Hip Pain and Muscle Spasms: Comprehensive Guide to Causes, Symptoms, and Treatments

09.02.197009.06.2021 by alexxlab

What are the common causes of hip pain. How can trochanteric bursitis be treated. What are the symptoms of hip strains and sprains. How does hip osteoarthritis develop. What triggers muscle spasms in the hip area. Which treatment options are available for various hip conditions.

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Understanding Trochanteric Bursitis: Causes, Symptoms, and Treatment Options

Trochanteric bursitis is a condition characterized by inflammation of the bursa located on the outer hipbone, known as the greater trochanter. Bursae are fluid-filled sacs that reduce friction between soft tissues and bones. This condition can significantly impact daily activities and quality of life.

What Causes Trochanteric Bursitis?

Several factors can contribute to the development of trochanteric bursitis:

Joint overuse from activities like climbing or running up stairs
Prolonged standing
Bone spurs
Hip injuries
Arthritis
Uneven leg length

Recognizing the Symptoms

Identifying trochanteric bursitis early can lead to more effective treatment. Common symptoms include:

Pain in the outer hip and thigh
Increased pain at night when lying on the affected side
Difficulty climbing stairs or rising from a seated position

Treatment Approaches for Trochanteric Bursitis

Various treatment options are available for managing trochanteric bursitis:

Ultrasound-guided corticosteroid injections
Ultrasound-guided prolotherapy injections
Anti-inflammatory medication
Physical therapy exercises

Consulting with a healthcare professional is crucial for accurate diagnosis and personalized treatment plans.

Hip Sprains, Strains, and Tears: Navigating Common Hip Injuries

The hip joint plays a vital role in body stabilization and leg movement. As we age, this large weight-bearing joint becomes more susceptible to various injuries, including sprains, strains, and tears.

Differentiating Between Hip Sprains and Strains

Hip sprains and strains, though often used interchangeably, affect different structures:

Hip sprain: Injury to a ligament connecting bones in the hip joint
Hip strain: Overstretching or tearing of a muscle or tendon in the hip area

Common Causes of Hip Sprains and Strains

These injuries can result from various factors:

Sudden twisting movements during activities like running
Direct blows to the hip
Falls
Overuse of hip muscles
Sports-related injuries

Recognizing Symptoms of Hip Sprains and Strains

Identifying the symptoms early can lead to prompt treatment:

Hip pain
Swelling in the affected area
Muscle weakness
Limited range of motion

Treatment Options for Hip Sprains and Strains

Several treatment approaches can help manage hip sprains and strains:

Rest and ice application
Ultrasound-guided corticosteroid injections
Ultrasound-guided prolotherapy injections
Physical therapy
Ultrasound-guided tenotomy injections for tendinosis cases
Platelet-rich plasma (PRP) therapy to promote tissue healing

Hip Osteoarthritis: Understanding the Progressive Joint Condition

Hip osteoarthritis is a common form of arthritis affecting millions of people worldwide. This progressive and degenerative condition can significantly impact mobility and quality of life.

What Happens in Hip Osteoarthritis?

Hip osteoarthritis involves the gradual breakdown of cartilage in the hip joint:

Cartilage erosion where bones meet in the hip joint
Bones rubbing against each other, causing inflammation and pain
Development of bone spurs, intensifying discomfort

Risk Factors for Hip Osteoarthritis

Several factors can increase the likelihood of developing hip osteoarthritis:

Advanced age
Family history of the condition
Obesity
Previous injuries to the hip joint
Daily wear and tear on the joint

Recognizing Hip Osteoarthritis Symptoms

Being aware of the symptoms can lead to earlier diagnosis and treatment:

Pain in the hip, buttock, or thigh area
Joint stiffness
Reduced range of motion
Redness or swelling around the hip
Difficulty with daily activities like walking

Treatment Approaches for Hip Osteoarthritis

Various treatment options are available to manage hip osteoarthritis:

Anti-inflammatory medications
Ultrasound-guided corticosteroid injections
Hyaluronic acid injections (e.g., Synvisc, Supartz) for joint cushioning
Stem cell therapy
Physical therapy exercises

Muscle Spasms: Causes, Symptoms, and Management Strategies

Muscle spasms are sudden, involuntary contractions of one or more muscles. They can occur in various parts of the body, including the hip area, and often strike without warning.

What Triggers Muscle Spasms?

Several factors can contribute to the occurrence of muscle spasms:

Heavy lifting
Muscle overuse or fatigue
Weak muscles
Nerve compression
Spinal conditions (e.g., degenerative disc disease, herniated disc)
Sports-related injuries
Dehydration
Electrolyte imbalances

Recognizing Muscle Spasm Symptoms

Identifying muscle spasms can help in seeking prompt relief:

Sudden, intense muscle tightness
Sharp or cramping pain
Difficulty moving the affected area
Visible muscle twitching or bulging

Managing and Preventing Muscle Spasms

Several strategies can help alleviate and prevent muscle spasms:

Gentle stretching of the affected muscle
Application of heat or cold therapy
Massage or foam rolling
Proper hydration
Regular exercise to strengthen muscles
Maintaining good posture
Adequate warm-up before physical activities

Advanced Diagnostic Techniques for Hip Conditions

Accurate diagnosis is crucial for effective treatment of hip conditions. Modern medical centers employ various advanced diagnostic techniques to pinpoint the exact cause of hip pain and related issues.

Imaging Technologies for Hip Diagnosis

Several imaging methods can provide detailed insights into hip structures:

X-rays: For visualizing bone structures and detecting arthritis
MRI (Magnetic Resonance Imaging): Offers detailed images of soft tissues, including muscles, tendons, and ligaments
CT (Computed Tomography) scans: Provides cross-sectional images of the hip joint
Ultrasound: Useful for real-time imaging of soft tissues and guiding injections

Specialized Diagnostic Procedures

In addition to imaging, other diagnostic procedures may be employed:

Arthroscopy: A minimally invasive procedure to directly visualize the hip joint
Bone scans: To detect areas of increased bone metabolism
Electromyography (EMG): To assess nerve and muscle function
Blood tests: To check for inflammatory markers or other systemic conditions

Innovative Treatments for Chronic Hip Pain

As medical research advances, new and innovative treatments for chronic hip pain continue to emerge. These cutting-edge therapies offer hope for patients who may not have found relief through traditional methods.

Regenerative Medicine Approaches

Regenerative medicine focuses on harnessing the body’s natural healing processes:

Stem cell therapy: Using the patient’s own stem cells to promote tissue repair
Platelet-rich plasma (PRP) injections: Concentrating growth factors from the patient’s blood to accelerate healing
Prolotherapy: Stimulating the body’s natural healing processes through targeted injections

Minimally Invasive Surgical Techniques

Advancements in surgical techniques have led to less invasive options:

Hip arthroscopy: Small incisions and specialized instruments to repair damaged tissues
Robotic-assisted hip surgery: Enhancing precision in joint replacement procedures
Minimally invasive hip replacement: Smaller incisions and faster recovery times

Non-Surgical Innovations

Several non-surgical approaches show promise in managing chronic hip pain:

Radiofrequency ablation: Using heat to disrupt pain signals from nerves
Neuromodulation: Electrical stimulation to alter nerve activity and reduce pain
Advanced physical therapy techniques: Including aquatic therapy and virtual reality-assisted rehabilitation

Lifestyle Modifications and Prevention Strategies for Hip Health

Maintaining hip health goes beyond medical treatments. Implementing lifestyle changes and preventive measures can significantly reduce the risk of hip problems and improve overall quality of life.

Exercise and Physical Activity

Regular exercise plays a crucial role in hip health:

Low-impact activities like swimming or cycling
Strength training to support hip muscles
Flexibility exercises to maintain range of motion
Balance training to reduce fall risk

Nutrition and Weight Management

Diet and weight control can impact hip health:

Maintaining a healthy weight to reduce stress on hip joints
Consuming anti-inflammatory foods
Ensuring adequate calcium and vitamin D intake for bone health
Staying hydrated to support joint lubrication

Ergonomic Considerations

Proper ergonomics can prevent hip strain in daily activities:

Using correct posture when sitting and standing
Employing proper lifting techniques
Adjusting workstations for optimal hip positioning
Choosing supportive footwear

Regular Check-ups and Screenings

Proactive healthcare can catch hip issues early:

Regular physical examinations
Bone density screenings for osteoporosis risk
Discussing family history of hip problems with healthcare providers
Seeking prompt medical attention for persistent hip pain or discomfort

By implementing these lifestyle modifications and prevention strategies, individuals can take an active role in maintaining their hip health and potentially avoiding or minimizing future hip-related issues. Regular consultation with healthcare professionals can provide personalized guidance on the most effective approaches for each individual’s unique circumstances.

Hip Pain – Upper East Side New York, NY

HIP PAIN

Trochanteric Bursitis

What is Trochanteric Bursitis?

The bursae are fluid filled sacs that minimize friction between soft tissue such as skin, muscles, and tendons, and bones. Trochanteric Bursitis is the inflammation of the bursa located on the outer hipbone called the greater trochanter. This irritation may be the result of joint overuse by climbing, running up stairs or even standing for a great length of time, bone spurs, a hip injury, arthritis or uneven leg length.

Seek treatment for these symptoms:

Outer hip and thigh pain
Pain worse at night when lying down on the affected side
Difficulty climbing stairs or getting up from a chair

Next Steps

Consult the Center for a diagnosis and for treatment options. Ultrasound-guided corticosteroid injections, ultrasound-guided prolotherapy injections and anti-inflammatory medication may provide relief.

To learn more about the treatment and relief of Trochanteric Bursitis please call 212-867-1777.

Hip Strains, Strains and Tears

What are Hip Sprains, Strains and Tears?

The hip’s ball and socket joint is one of the largest weight bearing joints in the body. It becomes increasingly susceptible to pain, strains and sprains as you age. The hips stabilize your body and permit your legs to move and turn. A hip sprain is an injury to a ligament, the connective tissue that attaches bones to bones in the hip joint. A sprain may be caused by a hard blow to the hip or a sudden turn in the middle of an activity like running. It can range from a mild overstretching of the ligament to a partial or complete tear.

