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Types of Pain – Hip and Leg | Sciatica and Leg Pain | Hip and Leg Pain

Hip Injuries and Disorders

Certain diseases also lead to hip injuries or problems that may be treated by your doctor and/or Orthopedic Surgeon. Patient may also experience hip pain due to pathology originating from low back spine including disk herniation, sacroiliac disease, facet joint arthritis or spinal stenosis.

Sciatica and Leg Pain

What is sciatica?

Sciatica is a pain that runs along the sciatic nerve, a large nerve extending from the lower back and down the back of each leg. Sciatica is a common kind of back pain. Although sciatica can be very painful, it is rare for the disorder to cause permanent nerve damage.

What are the symptoms of sciatica?

• Pain in the rear or leg that is worse when sitting
• Burning or tingling down the leg
• Weakness, numbness, or difficulty moving the leg or foot
• A constant pain on one side of the rear
• A shooting pain that makes it difficult to stand up

Sciatica usually affects only one side of the lower body. Often, the pain extends from the lower back all the way through the back of the thigh and down the leg. Depending on where the sciatic nerve is affected, the pain might also extend to the foot or toes. For some people, the pain from sciatica can be severe and debilitating. For others, the pain from sciatica might be infrequent and irritating, but has the potential to get worse.

What causes sciatica?

Any condition that causes irritation to the sciatic nerve can cause the pain associated with sciatica. In many cases, sciatica is caused by pressure on the sciatic nerve from a herniated disc (also called a slipped disc or ruptured disc). Additional common causes of sciatica include:

• Lumbar spinal stenosis (narrowing of spinal canal in the lower back
• Degenerative disc disease (breakdown of discs, which act as cushions between the vertebrae)
• Weakness, numbness, or difficulty moving the leg or foot
• Spondylolisthesis (a condition in which one vertebra slips forward over another one)
• Pregnancy

How is sciatica diagnosed?

In diagnosing sciatica, a doctor will take your medical history and perform an examination of the back, hips, and legs in order to test for strength, flexibility, sensation, and reflexes.

Other tests might include:

• X rays
• MRI scans
• CT scans

Nerve conduction studies are when an electrical current is passed through a nerve to determine the health or disease of that nerve and these are sometimes used.

How is sciatica treated?

Treatment for sciatica focuses on relieving pressure and inflammation. Typical sciatica treatments include:

• Medical treatments, such as non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, oral steroids.
• Epidural steroid injections where steroids, with their strong anti-inflammatory effects, are delivered at the origin of the inflamed sciatic nerve roots.
• Physical therapy usually starts after adequate pain control, and has an essential role both for the acute episode as well as long-term avoidance of further episodes.
• Surgery for sciatica might be warranted if the sciatic nerve pain is severe and your surgeon feels surgery is necessary. Patients should seek immediate medical attention if they have any symptoms of progressive lower extremity weakness, loss of bladder or bowel control.

Hip and Leg Pain

How Is Hip Pain And Leg Pain Treated?

Hip pain and leg pain can get better even if you do not know the cause. We offer injection and non-injection therapy to treat chronic hip pain and leg pain. Possible treatment options that your doctor may send you to us for include:

• Hip Joint Injection
• Greater Trochanteric Bursa Injection
• Lumbar Selective Nerve Root Injection
• Sacroiliac Joint Injection
• Priformis Injection
• Lumbar Sympathetic Blocks
• Trigger Point Injections
• Spinal Cord Stimulation

7 Injuries That Could Be Causing Your Hip Pain

Of the joints in the leg that are commonly injured in runners, hip pain often poses the most difficult diagnosis. There are a couple of reasons for this: First, there are simply too many possible causes of hip pain, and a second, less obvious reason, relates to the frequency of these injuries.

The bony anatomy of the hip is actually quite straightforward. The head of the femur ends in a ball that articulates with a pocket in the pelvic bone, the acetabulum. This forms the classic ball-in-socket joint. Yet, because of the extreme forces that this joint is subjected to, especially when running, and because of the very complicated supporting structures that help make it among one of the strongest and most stable joints in the body, many potential sources of hip pain are possible. Because the hip plays such an important role in weight bearing and locomotion, it is of the utmost importance to identify these injuries as early as possible, and treat them before they result in joint damage.

