Groin Discomfort and Leg Weakness: Seeking the Right Specialist - Rehabilitation

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Pressure and heaviness in the groin; numbness, weakness, and a heavy feeling in the left anterior thigh?


Doctor, I have been stretching and exercising for 1.5 to 2 hours every morning for the past 20 years.
For the last two years, I have also added meditation three times a day for a total of 1.5 to 2 hours.
However, two months ago, I experienced a strain in my left groin area, possibly due to practicing the double lotus position.
Since then, I have had a constant feeling of pressure and heaviness in my left groin, along with numbness, tingling, and weakness in my left thigh, resembling a "heavy leg" sensation (almost cramping).
There is no pain in the groin or left thigh, only the numbness and tingling.
Recently, I have also started to feel numbness and tingling in the outer front side of my left calf.
Over the past two months, I have consulted specialists in sports medicine, orthopedics, urology, rehabilitation, and general surgery, ruling out infection, hernia, lymphadenopathy, or tumors.
Some suggested that my pelvic alignment was off and helped to realign it.
Others mentioned "neuropathic thigh pain" or "sacroiliac joint syndrome." I received an injection of glucose in the groin and thigh, which provided about 60% relief, but I am still experiencing the constant pressure and heaviness in my left groin, along with the numbness, tingling, weakness, and heavy leg sensation in my left thigh.
What could be the issue, and which type of specialist should I consult for targeted treatment?

Bǐdé Lín, 50~59 year old female. Ask Date: 2022/07/05

Dr. Wang Zhaomin reply Rehabilitation


This is a consultation platform and cannot provide a diagnosis.
The reported symptoms may be related to the soft tissues or muscles near the hip joint, or they could be associated with the lumbar and sacral nerves.
It is recommended to seek an in-person evaluation for further examination and diagnosis.
Please visit an orthopedic specialist, a neurologist, or a rehabilitation physician for accurate diagnosis and appropriate treatment.

Reply Date: 2022/07/05

More Info


It sounds like you have been experiencing a complex set of symptoms related to your left groin and leg, which have persisted despite seeing multiple specialists. Given your history of regular exercise and recent changes in your routine, it is understandable that you are seeking clarity on your condition and the appropriate specialist to consult.

From your description, the symptoms you are experiencing—groin discomfort, a feeling of heaviness or pressure in the left groin, and sensations of numbness or electrical tingling in the left thigh and calf—could potentially be attributed to several underlying issues. The fact that you have already ruled out infections, hernias, and tumors is a positive step, but it leaves us with a few possibilities to consider.

1. Muscle Strain or Ligament Injury: Given your active lifestyle and the recent increase in your physical activity (especially with the practice of sitting cross-legged), it is possible that you have strained a muscle or ligament in the groin area. The groin muscles, including the adductors, can become tight or injured, leading to referred sensations in the thigh and leg.

2. Nerve Compression or Irritation: The symptoms of numbness and tingling could indicate that a nerve is being compressed or irritated. This could occur at the level of the lumbar spine (lower back) or within the pelvis. Conditions such as a herniated disc or sciatica could lead to these sensations, particularly if the nerve roots are affected.

3. Piriformis Syndrome: This condition occurs when the piriformis muscle, located in the buttock region, irritates the sciatic nerve. Given that you mentioned the possibility of a strain in the area, this could be a contributing factor to your symptoms.

4. Pelvic Alignment Issues: As you noted, some specialists mentioned that your pelvic alignment might be off. Misalignment can lead to compensatory patterns in movement, which may cause discomfort and neurological symptoms in the legs.

5. Chronic Pain Syndromes: Conditions such as fibromyalgia or chronic regional pain syndrome could also manifest with the symptoms you describe, particularly if there is no clear structural cause.

Given the complexity of your symptoms and the fact that you have seen multiple specialists without a definitive diagnosis, it may be beneficial to consult a physiatrist (a specialist in physical medicine and rehabilitation). Physiatrists are trained to evaluate and treat a wide range of musculoskeletal and neurological conditions and can provide a comprehensive approach to your symptoms. They may also recommend further imaging studies, such as an MRI, to assess for any underlying issues that may not have been identified yet.

Additionally, a neurologist could be helpful in evaluating the nerve-related symptoms you are experiencing. They can perform nerve conduction studies or electromyography (EMG) to assess the function of the nerves and muscles in your legs.

Lastly, consider seeking out a physical therapist who specializes in sports injuries or pelvic health. They can provide targeted rehabilitation exercises, manual therapy, and guidance on proper movement patterns to help alleviate your symptoms and prevent future injuries.

In summary, while your symptoms are multifaceted, a coordinated approach involving a physiatrist, neurologist, and physical therapist may provide you with the best chance of finding relief and understanding the underlying cause of your discomfort. Remember to communicate openly with your healthcare providers about your symptoms and any changes you experience, as this will aid in developing an effective treatment plan.

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