The more common hip strain is the overstretching of a muscle or tendon in the hip. The more acute partial or complete tear of tear of a muscle or tendon may also occur. Tendons attach muscle to bone. Strains can occur because of everyday overuse of the muscle or from a direct blow to the hip from a fall or during sports activities.

Seek Treatment for these Symptoms:

Hip pain
Swelling
Muscle weakness
Limited range of motion

Next Steps

Consult the Center for a diagnosis and for treatment options. These include rest, ice, ultrasound-guided corticosteroid injections, ultrasound-guided prolotherapy injections and physical therapy. If there is evidence of tendinosis, additional highly specialized and cutting edge options for hip strains are ultrasound-guided tenotomy injections that destroy damaged tissue, followed by ultrasound-guided injections of platelet rich plasma therapy (PRP) to accelerate the growth of healthy replacement tissue.

To learn more about the treatment and relief of hip sprains and strains please call 212-867-1777.

Hip Osteoarthritis

What is Hip Osteoarthritis?

Arthritis, the inflammation of a joint, is a prevalent source of chronic pain for over 30 million people including older adults and children. When located in the hip joints it may also affect the back and thighs making it difficult to stand, walk or even sit. It is a progressive and degenerative disease and its symptoms range from mild to severe. It causes the cartilage to erode where the bones meet to create the hip joint. Cartilage is connective tissue that protects the ends of the bones and allows the bones to glide smoothly in the joint. When cartilage deteriorates, bones rub against each other creating inflammation, stiffness and pain. Bone spurs, an overgrowth of the bone, often develop and intensify the pain. Aging and daily wear and tear increase the degeneration of the joint. Risk factors include age, family history, obesity and injuries to the cartilage that cushions the joint.

Seek Treatment for these Symptoms:

Hip, buttock or thigh pain
Stiffness
Loss of movement
Redness or swelling
Difficulty walking or doing other daily activities

Next Steps

Consult the Center for a diagnosis and for treatment options. Hip osteoarthritis treatments include anti-inflammatory medication, ultrasound-guided corticosteroid injections, ultrasound-guided injections of a hyaluronic acid such as Synvisc and Supartz to help cushion the joint, stem cell therapy and physical therapy.

To learn more about the treatment and relief of Hip Osteoarthritis please call 212-867-1777.

Muscle Spasms

What Are Muscle Spasms?

Muscle spasms are very common and can happen without warning. Perhaps you pick up a heavy box, reach for an item or even sleep in an awkward position. This suddenly triggers a muscle spasm in your hip and you cannot straighten or move without pain. Muscle spasms are the involuntary contraction or tensing of one or more muscles. They may occur in the wrist, forearm, hand, neck, upper or lower back, hips and legs. Muscle spasms may be caused by heavy lifting, muscle overuse, weak muscles, nerve compression, spinal conditions such as degenerative disc disease or a herniated disc, and many sports injuries. Some sports including golf, football, weightlifting and basketball that require the constant twisting of the spine may lead to back spasms. Spasms may seem to appear out of nowhere, however, typically small tears in the muscle may have developed over time. These tears may lead to swelling that compresses the nerves surrounding the muscle. This in turn triggers a muscle spasm that can cause pain, cramping or twitching.

Seek Treatment for these Symptoms:

Muscle pain that does not dissipate on its own
Constant muscle cramps
Difficulty moving
Muscle appears hard or distorted

Next Steps

If the muscle spasm does not resolve by itself after a few days of rest, icing the area for short periods of 10 to 20 minutes every two hours or using a heated pad, and taking non-steroidal anti-inflammatory medication, then seek treatment. Consult the Center for a diagnosis and for options. The spasm may be the result of an underlying condition that can be treated. Once identified, treatment options may include ultrasound-guided corticosteroid injections, trigger point therapy, ultrasound guided prolotherapy injections or anti-inflammatory or muscle relaxant medication. Ultrasound guided injections of platelet rich plasma (PRP), or stem cell therapy may be advised. If nerve entrapment is indicated then a steroid-free hydrodissection to release the nerve or ultrasound-guided nerve block injections will be recommended.

To learn more about the treatment and relief of Muscle Spasms please call our office at 212-867-1777.

Snapping Hip Syndrome

What is Snapping Hip Syndrome?

Snapping Hip Syndrome is a condition in which a snapping or clicking noise is heard when you move your hips while walking, dancing or even sitting down or getting up from a chair. Typically it is caused when the a very tight band of connective tissue called the iliotibial band, comprised of tendons that attach muscle to bone, slips over the thigh’s bony protrusion called the greater trochanter. As it slides past, the band makes a snapping sound. It may merely cause an irritating noise, but it can also lead to bursitis of the hip. Other tendons may pass over the back of the thigh bone or the front of the thigh bone when you use your hips to move and similarly make snapping sounds. Tightness in the muscles and tendons is often the culprit. Dancers and young athletes are particularly prone to this syndrome.

Seek Treatment for these Symptoms:

Snapping or clicking sound when you move
Pain in hip area accompanied by snapping sound

Next Steps:

Consult the Center for a diagnosis and treatment options. Physical therapy along with ultrasound-guided corticosteroid injections may be recommended. If bursitis is indicated, prolotherapy injections and anti-inflammatory medication may be additional options.

To learn more about the treatment and relief of Snapping Hip Syndrome please call our office at 212-867-1777.

Nerve Entrapment/Radiculopathy

What Is Radiculopathy?

Radiculopathy is a group of conditions affecting one or more nerves in the spine. These nerves may become pinched or compressed, causing pain, numbness or tingling in the arms or legs. The sciatic nerve, the large nerve that runs down the lower back, hip, buttocks, and back of leg to the foot may be compressed in the lower back as a result of a herniated disc or other spinal damage.

Radiculopathy commonly occurs in the cervical spine (neck), the thoracic spine (mid back)or the lumbar spine (lower back).

Cervical, thoracic, and lumbar radiculopathy are often caused by herniated discs in the vertebrae (bones of the spine) and spinal stenosis, a narrowing of the hole in the vertebrae through which spinal nerves exit. This places pressure on the nerves as they branch out from the spine. The compression may also be caused by an injury, overuse of muscles and tendons, poor posture, bone spurs, and arthritis.

Seek Treatment for these Symptoms:

Pain that radiates outward from the injured nerve
Numbness, tingling, burning sensation
Muscle weakness
Cervical radiculopathy affects the neck, upper back, shoulder, chest, arm,or hand.
Thoracic radiculopathy affects the chest, ribs, shoulders, mid back or stomach area
Lumbar radiculopathy causes sciatica which is an irritation of the large sciatic nerve located in the lower back. This causes pain to radiate down the back of the leg to the calf or foot called sciatica
Pain may be aggravated by activities such as walking, climbing stairs or sitting

Next Steps

Consult the Center for a diagnosis and for treatment choices. Depending on the diagnosis, treatment options may include ultrasound-guided corticosteroid injections, ultrasound -guided injections of platelet rich plasma (PRP), ultrasound-guided prolotherapy injections, physical therapy and anti-inflammatory medication. If nerve entrapment is indicated then a steroid-free hydrodissection to release the nerve and ultrasound-guided nerve block injections will be recommended.

To learn more about cervical radiculopathy and its treatment please call our office at 212-867-1777.

Hip flexor strain: Symptoms, causes, and treatment

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.

Hip flexor strain can occur when the hip flexor muscles are pulled, strained, torn or injured. A range of activities may cause the condition with the chief symptom being sharp pain.

Damage to the hip area can vary from minor injuries that require little treatment, to more severe injuries that result in the muscles ceasing to connect with the bone.

The most serious hip flexor injuries are third-degree sprains where the bone breaks alongside the muscle sprain.

Share on PinterestThe psoas muscles are part of the hip flexor muscles.
Image credit: Anatomography, 2013

The hip flexors can be found connecting the top of the femur, which is the largest bone in the body, to the lower back, hips, and groin.

There are various hip flexor muscles that all work to enable a person to be mobile.

They include:

the iliacus and psoas major muscles that are also referred to as iliopsoas
the rectus femoris, which is part of a person’s quadriceps

Overuse or overstretching of these muscles and tendons can result in injury and accompanying pain and reduced mobility.

Many people who experience hip flexor strain will have these symptoms as well:

sudden, sharp pain in the hip or pelvis after trauma to the area
a cramping or clenching sensation in the muscles of the upper leg area
the upper leg feeling tender and sore
loss of strength in the front of the groin along with a tugging sensation
muscle spasms in the hip or thighs
inability to continue kicking, jumping, or sprinting
reduced mobility and discomfort when moving, including limping
discomfort and pain in the upper leg area, which feels constant
swelling or bruising around the hip or thigh area
tightness or stiffness after being stationary, such as after sleeping

A person’s hip flexors are engaged when they bring their knee up towards their torso.

Hence, activities such as dancing, martial arts, or running are where hip flexors are put under the most strain.

Athletes who use the hip flexors in their sport and training are more susceptible to hip flexor strain or injury that can cause the muscles to tear.

In sports medicine, it is thought that many hip flexor wounds are associated with hamstring strains.

Exercises to keep the hip flexors supple and flexible can help prevent injury.

Many people have jobs where they sit down for a large part of the day. This inactivity can result in tight hip flexors, causing lower back pain, hip pain, strain and damage to the area.

Hip exercises can help to strengthen the hip flexor muscles. Most exercises can be done at home and are gentle stretches, which will help to reduce tension and prevent further or future injury.

As well as exercises that can be done at home, gentle swimming and cycling can be beneficial to improve strength and prevent hip flexor strain.

Warming up muscles before beginning exercises will help to ensure they are ready to be stretched and may prevent further straining.

Applying heat to the area and going for a gentle walk for a few minutes are ideal ways to warm up before beginning the stretches.

The following stretches can help to reduce tightness, increase flexibility, strengthen muscles and help prevent injury.