We’ll review the more commonly encountered causes of hip pain in runners: muscular strains and pulls in the groin, hamstring or piriformis, hip flexor tightness, bursitis, stress fractures and labral tears. Iliotibial band friction syndrome (ITBFS) may also cause hip pain, but has been widely covered, and therefore will not be discussed in this article.

Groin Pulls or Tears

A pulled groin is caused by a strain in the hip adductors, muscles that pull the legs together. These muscles attach to the thighbones at the level of the hip and run down the inside of the thigh, stabilizing the joint. When overstretched or overused, small tears can develop resulting in hip pain, swelling, and a dull ache in the groin area. Severe tears occur more suddenly and are associated with very sharp pain and bruising down the leg.

Unfortunately, many hip injuries can cause groin pain as well, so distinguishing a true groin pull from other possibilities may not always be that straightforward. Usually a focused history and physical exam suffice to confirm the diagnosis.

The treatment of a groin pull is similar for other pulled muscles. Rest, ice, compression and elevation can all help to alleviate symptoms. Anti-inflammatory medications or acetaminophen can be used to treat pain and once the injury has healed sufficiently, a gradual return to activity can then follow.

Hamstring Injuries

The hamstrings are made up of three distinct muscles that run down the back of the thigh, which then operate together as powerful knee flexors. Like all muscular injuries, hamstring injuries occur when fibers within the muscles tear. The severity of the injury is determined by the amount of damage and how completely the fibers are torn—the least severe form being a strain, while the most severe consists of a complete tear.

Hamstring injuries are almost always associated with pain in the back of the leg that gets worse with flexing the knee. However, if the injury is higher up in the muscle body, then the symptoms can be experienced in the hip itself.

Piriformis Syndrome

The piriformis is a small muscle that runs from the sacrum to the outside of the hip. For a small muscle it can cause big problems when inflamed or overused. Because it runs over the sciatic nerve, the piriformis has a nasty habit of putting pressure on this nerve and causing exquisite pain in the glute and posterior hip area when it swells or spasms.

Aside from addressing any mechanical issues that might be exacerbating the problem the main way to treat piriformis syndrome is by stretching the muscle out as much as possible. To stretch the piriformis: lay on your back, bend your knees and cross your right leg over your left so your right ankle rests on your left knee in a figure four position. Bring your left leg toward your chest by bending at the hip. Reach through and grab your left thigh to help pull everything toward your chest.

Iliopsoas Syndrome

The iliopsoas muscle is a powerful hip flexor that runs across the top of the hip joint and works to pull the knee up and off the ground when it contracts. Movement of the tendon is facilitated by the iliopsoas bursa. If the tendon or the bursa becomes inflamed, flexion may become very painful and the pain is felt in front of the hip with an associated snapping or clicking sensation during movement. Iliopsoas syndrome often arises as a result of increasing volume or intensity too quickly, and hence this problem may be easily avoided. Once it has set in though, the only effective treatment is rest with liberal use of anti-inflammatory medications.

Hip Bursitis

Bursae are fluid-filled sacs that assist in lubricating the movement of structures around joints. The hip bursa allows for the smooth movements of various tendons over each other as the hip ranges in different directions. In some instances this sac can become inflamed after repetitive micro-trauma common in long-distance running. The inflammation can be very painful with symptoms predominantly over the outer aspect of the hip radiating down into the thigh.

Once inflamed, the treatment for hip bursitis is similar to many of the other injuries described here: rest, the application of ice and the use of anti-inflammatory medications. Although it is rare, in some cases the bursitis may become severe or chronic and require surgery.

Stress Fracture

Although much more common in the foot and lower leg, stress fractures of the hip may also occur. Stress fractures result from a combination of overuse in the setting of muscle fatigue, and in some cases, predisposed anatomical issues. Under normal circumstances the muscles and tendons absorb the vast majority of the forces transmitted during repeated ground striking in running. However, with progressive fatigue, more and more of the force is transmitted to the underlying bone, and with time the bone may fracture.

Unlike a traumatic injury, in which there is a sudden tremendous force applied that results in an obvious disruption of the bone, stress fractures are insidious and take time to manifest symptoms. Stress fractures of the hip will cause a dull ache either felt in the groin or lower back, and this can delay the diagnosis allowing more time for the fracture to worsen. Once suspected, confirming the diagnosis can also be difficult as the bone may appear normal on plain X-rays. Only more advanced imaging will show the problem definitively.

