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.
Here are a few commonly found causes of pain in upper part of the thigh: Hamstring Injury: One of the major causes behind upper thigh pain is hamstring injury and the resultant muscle pain is felt at the back side of the thigh. The hamstring muscle is a vital thigh muscle which starts from buttock and ends at the back of the knee.