Seated butterfly stretch

Sitting up straight on the floor, place the soles of the feet together letting the knees bend outwards. The heels should be pulled gently inwards, and the knees dropped further towards the floor. Hold the stretch for 10 to 30 seconds.

Pigeon pose

Starting in the elevated plank position, the individual brings the left leg forward, so the knee is on the ground by the left hand. The right leg then slides back as far as possible. Hold the position and then swap sides.

Bridge pose

To do this pose a person should lie on their back with their knees bent and feet on the floor. They then take a deep breath before raising the hips off the floor while squeezing the glutes. Hold for a moment, gently lower, and repeat.

Lunges

A person should begin by standing straight with their feet together. They then take a step forward with the right foot, bending the knee and transferring the weight onto that leg before lowering their hips to the floor and holding the position. This should then be repeated on the other side.

Wall psaos hold

To do this stretch a person should start in a standing position then bend their right knee lifting the upper part of the leg towards the ceiling and balancing on the other foot. They then try to hold for 30 seconds before switching sides.

Skater squats

With their legs together a person should bed their knees while keeping their back straight and chest up. Once in the squat position, they should then lifting each leg off the ground one at a time, stretching it out and pointing the toes, while transferring the weight to the other.

Straight leg raises

Lying on their back, palms either side, a person should pull up the left leg and bend at the knee while keeping the foot on the floor. The right leg is then extended up towards the ceiling, without bending the knee. Hold the stretch for a few seconds and then switch sides.

Hip flexion

Starting by lying flat on their back with their legs straight, a person then slowly pulls the knee of their right leg towards their chest, as close as possible, without straining. After slowly lowering the leg, the same is repeated on the opposite side.

For minor hip flexor injuries, people do not usually visit their doctor but prefer to treat themselves from home.

Some common ways to help treat hip flexor strain are:

Resting the muscles to help them to heal while avoiding activities that could cause further strain.
Wearing a compression wrap around the area. These are available to buy in pharmacies or online.
Applying an ice pack to the affected area. These are available to buy in pharmacies or online.
Applying a heat pack to the affected area. These are available to buy in pharmacies or online.
A hot shower or bath.
Over-the-counter pain relievers, such as ibuprofen (Advil, Motrin), acetaminophen (Tylenol), naproxen sodium (Aleve).

When taking these medicines, it is important to follow the instructions and not to use them for more than 10 days.

If the pain persists after 10 days, a person may wish to make an appointment with their doctor to discuss alternative treatments.

Surgery

In more severe cases, a doctor will usually recommend an X-ray, MRI, or CT scan to ascertain whether the bone has been fractured.

When the damage is unusually extensive, a doctor may recommend that an individual sees a physical therapist or undergoes surgery to repair the muscle. However, instances of damage this severe are rare.

If hip flexor strain causes a limp or the symptoms do not get better after resting and treating at home for a week, it may be advisable to see a doctor.

People who are particularly vulnerable to hip flexor strain, such as athletes or those who regularly participate in vigorous activities that could damage or overstretch the hip flexors, can take precautions to avoid injury.

Ensuring muscles are properly warmed up before taking part in physical activity, and doing exercises to strengthen the muscles, can help to keep the area flexible and strong, and reduce the chances of damage occurring.

Hip flexor strain can be painful and uncomfortable but is rarely a cause for concern. How long the strain takes to heal will depend on the severity of the injury but is usually a few weeks for mild strains and up to 6 weeks for more serious damage.

Rest and stopping activities that might have caused the strain will give a person the best chance to heal and recover quickly.

Hip flexor strain: Symptoms, causes, and treatment

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.

Hip flexor strain can occur when the hip flexor muscles are pulled, strained, torn or injured. A range of activities may cause the condition with the chief symptom being sharp pain.

Damage to the hip area can vary from minor injuries that require little treatment, to more severe injuries that result in the muscles ceasing to connect with the bone.

The most serious hip flexor injuries are third-degree sprains where the bone breaks alongside the muscle sprain.

Share on PinterestThe psoas muscles are part of the hip flexor muscles.
Image credit: Anatomography, 2013

The hip flexors can be found connecting the top of the femur, which is the largest bone in the body, to the lower back, hips, and groin.

There are various hip flexor muscles that all work to enable a person to be mobile.

They include:

the iliacus and psoas major muscles that are also referred to as iliopsoas
the rectus femoris, which is part of a person’s quadriceps

Overuse or overstretching of these muscles and tendons can result in injury and accompanying pain and reduced mobility.

Many people who experience hip flexor strain will have these symptoms as well:

sudden, sharp pain in the hip or pelvis after trauma to the area
a cramping or clenching sensation in the muscles of the upper leg area
the upper leg feeling tender and sore
loss of strength in the front of the groin along with a tugging sensation
muscle spasms in the hip or thighs
inability to continue kicking, jumping, or sprinting
reduced mobility and discomfort when moving, including limping
discomfort and pain in the upper leg area, which feels constant
swelling or bruising around the hip or thigh area
tightness or stiffness after being stationary, such as after sleeping

A person’s hip flexors are engaged when they bring their knee up towards their torso.

Hence, activities such as dancing, martial arts, or running are where hip flexors are put under the most strain.

Athletes who use the hip flexors in their sport and training are more susceptible to hip flexor strain or injury that can cause the muscles to tear.

In sports medicine, it is thought that many hip flexor wounds are associated with hamstring strains.

Exercises to keep the hip flexors supple and flexible can help prevent injury.

Many people have jobs where they sit down for a large part of the day. This inactivity can result in tight hip flexors, causing lower back pain, hip pain, strain and damage to the area.

Hip exercises can help to strengthen the hip flexor muscles. Most exercises can be done at home and are gentle stretches, which will help to reduce tension and prevent further or future injury.

As well as exercises that can be done at home, gentle swimming and cycling can be beneficial to improve strength and prevent hip flexor strain.

Warming up muscles before beginning exercises will help to ensure they are ready to be stretched and may prevent further straining.

Applying heat to the area and going for a gentle walk for a few minutes are ideal ways to warm up before beginning the stretches.

The following stretches can help to reduce tightness, increase flexibility, strengthen muscles and help prevent injury.

Seated butterfly stretch

Pigeon pose

Bridge pose

Lunges

Wall psaos hold

Skater squats

Straight leg raises

Hip flexion

For minor hip flexor injuries, people do not usually visit their doctor but prefer to treat themselves from home.

Some common ways to help treat hip flexor strain are:

Resting the muscles to help them to heal while avoiding activities that could cause further strain.
Wearing a compression wrap around the area. These are available to buy in pharmacies or online.
Applying an ice pack to the affected area. These are available to buy in pharmacies or online.
Applying a heat pack to the affected area. These are available to buy in pharmacies or online.
A hot shower or bath.
Over-the-counter pain relievers, such as ibuprofen (Advil, Motrin), acetaminophen (Tylenol), naproxen sodium (Aleve).

When taking these medicines, it is important to follow the instructions and not to use them for more than 10 days.

If the pain persists after 10 days, a person may wish to make an appointment with their doctor to discuss alternative treatments.

Surgery

In more severe cases, a doctor will usually recommend an X-ray, MRI, or CT scan to ascertain whether the bone has been fractured.

If hip flexor strain causes a limp or the symptoms do not get better after resting and treating at home for a week, it may be advisable to see a doctor.

Rest and stopping activities that might have caused the strain will give a person the best chance to heal and recover quickly.

Hip flexor strain: Symptoms, causes, and treatment

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission. Here’s our process.

Hip flexor strain can occur when the hip flexor muscles are pulled, strained, torn or injured. A range of activities may cause the condition with the chief symptom being sharp pain.

Damage to the hip area can vary from minor injuries that require little treatment, to more severe injuries that result in the muscles ceasing to connect with the bone.

The most serious hip flexor injuries are third-degree sprains where the bone breaks alongside the muscle sprain.

Share on PinterestThe psoas muscles are part of the hip flexor muscles.
Image credit: Anatomography, 2013

The hip flexors can be found connecting the top of the femur, which is the largest bone in the body, to the lower back, hips, and groin.

There are various hip flexor muscles that all work to enable a person to be mobile.

They include:

the iliacus and psoas major muscles that are also referred to as iliopsoas
the rectus femoris, which is part of a person’s quadriceps

Overuse or overstretching of these muscles and tendons can result in injury and accompanying pain and reduced mobility.

Many people who experience hip flexor strain will have these symptoms as well:

sudden, sharp pain in the hip or pelvis after trauma to the area
a cramping or clenching sensation in the muscles of the upper leg area
the upper leg feeling tender and sore
loss of strength in the front of the groin along with a tugging sensation
muscle spasms in the hip or thighs
inability to continue kicking, jumping, or sprinting
reduced mobility and discomfort when moving, including limping
discomfort and pain in the upper leg area, which feels constant
swelling or bruising around the hip or thigh area
tightness or stiffness after being stationary, such as after sleeping

A person’s hip flexors are engaged when they bring their knee up towards their torso.

Hence, activities such as dancing, martial arts, or running are where hip flexors are put under the most strain.

Athletes who use the hip flexors in their sport and training are more susceptible to hip flexor strain or injury that can cause the muscles to tear.

In sports medicine, it is thought that many hip flexor wounds are associated with hamstring strains.

Exercises to keep the hip flexors supple and flexible can help prevent injury.

Many people have jobs where they sit down for a large part of the day. This inactivity can result in tight hip flexors, causing lower back pain, hip pain, strain and damage to the area.

Hip exercises can help to strengthen the hip flexor muscles. Most exercises can be done at home and are gentle stretches, which will help to reduce tension and prevent further or future injury.

As well as exercises that can be done at home, gentle swimming and cycling can be beneficial to improve strength and prevent hip flexor strain.

Warming up muscles before beginning exercises will help to ensure they are ready to be stretched and may prevent further straining.

Applying heat to the area and going for a gentle walk for a few minutes are ideal ways to warm up before beginning the stretches.

