although the symptoms are not very typical this is the most likely cause. The pinched or compressed nerve could be due a disc prolapse or mini fracture leading on to compression of the lumbar nerves when they come out of the spinal cord. Another less likely , but possible explanation is a muscle or ligament injury around the hip joint.

Either way you will need rest and NSAID (pain medications) in consult with your Doctor. A Xray of the Hip needs to be taken. And and MRI if clinical examination is suggestive of a compression. I recommend you to get in touch with your GP.

Hope this helps
Please feel free to ask followups
Thank you


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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