Neurostenalgia of the femoral nerve: a treatable cause of intractable hip pain in a young adult

Neurostenalgia of the femoral nerve is a compressive neuropathy that can result in debilitating pain. It often presents as hip pain, may coexist with other pathologic condition, and may be missed. Diagnosis and treatment affords great relief of symptoms. We present a patient with hip pain that persisted for 10 years, despite multiple orthopedic interventions including pelvic osteotomy and arthroplasty. Femoral neurostenalgia was eventually identified, and pain was relieved after decompression of the nerve.