The following stretches can help to reduce tightness, increase flexibility, strengthen muscles and help prevent injury.

Seated butterfly stretch

Pigeon pose

Bridge pose

Lunges

Wall psaos hold

Skater squats

Straight leg raises

Hip flexion

For minor hip flexor injuries, people do not usually visit their doctor but prefer to treat themselves from home.

Some common ways to help treat hip flexor strain are:

Resting the muscles to help them to heal while avoiding activities that could cause further strain.
Wearing a compression wrap around the area. These are available to buy in pharmacies or online.
Applying an ice pack to the affected area. These are available to buy in pharmacies or online.
Applying a heat pack to the affected area. These are available to buy in pharmacies or online.
A hot shower or bath.
Over-the-counter pain relievers, such as ibuprofen (Advil, Motrin), acetaminophen (Tylenol), naproxen sodium (Aleve).

When taking these medicines, it is important to follow the instructions and not to use them for more than 10 days.

If the pain persists after 10 days, a person may wish to make an appointment with their doctor to discuss alternative treatments.

Surgery

In more severe cases, a doctor will usually recommend an X-ray, MRI, or CT scan to ascertain whether the bone has been fractured.

If hip flexor strain causes a limp or the symptoms do not get better after resting and treating at home for a week, it may be advisable to see a doctor.

Rest and stopping activities that might have caused the strain will give a person the best chance to heal and recover quickly.

Hip flexor strain: Symptoms, causes, and treatment

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Hip flexor strain can occur when the hip flexor muscles are pulled, strained, torn or injured. A range of activities may cause the condition with the chief symptom being sharp pain.

Damage to the hip area can vary from minor injuries that require little treatment, to more severe injuries that result in the muscles ceasing to connect with the bone.

The most serious hip flexor injuries are third-degree sprains where the bone breaks alongside the muscle sprain.

Share on PinterestThe psoas muscles are part of the hip flexor muscles.
Image credit: Anatomography, 2013

The hip flexors can be found connecting the top of the femur, which is the largest bone in the body, to the lower back, hips, and groin.

There are various hip flexor muscles that all work to enable a person to be mobile.

They include:

the iliacus and psoas major muscles that are also referred to as iliopsoas
the rectus femoris, which is part of a person’s quadriceps

Overuse or overstretching of these muscles and tendons can result in injury and accompanying pain and reduced mobility.

Many people who experience hip flexor strain will have these symptoms as well:

sudden, sharp pain in the hip or pelvis after trauma to the area
a cramping or clenching sensation in the muscles of the upper leg area
the upper leg feeling tender and sore
loss of strength in the front of the groin along with a tugging sensation
muscle spasms in the hip or thighs
inability to continue kicking, jumping, or sprinting
reduced mobility and discomfort when moving, including limping
discomfort and pain in the upper leg area, which feels constant
swelling or bruising around the hip or thigh area
tightness or stiffness after being stationary, such as after sleeping

A person’s hip flexors are engaged when they bring their knee up towards their torso.

Hence, activities such as dancing, martial arts, or running are where hip flexors are put under the most strain.

Athletes who use the hip flexors in their sport and training are more susceptible to hip flexor strain or injury that can cause the muscles to tear.

In sports medicine, it is thought that many hip flexor wounds are associated with hamstring strains.

Exercises to keep the hip flexors supple and flexible can help prevent injury.

Many people have jobs where they sit down for a large part of the day. This inactivity can result in tight hip flexors, causing lower back pain, hip pain, strain and damage to the area.

Hip exercises can help to strengthen the hip flexor muscles. Most exercises can be done at home and are gentle stretches, which will help to reduce tension and prevent further or future injury.

As well as exercises that can be done at home, gentle swimming and cycling can be beneficial to improve strength and prevent hip flexor strain.

Warming up muscles before beginning exercises will help to ensure they are ready to be stretched and may prevent further straining.

Applying heat to the area and going for a gentle walk for a few minutes are ideal ways to warm up before beginning the stretches.

The following stretches can help to reduce tightness, increase flexibility, strengthen muscles and help prevent injury.

Seated butterfly stretch

Pigeon pose

Bridge pose

Lunges

Wall psaos hold

Skater squats

Straight leg raises

Hip flexion

For minor hip flexor injuries, people do not usually visit their doctor but prefer to treat themselves from home.

Some common ways to help treat hip flexor strain are:

Resting the muscles to help them to heal while avoiding activities that could cause further strain.
Wearing a compression wrap around the area. These are available to buy in pharmacies or online.
Applying an ice pack to the affected area. These are available to buy in pharmacies or online.
Applying a heat pack to the affected area. These are available to buy in pharmacies or online.
A hot shower or bath.
Over-the-counter pain relievers, such as ibuprofen (Advil, Motrin), acetaminophen (Tylenol), naproxen sodium (Aleve).

When taking these medicines, it is important to follow the instructions and not to use them for more than 10 days.

If the pain persists after 10 days, a person may wish to make an appointment with their doctor to discuss alternative treatments.

Surgery

In more severe cases, a doctor will usually recommend an X-ray, MRI, or CT scan to ascertain whether the bone has been fractured.

If hip flexor strain causes a limp or the symptoms do not get better after resting and treating at home for a week, it may be advisable to see a doctor.

Rest and stopping activities that might have caused the strain will give a person the best chance to heal and recover quickly.

Why Does My Hip Hurt? 8 Causes of Hip Pain & Problems: Treatment Options

The hip joint can withstand repeated motion and a fair amount of wear and tear. This ball-and-socket joint — the body’s largest — fits together in a way that allows for fluid movement.

Whenever you use the hip (for example, by going for a run), a cushion of cartilage helps prevent friction as the hip bone moves in its socket.

Despite its durability, the hip joint isn’t indestructible. With age and use, the cartilage can wear down or become damaged. Muscles and tendons in the hip can get overused. Bones in the hip can break during a fall or other injury. Any of these conditions can lead to hip pain.

If your hips are sore, here is a rundown of what might be causing your discomfort and how to get hip pain relief.

Causes of Hip Pain

These are some of the conditions that commonly cause hip pain:

Arthritis.Osteoarthritis and rheumatoid arthritis are among the most common causes of hip pain, especially in older adults. Arthritis leads to inflammation of the hip joint and the breakdown of the cartilage that cushions your hip bones. The pain gradually gets worse. People with arthritis also feel stiffness and have reduced range of motion in the hip. Learn more about hip osteoarthritis.

Continued

Hip fractures. With age, the bones can become weak and brittle. Weakened bones are more likely to break during a fall. Learn more about hip fracture symptoms.

Bursitis. Bursae are sacs of liquid found between tissues such as bone, muscles, and tendons. They ease the friction from these tissues rubbing together. When bursae get inflamed, they can cause pain. Inflammation of bursae is usually due to repetitive activities that overwork or irritate the hip joint. Learn more about bursitis of the hip.

Tendinitis. Tendons are the thick bands of tissue that attach bones to muscles. Tendinitis is inflammation or irritation of the tendons. It’s usually caused by repetitive stress from overuse. Learn more about tendinitis symptoms.

Muscle or tendon strain. Repeated activities can put strain on the muscles, tendons, and ligaments that support the hips. When they become inflamed due to overuse, they can cause pain and prevent the hip from working normally. Learn about the best stretches for tight hip muscles.

Continued

Hip labral tear. This is a rip in the ring of cartilage (called the labrum) that follows the outside rim of the socket of your hip joint. Along with cushioning your hip joint, your labrum acts like a rubber seal or gasket to help hold the ball at the top of your thighbone securely within your hip socket. Athletes and people who perform repetitive twisting movements are at higher risk of developing this problem. Learn more about hip labral tears.

Cancers. Tumors that start in the bone or that spread to the bone can cause pain in the hips, as well as in other bones of the body. Learn more about bone tumors.

Avascular necrosis (also called osteonecrosis). This condition happens when blood flow to the hip bone slows and the bone tissue dies. Although it can affect other bones, avascular necrosis most often happens in the hip. It can be caused by a hip fracture or dislocation, or from the long-term use of high-dose steroids (such as prednisone), among other causes.

Symptoms of Hip Pain

Depending on the condition that’s causing your hip pain, you might feel the discomfort in your:

Thigh
Inside of the hip joint
Groin
Outside of the hip joint
Buttocks

Sometimes pain from other areas of the body, such as the back or groin (from a hernia), can radiate to the hip.

You might notice that your pain gets worse with activity, especially if it’s caused by arthritis. Along with the pain, you might have reduced range of motion. Some people develop a limp from persistent hip pain.

Hip Pain Relief

If your hip pain is caused by a muscle or tendon strain, osteoarthritis, or tendinitis, you can usually relieve it with an over-the-counter pain medication such as acetaminophen or a nonsteroidal anti-inflammatory drug such as ibuprofen or naproxen.

Rheumatoid arthritis treatments also include prescription anti-inflammatory medications such as corticosteroids, disease-modifying anti-rheumatic drugs (DMARDs) like methotrexate and sulfasalazine, and biologics, which target the immune system.

Another way to relieve hip pain is by holding ice to the area for about 15 minutes a few times a day. Try to rest the affected joint as much as possible until you feel better. You may also try heating the area. A warm bath or shower can help ready your muscle for stretching exercises that can lessen pain.

Continued

If you have arthritis, exercising the hip joint with low-impact exercises, stretching, and resistance training can reduce pain and improve joint mobility. For example, swimming is a good non-impact exercise for arthritis. Physical therapy can also help increase your range of motion.

When osteoarthritis becomes so severe that the pain is intense or the hip joint becomes deformed, a total hip replacement (arthroplasty) may be a consideration. People who fracture their hip sometimes need surgery to fix the fracture or replace the hip.

Call your health care provider if your pain doesn’t go away, or if you notice swelling, redness, or warmth around the joint. Also call if you have hip pain at night or when you are resting.

Get medical help right away if:

The hip pain came on suddenly.
A fall or other injury triggered the hip pain.
Your joint looks deformed or is bleeding.
You heard a popping noise in the joint when you injured it.
The pain is intense.
You can’t put any weight on your hip.
You can’t move your leg or hip.

