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Hello, I'm Dr. Mark. I am board certified (USA), and have twenty years experience. Please allow me to review your question.
What specific question did you have about the nerve?
Hello - did you have a question about the femoral nerve?
OK, did you have pain into the front of the thigh?
Weakness when walking up or down stairs?
If you are having severe pain, and weakness in the thigh -- where the knee gives away, that could be an issue with the L3 or L4 nerve or the femoral nerve.
The fact that your lower back hurts makes it sound like an issue in the lumbar spine at the L3 or L4 level.
MRI of the lumbar spine would help in evaluating for an issue like a herniated disc, "pinching" a nerve there.
If your symptoms persist and don't improve, then obtaining the MRI is helpful.
If you feel things are improving over the next few days, hopefully just temporary inflammation in the muscles/ligaments in your lower back.
No, it wouldn't be from the iliopsoas.
Yes, you should be able to walk again.
Disc herniation is the number one issue here.
You could have inflammation of the nerve, either spontaneously, or from something like shingles (which would also have a rash).
In general, most cases are better within 6 weeks.
Yes, sounds like a disc issue.
If it hurts -- don't do it.
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Best wishes for your health.
Healing is just going to take some time, as the inflammation improves.
If the symptoms continue -- that would then mean you would get a MRI to rule out disc herniation.
If your symptoms persist for more than 4-6 weeks, then MRI.
No need for a call - I'm busy here in the hospital anyways.
Best of luck to you.