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Published on: 11/18/2024

What Are the Possible Causes of Pain in Outer Thigh?

Pain in the outer thigh can be caused by various factors, including nerve compression, injuries, and underlying medical conditions. Identifying the specific cause is essential for effective treatment and management.

answer background

Explanation

Meralgia Paresthetica:

One of the most common causes of pain in the outer thigh is a condition known as meralgia paresthetica. This occurs when the lateral femoral cutaneous nerve, which runs from the lower back to the outer thigh, becomes compressed. Symptoms often include tingling, burning, or numbness in the outer thigh, and the pain can worsen with prolonged standing or walking. Factors that may contribute to this condition include obesity, tight clothing, or prolonged sitting.

Injuries and Strains:

Injuries to the thigh, such as strains or contusions, can also lead to pain in the outer thigh. These injuries may occur during physical activities, sports, or accidents. Symptoms can include localized pain, swelling, and difficulty moving the affected leg.

Hip and Joint Issues:

Problems with the hip joint, such as hip bursitis or osteoarthritis, can cause referred pain in the outer thigh. Bursitis is the inflammation of the bursa, a small fluid-filled sac that reduces friction between tissues. This condition can lead to pain on the outer side of the hip that may radiate down the thigh. Osteoarthritis, a degenerative joint disease, can also cause pain and stiffness in the hip area, affecting movement and causing discomfort in the outer thigh.

Nerve Issues:

Other nerve-related issues, such as sciatica, can also lead to pain in the outer thigh. Sciatica occurs when the sciatic nerve, which runs from the lower back down the legs, is compressed or irritated. This can result in pain that radiates down the leg, including the outer thigh.

Circulatory Problems:

Circulatory issues, such as peripheral artery disease (PAD), can cause pain in the outer thigh due to reduced blood flow. This condition often leads to cramping or pain during physical activity, which may improve with rest.

(References)

  • Cheatham SW, Kolber MJ, Salamh PA. Meralgia paresthetica: a review of the literature. Int J Sports Phys Ther. 2013 Dec;8(6):883-93. PMID: 24377074; PMCID: PMC3867081.

  • Grossman MG, Ducey SA, Nadler SS, Levy AS. Meralgia paresthetica: diagnosis and treatment. J Am Acad Orthop Surg. 2001 Sep-Oct;9(5):336-44. doi: 10.5435/00124635-200109000-00007. PMID: 11575913.

  • Wiezer MJ, Franssen H, Rinkel GJ, Wokke JH. Meralgia Paraesthetica: differential diagnosis and follow-up. Muscle Nerve. 1996 Apr;19(4):522-4. doi: 10.1002/(SICI)1097-4598(199604)19:4<522::AID-MUS13>3.0.CO;2-R. PMID: 8622734.

  • Chamberlain R. Hip Pain in Adults: Evaluation and Differential Diagnosis. Am Fam Physician. 2021 Jan 15;103(2):81-89. Erratum in: Am Fam Physician. 2021 Mar 1;103(5):263. PMID: 33448767.

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Dr. Kenji Taylor

Family Medicine, Primary Care Roots Community Health Center, Hippo Education, Kameda Medical Center

Kenji Taylor, MD

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