Trochanteric Bursitis – Causes, Treatment of Greater Trochanteric (Hip) Pain Syndrome

Our hips are marvels of flexibility. When we walk, they give us power and stability. When we jump, they can handle the impact. The hip joint is one of the largest and strongest joints in the human body.

But the hip can take a beating, and when that happens, we may feel pain.

One of the primary causes of hip pain is bursitis, which is an inflammation of the bursa. These fluid-filled sacs are found around the body and serve as cushions between bones and soft tissues such muscles, tendons, and skin.

Each hip has two major bursae. The outside point of the hip, which is called the greater trochanter, has a bursa called the trochanteric bursa. (The other bursa, on the inside of the hip area, is called the iliopsoas bursa.)

When that outside hip bursa gets inflamed, you have trochanteric bursitis. Also known as greater trochanteric pain syndrome (GTPS), it is a common condition and easily treatable.

What Causes Trochanteric Bursitis?

You’ll find bursa sacs at many of the body’s major joints, including the elbow, shoulder, and knee. The small pouches are filled with a thick fluid and are meant to lubricate joints and protect body parts from friction.

Continued

The trochanteric bursa, like other bursae, may become inflamed if the hip is overused or injured. Trochanteric bursitis affects about five of every 1,000 adults and generally occurs in middle-aged or older people, though people of any age may get the condition.

Active adults who regularly walk, run, or cycle may be susceptible to trochanteric bursitis. The side of the leg includes a long piece of connective tissue called the iliotibial band (ITB), which runs from the hip to the knee. If the ITB is tight from hard use, it may rub against the trochanteric bursa and cause irritation, leading to bursitis.

Other causes of trochanteric bursitis include:

muscle tears
hip injuries
hip surgery complications
poor posture
diseases such as gout (a form of arthritis with sudden, sharp attacks of pain, often at the base of the big toe)

Symptoms

You’ll first notice trochanteric bursitis when you feel pain at the outside of your hip.

Continued

At first, the pain may be sharp, but with time, it may turn into a dull ache. Moving your hip, particularly going down stairs, might make the pain worse.

If left untreated, the pain may start going down your upper leg. You’ll likely feel it when you lay on the side of your affected hip and when getting up from a chair. The joint becomes stiff, and the bursa itself is sensitive to touch.

In extreme cases, your hip joint may become red and swollen and you may even have a fever.

If you’ve had these symptoms for more than 2 weeks without improvement, you should see a doctor.

Diagnosis

When you visit your doctor, they’ll most likely do a physical exam, focusing on how long you’ve had the condition and specific movements that cause the pain.

They may order X-rays to rule out other issues, since bursitis itself doesn’t show up on X-rays. You could get an ultrasound test, and you may get an MRI if your hip isn’t responding to treatment.

In some cases, your doctor may inject your bursa with an anesthetic. If the pain goes away at once, you most likely have trochanteric bursitis.

Treatment

Treatments are generally nonsurgical and easy to do at home. They might include:

Ice. Apply ice packs to your hip every 4 hours for 20 to 30 minutes at a time. Cold numbs the area, which can reduce pain and may cut down on swelling and inflammation.
Anti-inflammatory medications. Over-the-counter medications such as ibuprofen (Advil, Motrin) and naproxen (Aleve), and prescription pain relievers such as celecoxib (Celebrex) can reduce pain and swelling. Be sure to check with your doctor before taking them, however.
Rest. If you can stay off your hip, you can give it time to heal. Using walkers, crutches, and other tools may help as well.
Physical therapy. An expert therapist can give you exercises to improve flexibility and strengthen your muscles.

Other treatments require a trip to the doctor’s office. They might include:

Cortisone shots. Cortisone is a powerful anti-inflammatory medication. Athletes sometimes use these to reduce swelling and pain.
Low-energy shock wave therapy. Acoustic shock waves are passed through the skin with a targeted device. One analysis showed that more than two-thirds of patients given shock wave therapy were cured or greatly improved after 4 months.
Surgery. Though surgery is rarely needed, the bursa can be removed if it is beyond repair. It’s usually an outpatient procedure, meaning no overnight hospital stay. A surgeon will use an arthroscope — a kind of camera — and tiny instruments, as with common knee and elbow surgeries.

Prevention

You can stop trochanteric bursitis from becoming worse — or never have it at all — if you take care of your hips (and the rest of your body) properly. Among the things you can do:

Exercise the right way. It’s great being active, but train properly. That means stretching, warming up, and listening to your body.
Wear proper orthotics or inserts. One cause of trochanteric bursitis is having one leg shorter than the other. Inserts can even out your gait.
Drop some pounds if you’re overweight. It’s a sure way of taking pressure off your hips.

CAUSES OF PAIN IN THE HIP JOINT

Osteoarthritis of the hip joint. Osteoarthritis is a degenerative disease of the hip joint, which is associated with general aging of the body and usually occurs in people over 50 years of age. When the cartilage of the joint is worn out, they no longer sufficiently protect the bones of the joint from direct bone contact. Direct bone contact causes pain and inflammation. On an X-ray, there is a narrow line between the bones in a healthy joint, which appears to be empty.This strip is cartilage. In the joint damaged by osteoarthritis, the bones are close to each other on the X-ray, and there is no “empty” line between them.

Osteoarthritis can be caused not only by the natural aging process, but also by overloading the joints (at work, during sports or due to being overweight), arthritis and genetic predisposition.

One of the first signs of osteoarthritis is loss of the ability to rotate the hip joint. Symptoms include pain on movement, stiffness in the hip joint, and lameness.The intensity of symptoms can vary, sometimes there is a feeling of complete recovery, and at times – very pronounced disorders.

Osteoarthritis does not go away, but you can limit the development of this disease and maximize the quality of life. To do this, you need to take care of your weight, under the supervision of a physiotherapist, study and regularly do a set of exercises to strengthen the ligaments and muscles of the hip joint, protect the hip joint from heavy loads, and also take anti-inflammatory and analgesic drugs after consulting a doctor.In some cases, hip arthroplasty is required.

Femoroacetabular syndrome – bone processes (osteophytes) on the bones forming the joint. Recoil syndrome, limitation of movement in the joint and pain gradually develop. The cause of the disease can be a joint injury. This disease causes osteoarthritis. Sharp (sometimes dull) pain occurs when a person turns and crouches. Osteophytes can be removed surgically, but over time they form again, damaging the joint.

Bursitis of the hip joint – inflammation that occurs in the bag of the hip joint (mucous bag). Signs of inflammation: pain in the hip joint from the buttocks or in the sciatic muscle, pain when trying to lie on an inflamed hip joint, when pressing on the hip joint, getting up from a sitting position, going up or down stairs. Inflammation can be caused by various causes, for example, a bruised hip, overloading of the hip joint while running, jumping or standing for a long time, and poor posture.

In order to pinpoint the cause of the pain, an injection of anesthetic medication into the mucous bag is used to make sure that when the pain caused by bursitis is eliminated, there is no other pain that needs to be found out.
For the treatment of inflammation of the hip joint, non-steroidal anti-inflammatory drugs, pain relievers, as well as injections of corticosteroids and growth factor in the hip joint are used.

They quickly reduce pain and swelling, so they are often used in cases where NSAIDs do not work, or the person has an intolerance to these drugs.After consulting an orthopedic traumatologist, physiotherapy is recommended.

Fracture of the bones that form the hip joint is more common in older people with osteoporosis. Because of the inherent fragility of the bones, a fracture can cause a seemingly unimportant fall or bruise. In young people, the bones of the hip joint break as a result of severe injuries such as a traffic accident.

A hip fracture is indicated by pain in the hip and groove, especially with movement.

Fractures of the hip joint are treated both conservatively and surgically. The surgeon, after assessing the type and extent of the fracture, will decide on the most appropriate method of treatment.

If surgery is required, the broken bone is replaced during surgery or the fracture site is fixed with a metal plate or screw to ensure proper bone healing.

Dysplasia of the hip joint – disorders of the development of the hip joint, under the influence of which the bones of the hip joint form a mutual discrepancy, which gradually damages this joint.Joint instability, subluxation or complete dislocation develops. In youth, such people have excessive elasticity of the hip joint – they can sit on a split and perform other acrobatic exercises without preparation. Such abilities indicate problems in the hip joint.

If hip dysplasia is left untreated, osteoarthritis develops. There are several non-surgical solutions that are used to preserve the lifespan of the hip joint for as long as possible.However, anti-inflammatory medications, maintaining an optimal body weight, physical therapy exercises, or using a cane while walking are temporary solutions because they cannot correct the cause – a malformed hip joint that is self-damaging. Depending on the pathology of the hip joint, the disease gradually progresses and surgery is required. The last solution is hip replacement – arthroplasty or endoprosthetics.

Osteonecrosis of the hip joint occurs when blood circulation in the bone is disturbed and it does not receive nutrients. As a result, cells and parts of the bone die off. The most common factors that can cause osteonecrosis:

serious injury resulting in poor blood supply to the bone,
long-term or excessive use of corticosteroids,
excessive alcohol consumption.

However, sometimes the causes of osteonecrosis are unclear.

Bone necrosis causes pain and restrictions in the affected joint. If osteonecrosis is detected in a timely manner and affects small areas of the bone, pain relievers and less stress (including walking) can give good results. With the development of the disease, surgical intervention is required. For the treatment of osteonecrosis, operations of various types and degrees of complexity are used, up to a complete replacement of the hip joint – arthroplasty or endoprosthetics.

90,000 symptoms, diagnostics, massage, PIR and other treatment methods

Description of pathology.Causes of piriformis syndrome

If your buttock or hip hurts, or both at once, this does not mean that you have piriformis syndrome.

Pelvic muscles. Piriformis muscle.

A paradoxical situation has developed around the piriformis syndrome. On the one hand, this syndrome is considered the most common tunnel neuropathy, everything has been well known about it for a long time, and its study is included in the basic training program for neurologists in all medical universities in the country.But, on the other hand, piriformis syndrome continues to be regularly confused with other pain syndromes of this part of the body.

