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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Having An Indent Across Upper Thigh That Is Causing Pain?

I have an indent across my right upper thigh. My right leg has a dull ache pain now all the way up and down my leg that seems to be getting worse now I feel like I need to elevate it all the time and I find it difficult to put weight on it. I saw my doctor who said it was muscle wastage but to come back if it gets worse. Any ideas as to what it may be? I'm a 23yr old otherwise healthy female
Wed, 3 May 2017
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Orthopaedic Surgeon 's  Response
Thank you for the question. First off your doctor should have told why he said it was muscle wastage and what could have caused it. Since I do not exactly know where the indent is I have a few suggestions
1) Hernia: This is a rare possibility but easy to rule out. Just strip below your waist and lie back with your head under a pillow so that u can see the dent. Put your hand on and around the dent and cough. If u feel a bulge it is probably a Hernia

2) Neuromuscular disease: Conditions like multiple sclerosis and AlS present as patch muscular atrophy which can result in such an indent. It is why perhaps your doctor told you to comeback if it worsens. A head MRI for MS is recommended

3) Normal: If you regularly exercise or walk or even use your right leg more this could result in an indent due to loss of fat in that area. In this case you have nothing to worry about.

However since you do have dull pain I suspect sciatica with lumbar spondylosis in which case an MRI is required


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Why Having An Indent Across Upper Thigh That Is Causing Pain?

Thank you for the question. First off your doctor should have told why he said it was muscle wastage and what could have caused it. Since I do not exactly know where the indent is I have a few suggestions 1) Hernia: This is a rare possibility but easy to rule out. Just strip below your waist and lie back with your head under a pillow so that u can see the dent. Put your hand on and around the dent and cough. If u feel a bulge it is probably a Hernia 2) Neuromuscular disease: Conditions like multiple sclerosis and AlS present as patch muscular atrophy which can result in such an indent. It is why perhaps your doctor told you to comeback if it worsens. A head MRI for MS is recommended 3) Normal: If you regularly exercise or walk or even use your right leg more this could result in an indent due to loss of fat in that area. In this case you have nothing to worry about. However since you do have dull pain I suspect sciatica with lumbar spondylosis in which case an MRI is required