Once diagnosed, a complete cessation of weight bearing exercise is mandated. This is critical in order to prevent the stress fracture from progressing to a much more serious and complete fracture. The duration of recovery will depend on the severity of the injury and, in rare cases, surgical intervention may be required.

Hip Pain Due to Labral Tear

The labrum of the hip is a cartilage ring that forms a kind of lubricating O-ring around the ball of the femur holding it in place in the acetabulum. In some people, bony abnormalities either of the neck of the femur or of the lip of the acetabulum can cause the labrum to become repetitively impinged with normal ranging of the hip joint. Over time, this impingement causes the labrum to fray and eventually tear.

Until recently, the long-term importance of labral tears wasn’t completely appreciated. Now, these tears are seen as a potential contributor to the early development of arthritis of the hip.

Because the labrum is made of cartilage and therefore completely insensate, the symptoms of a labral tear arise only long after the damage has been done. Patients with this problem frequently complain of pain in the groin that gets worse when crossing the affected leg over the other. Hence, the diagnosis is difficult to confirm and requires an MRI with contrast injected into the joint. Once confirmed, the only treatment options for symptomatic patients are the complete cessation of weight bearing activities or surgery. It is important to note that not all patients with labral tears require surgical repair. This should be discussed with an orthopedic surgeon familiar with the diagnosis and the procedure to address it.

The hip joint is less prone to injury than the lower leg but can still be afflicted by a number of issues both big and small. Quickly arriving at the correct diagnosis is an important part of getting effective treatment and returning to activity. Knowing the common causes of hip and groin pain is also an important part of that equation. See your physician whenever you have vague, non-specific pains that are difficult to ascribe to a specific area. This can often end up being something more important than you might initially think and catching it early is key.

By Jeffrey Sankoff | Featured on Competitor.com

What are the Causes of my Leg Pain?

Human bodies are subject to frequent aches and pains that come and go. Usually, these are not of great concern or importance. But when pains are inexplicable, linger and impact the quality of life, you might need medical attention.

Thighs, hamstrings, lower leg and calf areas often feel pain. Most pain results from wear and tear, overuse, or injuries in joints, bones, muscles, ligaments, tendons or other soft tissues.

Pain can be traced to problems in the lower spine. Blood clots, varicose veins or poor circulation are other causes.

Types of Leg Pain

Leg pain may manifest itself in a wide variety of symptoms – sharp, dull, heavy, aching, or burning. It may be constant or intermittent; made better or worse with activity or rest. There may be other associated symptoms.

Painful muscles and joints may be palpated – touching the area reproduce the pain. Pain may be referred – radiate from its source to another location.

Sometimes pain resolves with activity, or it may be made worse.

Patients may experience impairment, pain or discomfort while walking, standing or exercising, which is relieved by rest. This is known as claudication and is due to narrowing of blood vessels.

Ischemia (decreased oxygen supply to the tissues) causes acute, intense pain, which may be accompanied by numbness or paralysis.

People with neuropathy tend to describe their pain as a burning sensation, while those who have sciatica describe the intense sharp pain. Sciatica may also cause changes in sensation along the path of the inflamed nerve root.

Nighttime pain and leg cramps may be associated with restless legs syndrome.

Causes of Nontraumatic Leg Pain

Peripheral artery disease (PAD): Pain in one or both legs may be due to a decrease in arterial blood supply due to narrowing arteries.

Blood clots: in an artery can completely obstruct blood supply, preventing tissues from getting oxygen, causing acute pain.

Venous (in a vein) blood clots – deep venous thrombosis – causes a “damming” effect, causing redness, swelling, warmth, and pain.

Superficial veins also clot and cause pain, but are not life-threatening.

Low back pain from sciatica (inflammation of the sciatic nerve) may radiate into the buttocks and down the leg.

Spinal stenosis (narrowing of spinal canal) may result in pain, numbness, and weakness.

Cauda equina syndrome: is a serious neurosurgical emergency in which back pain,  weakness and numbness around the perineal area (rectum, scrotum, vagina), results in inability to urinate and loss of bowel control.

Neuropathy: peripheral nerve inflammations – peripheral neuropathies – occurring from direct nerve irritation or illness, cause foot and toe pain.

Chronic illnesses: diabetes, alcoholism, cancer, and vitamin deficiencies result in nerve pain that often affects both legs.

Skin inflammations & infections: cause significant pain, especially with underlying illnesses that prevent adequate healing. Skin that is stretched due to edema or fluid accumulation also causes pain.