Understanding the causes and mechanisms of the disease – we will understand how to eliminate it.

There is a classification that divides the causes of piriformis syndrome into primary-secondary, vertebrogenic-non-vertebral, local-non-local, etc. Without overloading you with medical terms – briefly and clearly, we will describe the essence of these reasons, and just below we will talk about the relationship of the piriformis syndrome with the spine, disc herniation and radicular syndrome.

Myofascial syndrome is believed to be the primary cause of piriformis syndrome.

The secondary cause is diseases of the sacroiliac joint, gynecological, urological and proctological diseases, or, as they are also called, diseases of the small pelvis.

Manual therapy successfully copes with both primary and secondary syndromes of the piriformis muscle. However, the treatment of secondary ones is, to a greater extent, the lot of specialized doctors – rheumatologists, gynecologists, urologists or proctologists.Judge for yourself. Secondary piriformis syndrome occurs against the background of a long-standing pathology of the small pelvis. The key word is “long”. During this time, the patient develops a subconscious mindset to perceive any symptom in the buttocks, pelvis or hips as another manifestation of his illness. Therefore, he will also regard the pain of the piriformis muscle in this way and, in part, he will be right. And what will he do? That’s right – he will turn to his attending physician – a rheumatologist, gynecologist, urologist or proctologist, and he, most likely, will also regard the pain as an exacerbation of the pelvic pathology and, mechanically, will begin treatment.Fortunately, this approach, although it leaves the secondary piriformis syndrome without direct treatment, often gives a positive result due to the impact on the root cause. And, only when the treatment of the root cause does not relieve the problem – and this happens in advanced cases of secondary piriformis syndrome – a rheumatologist, gynecologist, urologist or proctologist refer the patient to a chiropractor in order to defeat the disease with joint efforts. This is why patients with secondary piriformis syndrome rarely see a chiropractor directly.They first turn to their “usual” doctor: a rheumatologist, gynecologist, urologist or proctologist.

Two conclusions follow from this.

Don’t start a single disease. This is fraught not only with the aggravation of the pathology itself, but also with the generation of new problems.
If you do not suffer from a complex lingering pelvic pathology, but at the same time, you think that your pain is piriformis syndrome, then this is not a secondary, but a primary syndrome. Therefore, you can immediately contact a chiropractor who will figure everything out.And one more thing: never diagnose yourself or self-medicate. Leave the decision of these questions to the doctors – this is their competence. And you just need to find an experienced doctor.

When choosing a clinic, the main thing is to get to an experienced and knowledgeable doctor.

The primary causes of piriformis syndrome are most commonly myofascial syndrome . Myofascial syndrome is a disease in which small areas of tension, called trigger points, appear in the muscles.When these points are activated, pain arises, which can be felt not only where the trigger point itself is, but also in other places. This is called reflected pain. In addition, myofascial syndrome suppresses the contractile ability of the muscles, due to which the muscle loses its physiological properties and itself can cause the next round of pathology.

Myofascial piriformis syndrome

Symptoms and Signs, Diagnosis

All symptoms of piriformis syndrome are divided into local symptoms and symptoms of compression of the sciatic nerve and adjacent neurovascular structures.

To understand this, it is important to pay attention to the two main functions of the piriformis muscle that underlie most cases of piriformis syndrome.

The first is “pressing” the femoral head against the acetabulum of the pelvic bone (the femoral head on one side and the acetabulum on the other — this is the hip joint). When a person is lying or sitting, the head of his thigh is not pressed against the pelvis and the hip joint is, as it were, “at neutral speed”, like a car standing still with the engine running.But as soon as a person starts to move – to get up / walk – the piriformis muscle immediately turns on and presses the head of the femur firmly against the acetabulum – a “grip” appears. Thus, the “hinge” of the hip joint comes into working condition, actively participating in lifting the body to an upright position or walking.

The function of synergism with the gluteus maximus muscle – becomes most relevant when the gluteus maximus muscle, for some reason, fails. Then, taking on a significant part of the work, the piriformis muscle begins to overload.Everything! Pathological processes are running, the path to overwork of the piriformis muscle, its spasm and further development of the piriformis syndrome is open. Now the onset of pain is only a matter of time, after which a person will begin to feel pain in the gluteal region.

Pain in the gluteal region can be different: pulling, aching, “cerebral”, aggravated by standing, squatting or walking. But, in any case, these are local symptoms.

Nonlocal symptoms are symptoms of compression of the sciatic nerve.To understand their mechanism, you need to know that the piriformis muscle is adjacent to the sciatic nerve.

If we look at the gluteal region in layers, then in the very depths are the bones and ligaments of the pelvis, on top of them lies the sciatic nerve, and already above the nerve is the piriformis muscle itself. A kind of tunnel is formed in which the sciatic nerve is located between the osteo-ligamentous structures and the piriformis muscle.

A healthy muscle does not press on the nerve.But, as soon as pathologies arise and the piriformis muscle, immediately, it will begin to spasm, harden and press the nerve to the osteo-ligamentous structures. This is the onset of tunnel syndrome or tunnel neuropathy. Compression of the sciatic nerve disrupts the passage of impulses along it. Which ones? Since the sciatic nerve is a mixed nerve, that is, it includes both sensory and motor fibers, entrapment of the sciatic nerve leads to a violation of both sensory and motor impulses.This is manifested by symptoms of impaired sensitivity – “chills”, “needles” and numbness in the leg and motor symptoms – “cottoniness”, limb and weakness of the leg. Surely, you have encountered something similar when you “sat out” your leg. But, with piriformis syndrome, such sensations disturb, almost without ceasing. In addition, it is difficult for a patient with sciatic nerve entrapment to stand on heels or toes.

By the way, pains on the back of the leg, for many decades, were firmly associated with the sciatic nerve and were called sciatica or sciatica from the Latin name for the sciatic nerve – n.ischiadicus (nervus ischiadicus). Modern medicine has revised and significantly expanded the understanding of the possible causes of such pain. To date, more than a dozen reasons are known why pain in the buttock and thigh area may occur. The most famous cause, besides piriformis syndrome, is radicular syndrome, as well as myofascial syndrome of a number of muscles.

Let us find out which syndrome caused the symptoms – pear-shaped, radicular or myofascial; we will test the muscles for the presence of active and latent trigger points.
Duration of diagnostics – 30 minutes. This is a full-fledged examination, and not a 2-minute “feeling” for show.
The diagnosis is carried out personally by Dr. AA Vlasenko, a doctor with 30 years of experience, an expert in the treatment of myofascial and radicular syndromes.

Methods of treatment. Which doctor treats piriformis syndrome?

In the treatment of piriformis syndrome, an integrated approach is used. It includes interventions at all levels involved in the formation of a vicious circle of pain syndrome.Methods of local influence on altered muscle-fascial structures are of paramount importance. The most successful treatment for piriformis syndrome is mild manual therapy. A chiropractor is a doctor who treats piriformis syndrome. The gentle manual treatment includes passive muscle stretching. Compression of myofascial pain points – pressing with fingertips on the trigger points identified during the diagnosis from a few seconds to a minute, with a gradual increase in the pressure force until the pain syndrome is completely eliminated.Post-isometric relaxation PIR – relaxation of muscles after voluntary tension. If necessary, soft correction of the vertebrae. Deep tissue relaxing massage, etc.

Mild manual therapy is the basic method of treating piriformis syndrome and, in the overwhelming majority of cases, provides a full-fledged therapeutic effect. However, in advanced cases of the disease or in the presence of concomitant pathology, it is advisable to use drug treatment: non-steroidal and steroid anti-inflammatory drugs, muscle relaxants, B vitamins, thioctic (alpha-lipoic) acid derivatives and other neurotropic drugs, analgesics, anticonvulsants, tricyclic antidepressants and antidepressants …

In the recovery period, exercise therapy is shown.

When treating secondary piriformis syndrome, along with manual therapy and the methods described above, it is necessary to treat the underlying disease.

Benefits of treatment in the Spina Zdorova clinic

A guarantee of complete and qualified treatment. The word “complete” is the key word in our work.
High qualifications and extensive practical experience – 30 years.
We consider each case individually and comprehensively – no formalism.
Synergy effect.
A guarantee of fair treatment and fair prices.
Location a stone’s throw from the metro in the very center of Moscow.

Iliopsoas syndrome: symptoms, pain and treatment in Moscow

What is iliopsoas syndrome

Syndrome of the iliopsoas muscle, or, more precisely, myofascial syndrome of the iliopsoas muscle, is a pathology that develops in the thickness of muscle tissue.Under the influence of a number of pathological factors, a spasm of a small area of muscle fibers occurs. This microscopically small area of spasmodic muscle fibers is called the starting point or trigger point. Under certain conditions, the trigger point is activated and triggers a painful spasm of the entire muscle. Thus, myofascial syndrome of the iliopsoas muscle is the presence of one or more trigger points in it, which can cause a very painful spasm of the iliopsoas muscle.

Often, the syndrome of the iliopsoas muscle develops against the background of osteochondrosis, protrusion or disc herniation. In these cases, the pain that is actually caused by a spasm of the iliopsoas muscle is mistakenly considered to be the action of a hernia, osteochondrosis or protrusion. Faced with such a situation, it is really possible to make a mistake and get away from the correct diagnosis, if you do not have good theoretical and practical training. Myofascial syndrome of the iliopsoas muscle is an insidious and complex disease that requires experience and knowledge from the doctor.

Location and structure of the iliopsoas muscle

Symptoms of the syndrome of the iliac psoas muscle

With iliopsoas muscle syndrome, the symptom, most often, is lower back pain, which has a number of features:

First, this pain is distributed vertically – along the spine.
Secondly, if one iliopsoas muscle hurts, the symptoms are felt on one side, and if both muscles, then the whole lower back hurts from top to bottom.
thirdly, the pain increases in an upright position – standing and walking, and decreases – lying with bent legs. Moreover, you can lie on your back and on your side, the main thing is that your legs are bent. But most conveniently – on the side, in the embryo position.

