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.
Diabetic amyotrophy (proximal neuropathy, seen in patients with diabetes, causes burning pain in the hip and thigh and wasting of thigh muscles). Tumours - a variety of benign and malignant tumours - eg: Synovial cyst. Sarcoma. Arthropathy - femoral nerve palsy secondary to synovitis of the hip joint.