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What Causes Severe Pain In The Upper Right Thigh?

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Posted on Wed, 20 Apr 2016
Question: I have an excruciating pain in my right upper thigh. I'm worried that it might be a blood clot. I saw my doctor and she made an appointment for an ultrasound but that's not for 3 more weeks. It's very painful and I wake up screaming every morning. What can I do?
doctor
Answered by Dr. Panagiotis Zografakis (10 minutes later)
Brief Answer:
please provide more details

Detailed Answer:
Hello,

a pain in the thigh can be a lot of things. Please provide more details about it, like:
- its exact location and if there's any visible lesion (redness, swelling, pimple, warmness, fever...)
- is it painful all the time or does it come and go?
- what makes it worse? what makes it better?
- how did it start (all of a sudden at top intensity or gradually)?
- do you feel pain with certain moves (like moving your thigh towards your belly or any other move - what move)?

I'll be glad to discuss it further when you provide the necessary details.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (7 hours later)
It started about 3 weeks ago when I started using a cpap machine. It is the on my upper right thigh. The pain radiates from about the middle of my thigh about the size of my palm. I've tried elevating it but that didn't work. My doctor prescribed gabapentin but that didn't work it just makes me feel dizzy. The pain is at a level 10. It feels like a knife cutting and ripping my leg. There doesn't seem to be any redness or swelling.
doctor
Answered by Dr. Panagiotis Zografakis (9 hours later)
Brief Answer:
there are some things to consider

Detailed Answer:
You haven't answered whether the pain is associated with certain moves or not, so I gather it's not...
Various conditions may cause pain in the thigh. I'll mention some.

- injury or its consequences like hematoma, which may be painful for a few weeks after injury, depending on its severity.
- superficial venous thrombosis, which usually provides visual clues to the diagnosis.
- infection, which should cause warmth and perhaps also redness and swelling.
- bone lesions (fracture or other lesions like tumors).
- neuropathy if the painful area corresponds to the range of a certain nerve.
- muscular injuries which typically cause pain with certain moves.

Your doctor should be able to form a differential diagnosis based on clinical examination and medical history in order to further investigate your complaint. Some of the aforementioned conditions can be confirmed or excluded during clinical examination while others require radiological and other tests.

I hope you find my comments helpful!
You can contact me again, if you'd like any clarification or further information.

Kind Regards!
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3818 Questions

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What Causes Severe Pain In The Upper Right Thigh?

Brief Answer: please provide more details Detailed Answer: Hello, a pain in the thigh can be a lot of things. Please provide more details about it, like: - its exact location and if there's any visible lesion (redness, swelling, pimple, warmness, fever...) - is it painful all the time or does it come and go? - what makes it worse? what makes it better? - how did it start (all of a sudden at top intensity or gradually)? - do you feel pain with certain moves (like moving your thigh towards your belly or any other move - what move)? I'll be glad to discuss it further when you provide the necessary details. Kind Regards!