The second zone of pain, after the lower back, is the thigh-groin and lower abdomen. If such pain is felt on the right, it is important not to confuse it with appendicitis, especially with its chronic form. And, if we are already talking about the relationship with internal organs, it is worth noting that when the iliopsoas muscle hurts, the symptoms of pain can increase due to the effect on the intestinal muscle.For example, in patients with constipation. Also described a clear relationship between the painful sensations of female internal genital organs and the iliopsoas muscle [Ibid. Volume II. P.110].

The next common symptom of iliopsoas syndrome is pain when getting up, especially from a low couch or chair. The same sensations arise when trying to sit up from a lying position. In the most severe cases, the patient, in general, cannot stand upright, but only moves on all fours.

Another symptom of iliopsoas syndrome can be scoliosis. This is due to unilateral shortening of the affected muscle, leading to a temporary lateral curvature of the spine.

Violation of extension in the hip joint is manifested by the fact that it is difficult for the patient to take the leg back. This condition is also a typical symptom of iliopsoas syndrome.

As you can see, all the symptoms are quite clear, however, some of them are characteristic of other muscles as well.In medicine, it is important to be able to distinguish – differentiate – situations when the symptoms are similar, but the causes are different. This is what is called differential diagnostics. In general, keep in mind that some muscles produce pain patterns similar to those of iliopsoas syndrome. For example, the square muscle of the lower back gives a similar pain. The difference is that when the square muscle is damaged, the pain increases with coughing and deep inhalation, which does not happen with the defeat of the iliopsoas muscle. The second difference is that the iliopsoas muscle gives vertical lower back pain, while the square one gives horizontal, transverse pain.The same, transverse back pain, can cause damage to the abdominal muscles. In general, when you think that the iliopsoas muscle hurts, the symptoms must always be differentiated from other possible causes, and it is very difficult to do it yourself, without a competent doctor and qualified manual diagnostics.

Iliopsoas muscle. Anatomy. Pain zones.

We have two iliopsoas muscles – left and right. They are located inside the body. Imagine the spine.The spine has a back that can be touched from the back and a front that faces the stomach, more precisely, our internal organs. So, the iliopsoas muscles are located on the spine from the abdomen. Starting at the top, at the diaphragm and ribs, they stretch inside the body, along the entire lumbar spine and sacrum; then through the pelvis they go out in the groin area to the thigh and are attached there in a small area, each on its side. Now let’s put this in a slightly different perspective.Before us is the belly of a person – the anterior abdominal wall. Inside, under it, is the intestine. Below it, in the depths – the kidneys, and under the kidneys are the iliopsoas muscles that lie on the front surface of the spine. Have you presented? Thus, the iliopsoas muscles attach to the spine and pelvis with their larger side, and to the thigh only in a small area.

These details are very important. By understanding how the iliopsoas muscles are located and where they attach, it will be easy for you to understand why they most often cause lower back pain.

What is the Hair Principle?

If you pull a person by the hair, then he will feel pain not in the hair itself, but, where the hair is attached to the head – at its root. We call this principle the hair principle. A similar picture occurs with a spasm of the iliopsoas muscle – pain occurs where the muscle is attached. And, as we said, most of the iliopsoas muscle is attached to the lumbosacral spine. Therefore, it is in the lower back that a painful attack occurs in 85% of patients.In the remaining 15%, pain occurs where the second end of the muscle is attached – in the groin – thigh – lower abdomen area.

Diagnosis and treatment of iliopsoas muscle syndrome.

The treatment of iliopsoas muscle syndrome is handled by a chiropractor. But, in order to start treatment, you need to make sure that the pain is caused by the muscle, and not another problem. Therefore, a diagnosis is needed. And here I would like to draw your attention to the following.If it were so that while a person is sick with one disease, the other does not “cling” to him – it would be easy for doctors to make diagnoses. But, unfortunately, everything is much more complicated. Simultaneously with the syndrome of the iliopsoas muscle, a person may have osteochondrosis, protrusion, and herniated disc, and arthrosis of the hip joint, and a whole bunch of other diseases. Try to correctly identify the cause of the pain and make an accurate diagnosis in such a situation. And here, a truly indispensable diagnostic method is muscle testing.It is safe to say about him that he accurately identifies sore and affected muscles. Our doctors are fluent in this method and will be able to clearly identify the syndrome of the iliopsoas muscle. And when the diagnosis is established, you can safely start treatment.

Let us find out what causes the symptoms – the syndrome of the iliopsoas muscle, osteochondrosis, protrusion or herniated disc.Let’s do manual muscle testing.
Duration of diagnostics – 30 minutes. This is a full-fledged examination, and not a 2-minute “feeling” for show.
The diagnosis is carried out personally by Dr. AA Vlasenko, a doctor with 30 years of experience, an expert in the treatment of myofascial and radicular syndromes.

Treatment of the syndrome of the iliopsoas muscle consists of the main and auxiliary methods. The main type of treatment for iliopsoas muscle syndrome is mild manual therapy, auxiliary – medications, physiotherapy, exercise therapy, etc.Gentle manual therapy is fundamentally different from conventional manual therapy. Already in its name there is an answer to the question: “What is the difference?” She is soft. Mild manual therapy is very similar to osteopathy and massage for lumbar-iliac muscle syndrome, but it is significantly superior in effectiveness.

In addition to manual intervention, the treatment of iliopsoas muscle syndrome may require ancillary medication. This is usually required for advanced and chronic forms of iliopsoas syndrome.According to the tradition established in our clinic and being adherents of the ecology of the internal environment of the body, we try not to prescribe medications without good reason.

Gentle manual therapy relaxes the iliopsoas muscle effectively and safely. With the help of deep study, it will relieve stress and spasm and reliably eliminate pain.

Benefits of treatment in the Spina Zdorova clinic

A guarantee of complete and qualified treatment.The word “complete” is the key word in our work.
High qualifications and extensive practical experience – 30 years.
We consider each case individually and comprehensively – no formalism.
Synergy effect.
A guarantee of fair treatment and fair prices.
Location a stone’s throw from the metro in the very center of Moscow.

Pain in the extremities (Osteoarthritis)

Causes and Symptoms

Osteoarthritis is the most common joint disease – today 6.43% of Russians suffer from it.The disease can appear in youth, but with age, the likelihood of joint damage increases dramatically. So, according to statistics, arthrosis is detected in 2% of people under 45 years old, in 30% of people aged 45–64 years and in 65–85% in people over 65 years old.

Arthrosis that occurs for no apparent reason is called primary or idiopathic, and that developed as a result of trauma, dysplasia, illness or other pathology is called secondary.

Risk factors for the development of arthrosis are:

Elderly age
Excess weight
Excessive stress on joints
Joint surgery
Hereditary predisposition (presence of arthrosis in the next of kin)
Endocrine imbalance in postmenopausal women
Neurodystrophic disorders in the cervical and lumbar spine (shoulder arthritis, lumbar-iliac muscle syndrome)
Repetitive joint microtrauma.

Arthrosis is a chronic disease, which is based on the defeat of the articular cartilage. However, the pathological process in arthrosis involves not only the cartilage, but also the adjacent anatomical structures: the capsule, ligaments, synovium, bone structures located under the cartilage and periarticular muscles.

The disease has the following mechanism. Normally, the articular cartilage is smooth and elastic, which provides shock absorption and free movement of the articular surfaces.With arthrosis, the cartilage becomes rough, the articular surfaces begin to “cling” to each other. As a result, pieces begin to separate from the cartilage, which enter the articular fluid, injuring the synovial membrane and causing ossification.

Arthrosis develops gradually. Initially, patients are worried about mild, short-term pain or just a crunch when moving. Then the discomfort increases and the main symptom of the disease appears – severe pain in the joints. They can occur in response to exercise or weather changes, at night, or out of the blue.The most striking sign of arthrosis is the starting pain (it is felt when you abruptly move from a state of rest to movement).

Over time, there is a severe limitation of movement and pain in the joint on the opposite side. Because of this, the muscles reflexively spasm and muscle contractures and cramps may appear. The crunch in the joint becomes permanent, lameness begins. Ultimately, the joint becomes bent and it becomes difficult for the patient to walk without a cane or crutches.

Diagnostics

Arthrosis is diagnosed on the basis of characteristic clinical signs and X-ray results. Pictures of a diseased joint are usually performed in two projections (for gonarthrosis – radiography of the knee joint, for coxarthrosis – radiography of the hip joint, etc.). Taking into account the radiological signs, experts distinguish the following stages of arthrosis:

Doubtful arthrosis (stage 1)
Mild arthrosis (stage 2)
Moderate arthrosis (stage 3)
Severe arthrosis (stage 4)

Sometimes X-rays are not enough to accurately assess the condition of the joint.In these cases, computed tomography (CT) of the joint is performed to examine the bone structures, and magnetic resonance imaging (MRI) of the joint is performed to assess the condition of the soft tissues.

Treatment

The main goal of arthrosis treatment is to prevent further cartilage destruction and to preserve the function of the joint. Usually, the patient is referred to physiotherapy exercises during the period of remission, where he performs a set of exercises, selected specifically for him, taking into account the stage of the disease.

During an exacerbation of the disease, drug treatment is prescribed, which includes the use of non-steroidal anti-inflammatory drugs (diclofenac, ibuprofen), sometimes in combination with sedatives and muscle relaxants.

In addition, patients with arthrosis need constant intake of chondroprotectors and synovial fluid prostheses.

To relieve pain, reduce inflammation, improve microcirculation and eliminate muscle spasms, the patient is referred for physiotherapy. In the exacerbation phase, laser therapy, magnetic fields and ultraviolet radiation are usually prescribed. In the phase of remission – electrophoresis, phonophoresis, inductothermy, thermal procedures, sulfide, radon and sea baths, as well as electrical stimulation to strengthen muscles.

Finally, in case of destruction of articular surfaces with pronounced dysfunction of the joint, arthroplasty is performed.

