Hi all,

Any suggestions or ideas are really appreciated

I've enjoyed running on and off as a way of keeping fit for about 10 years. Over the past six months I've noticed a small, sharp twinge in my upper thigh - it's noticeable though not too painful (at this stage). The problem doesn't seem to be the tendon, but rather just to the side of the tendon in the muscle. It feels like it's a nerve or something. I don't feel the twinge when I'm running, but usually only a few days after, while I'm walking or exerting force with the muscle (i.e. climbing steep stairs). I don't think it's serious, but I'm a bit worried it will get worse as it hasn't gone away.

I've taken different kinds of supplements certain times too, like vitamin b, calcium, magnesium, fish oil, zinc and centrum. None of these seem to make a difference. I've also used electrolytes after running, and recently thought I may have a sodium deficiency. I don't think it's that either though. I'm spending more time stretching, and that hasn't made any difference yet. Any ideas?

Thanks

Maybe a nerve impingment of the "lateral cuteneous nerve of the thigh" which passes under the inguinal ligament and sometimes gives rise to similar symptoms..

Jogging can precipitate this..

Maybe a nerve impingment of the "lateral cuteneous nerve of the thigh" which passes under the inguinal ligament and sometimes gives rise to similar symptoms..

Jogging can precipitate this..

Hey FBN,

That's really interesting. I just had a browse on the internet for that condition. I had a complicated appendectomy a few years ago, leaving a 4 inch scar (as opposed the keyholes they usually use). Although I have been running on and off since then, I'm starting to wonder whether this has any affect on the nerve impingement (assuming that's what it is). The symptoms do fit the description.

Like I say, it does seem to be mild but can get worse from time to time. I don't want to give up running either, so what would be the best, cheapest and most available form of treatment in the LOS?

Thanks for your input

Treatment will be determined by the confirmation of the diagnosis. This could be done by a good clinical examination (probably orthopedic surgeon) and perhaps some nerve conduction studies. These are unfortunately only avaiable at the bigger hospitals.

Treatment may involve surgery if the impingement point can be identified. Otherwise injection with steroids may be an option.

The appendicectomy may be the culprit here.

Treatment will be determined by the confirmation of the diagnosis. This could be done by a good clinical examination (probably orthopedic surgeon) and perhaps some nerve conduction studies. These are unfortunately only avaiable at the bigger hospitals.

Treatment may involve surgery if the impingement point can be identified. Otherwise injection with steroids may be an option.

The appendicectomy may be the culprit here.

Do you know how much this kind of examination may cost here in Bangkok?

Also, the pain is in the inner thigh - does that make any difference? Are there any supplements I might be able to take to help manage after a run?

I heard that a tight belt can also exacerbate this, so I've loosen it a notch - who would have thought

Any extra advice is much appreciated - thanks again FBN.

Apologies for the absence! Traveling...

A related syndrome has also been diagnosed in young women wearing hipster type jeans which also causes pressure on this nerve at or below the inguinal ligament so any release of pressure in this area will help.

Medication: The B-group Vitamins are sometimes used to aid nerve recovery but this is best done by injection (Neurobion is sometimes used); also used with spinal nerve root problems. It will not solve the problem but will help with recoverty.

Current cost I am not well aware of but may be available on the website under "nerve conduction studies".