Shingles: cause pain due to inflammation of spinal cord nerves.

Joint pain: may occur from a local injury, osteoarthritis, rheumatoid or other types of arthritis.

Systemic illnesses: like psoriasis, hepatitis, inflammatory bowel disease, and Lyme disease cause joint inflammation.

Muscles: pain, cramps,  spasms, or other muscle injuries may be due to overuse (mild trauma), or associated with an infection, or be a side effect of some medications.

Varicose veins – enlarged due to improperly functioning valves, often seen in the legs.

Arthritis – causes stiff, painful joints.

Gout – mostly affects the legs and feet. Inflammation-driven flare-ups cause extreme pain.

Tight hamstrings –cause nagging pain in thighs and lower body.

Physical activity – one of the biggest side effects is sore muscles.

Flu – full-body aches, including legs.

Cramps – continuous muscular contractions,  a side effect of dehydration, electrolyte imbalances, too much physical activity, as well as medication use.

Bursitis – inflammation especially in the knees, ankles, and heels, due to swelling of the bursa in a joint.

Deep Vein Thrombosis – a blood clot forms in the legs and causes sharp pain, swelling and inflammation.

Fracture – a tear in bone tissue.

Cancer – tumors, fractures due to bone cancer, can painfully compress bone tissue and nerves.

Shin Splints – caused by tears in the muscle sheath between the two major bones in the lower legs.

Polio – has reappeared after decades. It causes weakness and muscular pain in the thighs and legs.

Sedentary lifestyles – cause nagging pain generally in the legs, due to slow muscle atrophy.

Medications – leg pain is a common condition from medication use.

Edema – swelling that often occurs in the legs, commonly from congestive heart failure.

Hip Surgery – causes extensive pain during and after recovery.

Diabetes – can cause peripheral neuropathy, first experienced in the legs and feet. Diabetes also causes blood vessels to narrow and cause symptoms of PAD (peripheral artery disease) or claudication.

Multiple Sclerosis – a degenerative muscle tissue disease, causing lower leg pain and weakness.

Leg Pain in Children

While most leg pain in children is not serious, there are times when the pain has a significant cause.

These may include a joint infection causing hip pain, trauma, damage to growth plates, and pain due to systemic illnesses like Henoch-Schönlein purpura, Legg-Calve-Perthes, Osgood-Schlatter, juvenile rheumatoid arthritis, or rheumatic fever.

A professional care provider should immediately attend to leg pain in children.

If you are concerned about unexplained leg pain make an appointment with a specialist right away. Call Movement Orthopedics at (586) 436-3785 for a consultation and the latest treatments. You can also request an appointment online at any time.

When is it Time to See a Doctor for Hip Pain?

Hip pain is one of the commonest reasons for which patients come to see me. Usually patients with true hip joint pain suffer from pain located in the groin, but they can also have buttock pain, pain on the side of the hip, and pain in the knee below. Pain traveling down the back of the leg from the buttock to below the knee usually indicates a problem in the lower back (for example, sciatica), and not the hip joint.

The hip joint is one of your largest weight-bearing joints, and, while it’s quite durable, it is prone to developing several disorders that can result in pain. The hip is a ball-and-socket joint made up of the femoral head (the ball), which is the top of the femur (thighbone), and the acetabulum (the socket), which is part of the pelvis. The ball and the socket are each lined with several millimeters of cartilage, which cushions the joint. Primary stability of the hip joint is provided by the congruence between the ball and the socket. A cartilage ring called the “labrum” is fixed around the mouth of the socket, deepening the hip and creating a “suction seal” between the socket and the ball. This structure contributes secondarily to hip stability. Ligaments and the “hip capsule” are dense connective tissues attaching the ball to the socket. These also contribute to stability of the joint. The lining of the joint is called the “synovium”, and it produces lubricating joint fluid that also nourishes the joint. Large muscles and their tendons cross the hip joint and provide further support to the joint and enable movement. The most important of these muscles are the hip flexors, hip abductors and the large gluteus maximus. Fluid-filled sacs (bursae) provide cushioning between bones, muscles, and tendons.

When a disease, inflammation, wear and tear, or other issue affects one of these parts, you may experience pain.

What causes hip pain?

Hip pain is extremely common and can be difficult for most people to determine exactly where it is coming from.  Sometimes the pain is related to the hip joint itself, but it can also be related to conditions in other parts of your body.