Piriformis syndrome

Treatment of piriformis syndrome in Kolomna.

Piriformis syndrome is one of the most common problems resulting in pain in the lumbar, gluteal region and pain on the back of the leg. The piriformis muscle, starting from the anterior surface of the sacrum, passing under the gluteus muscles, attaches to the greater trochanter of the femur.Paired with the sacrospinous ligament, they create a sub-pyriform opening through which the sciatic nerve and the inferior gluteal artery pass. Despite the small size of the muscle, it takes on many functions for the work of the lower extremities (rotation of the hip, abduction and extension of it to the side, assistance with walking, etc.). In this regard, very often due to too much increased work of this muscle, or vice versa, due to poor blood supply to this area (due to a long sitting position), muscle spasm occurs, leading to compression of the sciatic nerve and the vessels passing under the muscle …Also, muscle spasm can lead to: hypothermia, injury to the lumbar spine, an unsuccessful injection into the piriformis muscle, diseases such as osteochondrosis, herniated discs, protrusion.

The symptoms of this disease depend on what exactly was squeezed: the vessels or the nerve itself. Let’s consider the most frequently detected signs of this syndrome:
• aching pain in the muscles of the lower extremities, especially along the back surface;
• spread of pain, their intensification in stressful situations, with a change in climate, etc.etc .;
• pain in the lower leg area after walking;
• decrease in sensitivity when touching the skin.

It is quite easy to identify this syndrome. During the examination, the doctor conducts special muscle tests that help to identify the disease, its degree, as well as the presence of muscle spasms in nearby areas. If the cause of the pain lies directly in the muscle spasm of the piriformis muscle (for example, as a result of hypothermia, stretching, trauma, complications after injections, etc.)post-isometric relaxation will be the most effective method of treatment. This is an exercise therapy technique aimed at gently stretching the muscles and ligaments of the affected area.

If the piriformis muscle is inflamed as a result of osteochondrosis, hernia or protrusion of intervertebral discs, gynecological or other diseases of the pelvic organs (secondary syndrome), then additional methods should be added to the treatment program, such as physiotherapy, massage, osteopathy, manual therapy.In any case, the treatment should be comprehensive, taking into account contraindications and the individual characteristics of the patient.

After the removal of acute pain syndrome, the result should be consolidated with special physical exercises in order to avoid further exacerbation in the future. Kinesitherapy copes well with this task – treatment with the correct movement. Under the guidance of an instructor, a program is carried out to strengthen the muscles of the lower back, buttocks and lower limbs. It is also important to work with all other muscles, ligaments and joints, as the body will only be healthy when all of its systems are working properly.
Finally, the pain symptoms described above may not be associated with inflammation of the piriformis muscle at all and appear in the absence of this inflammation.

At the first symptoms, it is necessary to consult a specialist, since if this disease is ignored, undesirable consequences may appear, such as limitation of mobility in the lumbosacral region, osteochondrosis, numbness and constant pain. With the progression of these factors, the development of an intervertebral hernia is possible.

90,000 Night cramps: causes and remedies

A sharp burning pain in the calf muscles is familiar to almost everyone. The painful sensations can be strong or weak, but they usually last only a few seconds. If the pain was severe, then after night cramps for another 1-3 days, pain in the legs during movement may bother you.

As a rule, nocturnal cramps affect only the calf muscles.In some cases, fingers, foot, thigh can be brought together. In essence, a cramp is a muscle contraction that occurs involuntarily and is accompanied by burning pain. In this case, the muscles become hard. Usually people in middle and older age face such a problem, but it is possible to experience seizures in childhood.

Causes of leg cramps at night:

1. Lack of certain substances: calcium, potassium, magnesium. This problem usually occurs in people who drink a lot of fluids during the day or sweat a lot.Along with excess fluid, the necessary elements are also excreted from the body. In addition, during pregnancy, a woman gives all the necessary substances to the developing fetus, which also provokes a lack of potassium, calcium and magnesium in the body.

2. An excess of caffeine in the diet, smoking.

3. Lack of vitamin D, which contributes to better absorption of calcium by the body. And a lack of calcium can cause this unpleasant phenomenon. Vitamin D is produced by the body through exposure to sunlight.In places where the sun is rare, for example, in the north, people are often faced with a lack of this vitamin.

4. An excess of cortisol, which is produced during depression and stress. Cortisol is a hormone that inhibits the absorption of calcium from food, and also increases its excretion through the kidneys.

5. Curvature of the foot due to trauma, flat feet.

6. Taking medications for heartburn, gastritis, intestinal disorders also interferes with the normal absorption of trace elements from food intake, which as a result leads to night cramps.

7. The presence of a disease such as varicose veins.

8. Reception of proteins for building muscle mass. An overabundance of protein in the diet leads to the appearance of ketosis, which becomes the main reason for the elimination of calcium from the body.

What to do in case of cramps in the calves:

1. As soon as the pain makes itself felt, you need to grab your toes with your hands and pull on yourself, hold your fingers in this position for about a minute.Then slightly relax your legs and pull your toes again.

2. Pinch the muscle with your fingers to relax a little.

3. Massage the muscle using a warming ointment.

4. If the pain is not very severe, then you should get out of bed and walk barefoot on the cool floor.

5. Raise your legs, placing them on a soft pillow to start the blood outflow.

In order to avoid the appearance of a problem in the future, you need to take a full-fledged vitamin complex, enrich the diet with seafood, dairy products, fresh herbs, and fruits.If cramps at night have become a frequent occurrence, then you need to see a doctor.

Botulinum therapy for pain syndrome

Botulinum therapy (Botox, Xeomin) helps to cope with various muscle pain syndromes (tension headaches, myofascial pain syndrome, etc.), reducing the severity and achieving complete permanent relief of pain.

Muscle pain syndromes

Piriformis syndrome

This is a persistent pain syndrome in the gluto-sacral region associated with spasm of the piriformis muscle.It is located deep in the gluteal region, in the immediate vicinity of the sciatic nerve. Pain can be given to the leg along the back of the thigh (along the sciatic nerve), to the lower leg, groin.

Iliopsoas syndrome

Pain associated with spasm of the iliopsoas muscle. Most often occurs when the hip joint is damaged or the muscle itself is damaged. Often the cause is muscle overload after prolonged resting in a static position, for example, vigorous training after sedentary work.The pain is localized in the lower back, can radiate to the front surface of the thigh, buttock, increases with walking, hip extension, torso bending. Can lead to compression of the femoral nerve and disability of the patient when movement is possible only on crutches or in a wheelchair.

Myofascial pain syndrome (MFS)

Chronic pain arising in a spasmodic muscle. Often associated with muscle overexertion, leading to impaired blood flow, local inflammation, the formation of muscle seals and trigger points where pain is concentrated or from where it starts.MFS can be of different localization, depending on the location of the muscles involved.

For example, myofascial facial pain syndrome is associated with a spasm of the chewing muscles. It is manifested by pain in certain areas of the face, sometimes radiating to the neck, the inability to open the mouth wide enough due to pain, to perform chewing movements, pain and clicking in the temporomandibular joint.

Spastic torticollis

Fixation of the head in the wrong position, involuntary movements of the head associated with spasm of the neck muscles.The spasm can have a variety of neurological causes. Straightening your neck is painful.

Botulinum therapy of muscle pain syndrome

Botulinum therapy is one of the most effective modern methods of treating neurological pathology associated with prolonged muscle spasm.

How botulinum therapy works

Since botulinum toxin interrupts the transmission of nerve impulses to the spasmodic muscle in the injection site, the muscle relaxes and the pain disappears.The action of botulinum toxin lasts for 4-6 months. If after this time the symptom resumes, the injection can be repeated.

What to look for when carrying out botulinum therapy

Individual approach. The dose of Botox and the injection site are determined by the doctor for each patient individually, taking into account the nature and severity of the process, as well as other factors. Therefore, a preliminary consultation with a neurologist who will carry out the treatment is necessary.

Control . The procedure is carried out under the control of electroneuromyography, CT navigation, when the position of the needle in the muscle is controlled using computed tomography or ultrasound diagnostics.

Professionalism. It is important that the treatment is carried out by a neurologist who is fluent in botulinum therapy. Otherwise, the procedure may be unsuccessful and even dangerous.

In the Clinical Hospital on Yauza, botulinum therapy is carried out by certified doctors, candidates of medical sciences with extensive practical experience.

Examples of procedures

Botulinum therapy for piriformis syndrome

For piriformis syndrome, the administration of drugs, including botulinum toxin, is used. In this case, CT-navigation was used to accurately target the muscle abdomen. The first image shows a needle in the piriformis muscle. The second scan shows how the drug was distributed in the piriformis muscle during control.

The procedure is performed by the head. Department of Neurology, doctor of the highest qualification category Akulova Elena Mikhailovna.

Botulinum therapy for spastic torticollis

Patient with spastic torticollis. Before treatment in the hospital, he received botulinum toxin injections into the neck muscles without control, there was no effect, a pronounced turn of the head to the right continued (top photo).
Under CT control of the needle position, xeomin was injected into the inferior oblique muscle of the head. The exact injection site was selected using the CT scanner’s laser positioning system. The scan shows a needle in the muscle. Depth of injection 9 cm.
Botulinum toxin was injected into other interested neck muscles under ultrasound and electromyographic control.

After 2 weeks, a pronounced clinical effect was obtained with the alignment of the head position (lower photo).

The procedure is performed by the head.Department of Neurology, doctor of the highest qualification category Akulova Elena Mikhailovna.

Botulinum therapy for bruxism and myofascial pain syndrome of the face

In case of bruxism and myofascial pain syndrome of the face, botulinum toxin is injected with electroneuromyographic control into the deep lateral pterygoid muscles of the face. As a result, teeth grinding, clenching of teeth disappears, facial pain syndrome and pain in the temporomandibular joint disappear.

make an appointment for a consultation

The cost of botulinum therapy for myofascial pain syndrome you can see in the price list or specify by phone, indicated on the website.