Why might nerve pain occur in the leg after a hysterectomy?

Reviewed by Yoshinori Abe, MD

Internal Medicine

Nerve pain in the leg after a hysterectomy is often caused by nerve compression during surgery. The lithotomy position commonly used during the procedure can put pressure on the femoral nerve, leading to numbness, tingling, weakness, or sharp pain in the thigh or leg. Other nerves, such as the obturator or genitofemoral, may also be affected. While most cases resolve within weeks to months, persistent symptoms may require medical evaluation, physical therapy, or further treatment.

If you're experiencing leg pain or unusual sensations after a hysterectomy, it's important to understand whether your symptoms are part of normal recovery or a sign of something that needs attention. A free, instant, online symptom check can help you identify possible causes and guide your next steps—empowering you to have a more informed conversation with your doctor and get the right care sooner.

Reviewed for medical accuracy: 07/15/2026

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Explanation

After a hysterectomy, some people might feel nerve pain in their legs. This can happen because of the position used during the surgery.

Why It Happens:

Surgery Position: During a vaginal hysterectomy, the legs are often placed in a special position called the lithotomy position. This position can sometimes press on the nerves in the legs, especially the femoral nerve.
Femoral Neuropathy: The femoral nerve is important for feeling and movement in the leg. If it gets pressed or stretched too much during surgery, it can lead to pain or weakness in the leg.

What to Watch For:

Pain in the leg
Weakness or trouble moving the leg
Numbness or tingling feelings

If you experience these symptoms after surgery, it is important to talk to your doctor. You can also use a free symptom checker to help understand your symptoms before your appointment, which can make it easier to describe what you're experiencing and get the right care.

(References)

Hsieh LF, Liaw ES, Cheng HY, & Hong CZ. (1998). Bilateral femoral neuropathy after vaginal hysterectomy. Archives of physical medicine and rehabilitation, 9710179.
Räber G, & Schneider HP. (1993). [Femoral nerve paralysis after vaginal hysterectomy and its .... Zentralblatt fur Gynakologie, 8342350.
Tondare AS, Nadkarni AV, Sathe CH, & Dave VB. (1983). Femoral neuropathy: a complication of lithotomy position .... Canadian Anaesthetists' Society journal, 6297699.

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