Common causes of this type of hip pain include the following:

• Arthritis – including osteoarthritis and rheumatoid arthritis
• Injuries – including bursitis (inflammation of a bursa), tendonitis (inflammation of a tendon connecting muscles to the bone in the hip joint), dislocations, fractures, and labral tears
• Pinched nerves – including sciatica (irritation of the sciatic nerve, which runs from your lower back into your legs)
• Other issues – impingement (motion conflict between the thighbone and pelvis) and avascular necrosis (death of bone tissue due to inadequate blood supply)

What symptoms warrant seeing a doctor for hip pain?

If you have minor hip pain that hasn’t been going on for a long time, you can try the following at home:

• Over-the-counter pain relievers
• Applying ice or heat
• Resting your hip by avoiding direct pressure, repeated bending, and prolonged sitting

If these remedies do not offer adequate relief and you find that your pain is interfering with your life, you should see an orthopedic hip specialist.

You should also seek immediate medical attention if the pain is intense, you can’t move your leg or hip, you have sudden swelling, or you have fever, chills, or redness around your hip.

 How is hip pain diagnosed?

After reviewing your medical history with you, including specific information about the severity of your hip pain, where it hurts, and how long the pain has lasted. I will also ask about any self-care remedies you’ve tried and if they provided any relief.

Next, I will examine you in order to assess the range of motion and strength around your hip as well as your walking. Tests, such as an X-ray or MRI, may also be warranted if more information is needed about your hip joint, cartilage, muscles, or other supporting structure, as well as nearby areas of your body that could be causing the pain in your hip. CT scans and blood work may be necessary in some, but not all, cases.

Where can I find the best treatment for my hip pain?

If you’re experiencing hip pain, make an appointment today. I will gather the information needed to diagnose the cause of your pain and recommend the best available treatments to help alleviate your pain and let you return to your active lifestyle.

Hip Problems, Age 12 and Older | CS Mott Children’s Hospital

Do you have a hip problem?

This includes symptoms like pain and trouble moving the hips normally.

How old are you?

Less than 12 years

Less than 12 years

12 years or older

12 years or older

Are you male or female?

Why do we ask this question?

• If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
• If your symptoms aren’t related to those organs, you can choose the gender you identify with.
• If you have some organs of both sexes, you may need to go through this triage tool twice (once as “male” and once as “female”). This will make sure that the tool asks the right questions for you.

Have you injured the hip in the past month?

Yes

Hip injury in the past month

No

Hip injury in the past month

Have you had hip surgery in the past month?

If a cast, splint, or brace is causing the problem, follow the instructions you got about how to loosen it.

Yes

Hip surgery in the past month

No

Hip surgery in the past month

Is the problem mainly in your low back or buttock rather than your hip?

Is the leg blue, very pale, or cold and different from the other leg?

If the leg is in a cast, splint, or brace, follow the instructions you got about how to loosen it.

Yes

Leg is blue, very pale, or cold and different from other leg

No

Leg is blue, very pale, or cold and different from other leg

Do you have any pain in your hip?

How bad is the pain on a scale of 0 to 10, if 0 is no pain and 10 is the worst pain you can imagine?

8 to 10: Severe pain

Severe pain

5 to 7: Moderate pain

Moderate pain

1 to 4: Mild pain

Mild pain

How long has the pain lasted?

Less than 2 full days (48 hours)

Pain less than 2 days

2 days to 2 weeks

Pain 2 days to 2 weeks

More than 2 weeks

Pain more than 2 weeks

Has the pain:

Gotten worse?

Pain is getting worse

Stayed about the same (not better or worse)?

Pain is unchanged

Gotten better?

Pain is getting better

Do you think the problem may be causing a fever?

Some bone and joint problems can cause a fever.

Are there red streaks leading away from the area or pus draining from it?

Do you have diabetes, a weakened immune system, peripheral arterial disease, or any surgical hardware in the area?

“Hardware” includes things like artificial joints, plates or screws, catheters, and medicine pumps.

Yes

Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area

No

Diabetes, immune problems, peripheral arterial disease, or surgical hardware in affected area

Are you having trouble moving your hip or leg?

Yes

Difficulty moving hip or leg

No

Difficulty moving hip or leg

Is it very hard to move or somewhat hard to move?

“Very hard” means you can’t move it at all in any direction without causing severe pain. “Somewhat hard” means you can move it at least a little, though you may have some pain when you do it.

