This question was answered on Fri 24, Jul 2009 06:29pm by Dr Vinod, MBBS,FcGP

Sudden onset of pain, mid thigh, with radiating throbs. Pain is impairing my walking ability.

    
Asked by themaadone (Male; 37; Past hx of frontal lobe brain damage post assault (Working as a military policeman at the time) with resulting chronic pain syndrome, right sided tremor, pain induced syncope and dysphasia/dysphagia. Earlier medical hx uneventful with usual medical ops (e.g. apendectomy, age 13, torn tendons & ligaments left ankle, age 15, gunshot and blast injury lower limbs age 20 from IED. ; Relevant drugs:Buprenorphin 75microgr/ph, Pentazocine, pro-pranolol, gabapentin, zolmitriptan, tramadol. ) on Fri 24, Jul 2009 02:47am

I have had a sudden onset of sharp, throbbing and radiating pain in my mid thigh region which, subjectively, originates from my thigh-bone. It does not feel muscular or nerve based in its origin. This pain lasts for lengthy periods of upto, and past 3-4 hours in length and is opiod resistant (please see my medication list). It is breath-taking in its strength making it awkward for me to stand or raise my leg. It really is worse than the pain I feel on a daily basis due to the central pain syndrome I suffer from and which I commonly rate as an 8 on the 0-10 pain scale. I am not sure why, or what triggers/aggravates this pain and I am sick and tired of seeing my pain consultant as I feel as if there is no dialogue left between us. I do not feel different in any way other than the introduction of this new pain and I have had no medication changes in the lasst several months. What can this be?

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Answer by Dr Vinod, MBBS,FcGP  on Fri 24, Jul 2009 06:29pm:

Dear themaadone, You have to diagnose your problem for treating it. Go for an X-ray to find out any bone involvement. This can be a bone growth in the femur bone which might be causing this. If your bones are normal then you can be sure that it is due to muscle, tendon or nerve. Take care and visit an orthopaedician.
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