When strict replication is enabled on the target DC (the receive one) it will not allow to replication for that update. When strict replication is disabled on the target DC (the receive one) it will request the full object from the source DC (the sending one) and apply the update.
The sharp pain in the thigh could be due to other potential diseases. These include osteomyelitis, Ewing's sarcoma, septic arthritis, osteosarcoma, sciatica, compartment syndrome, among other infections. It could also be because of a tumor in the bone, thigh bone fractures and nervous disorders like tendinitis.
Pinched nerve: Numbness in upper thigh is usually caused by a pinched nerve near outer groin. The nerve is called lateral cutaneous nerve of thigh. It causes numbness, tingling and burning in the front and outer side of thigh. Condition is referred as meralgia paresthetica.