A 33-year-old female presents with a 2-month history of left anterior thigh pain. The pain is shooting, shock-like, and fluctuates between 6 and 10 on the VAS . She has baseline chronic low back pain. PMH significant for migraine headaches and bipolar disorder. FH positive for cancer colon in her father. Socially, she has smoked half pack of cigarettes per day for 16 years. On examination, left ilio-psoas 4, quadriceps 4+, the remaining muscle groups are 5/5. Sensation is intact to light touch. DTRs: Achilles 2+ bilaterally, patellar 3+ bilaterally with positive adductor and suprapatellar reflexes. No tenderness on palpation of the lumbar spine. There is negative straight leg raise test and positive femoral stretch test on the left.