Very hard

Very hard to move

Somewhat hard

Somewhat hard to move

How long have you had trouble moving your hip?

Less than 2 full days (48 hours)

Difficulty moving for less than 2 days

2 days to 2 weeks

Difficulty moving for 2 days to 2 weeks

More than 2 weeks

Difficulty moving for more than 2 weeks

Has the loss of movement been:

Getting worse?

Difficulty moving is getting worse

Staying about the same (not better or worse)?

Difficulty moving is unchanged

Getting better?

Difficulty moving is improving

Have you had hip problems for more than 2 weeks?

Yes

Symptoms for more than 2 weeks

No

Symptoms for more than 2 weeks

Many things can affect how your body responds to a symptom and what kind of care you may need. These include:

• Your age. Babies and older adults tend to get sicker quicker.
• Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
• Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
• Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
• Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.

Try Home Treatment

You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.

• Try home treatment to relieve the symptoms.
• Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.

Pain in adults and older children

• Severe pain (8 to 10): The pain is so bad that you can’t stand it for more than a few hours, can’t sleep, and can’t do anything else except focus on the pain.
• Moderate pain (5 to 7): The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it’s severe when it’s there.
• Mild pain (1 to 4): You notice the pain, but it is not bad enough to disrupt your sleep or activities.

When an area turns blue, very pale, or cold, it can mean that there has been a sudden change in the blood supply to the area. This can be serious.

There are other reasons for color and temperature changes. Bruises often look blue. A limb may turn blue or pale if you leave it in one position for too long, but its normal color returns after you move it. What you are looking for is a change in how the area looks (it turns blue or pale) and feels (it becomes cold to the touch), and this change does not go away.

Symptoms of infection may include:

• Increased pain, swelling, warmth, or redness in or around the area.
• Red streaks leading from the area.
• Pus draining from the area.
• A fever.

Certain health conditions and medicines weaken the immune system’s ability to fight off infection and illness. Some examples in adults are:

• Diseases such as diabetes, cancer, heart disease, and HIV/AIDS.
• Long-term alcohol and drug problems.
• Steroid medicines, which may be used to treat a variety of conditions.
• Chemotherapy and radiation therapy for cancer.
• Other medicines used to treat autoimmune disease.
• Medicines taken after organ transplant.
• Not having a spleen.

Seek Care Now

Based on your answers, you may need care right away. The problem is likely to get worse without medical care.

• Call your doctor now to discuss the symptoms and arrange for care.
• If you cannot reach your doctor or you don’t have one, seek care in the next hour.
• You do not need to call an ambulance unless:
  • You cannot travel safely either by driving yourself or by having someone else drive you.
  • You are in an area where heavy traffic or other problems may slow you down.

Seek Care Today

Based on your answers, you may need care soon. The problem probably will not get better without medical care.

• Call your doctor today to discuss the symptoms and arrange for care.
• If you cannot reach your doctor or you don’t have one, seek care today.
• If it is evening, watch the symptoms and seek care in the morning.
• If the symptoms get worse, seek care sooner.

Make an Appointment

Based on your answers, the problem may not improve without medical care.

• Make an appointment to see your doctor in the next 1 to 2 weeks.
• If appropriate, try home treatment while you are waiting for the appointment.
• If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.

Call 911 Now

Based on your answers, you need emergency care.

Call 911 or other emergency services now.

Sometimes people don’t want to call 911. They may think that their symptoms aren’t serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.

Back Problems and Injuries

Hip Problems, Age 11 and Younger

Postoperative Problems

Hip Injuries, Age 12 and Older

Common Running Injuries: Hip or Thigh Pain

Runners’ bodies undergo a lot of pounding that can lead to medical conditions that cause hip or thigh pain. Diagnosis can be challenging because more than one condition can be present at a given time.

A patient can help his or her doctor make an accurate diagnosis by noting the pattern of symptoms, including exact location of pain, when it occurs, and what makes it go away.

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Greater trochanteric bursitis (Hip bursitis)
This type of bursitis tends to cause tenderness and pain on the outside of the hip. As symptoms progress, pain may radiate down the outside of the thigh and occasionally to the buttock, groin and low back.

The greater trochanter is a bony prominence on the femur (thighbone). The trochanteric bursa is a small, fluid-filled sac that serves as both a cushion and lubricant between the greater trochanter and the iliotibial (IT) band, a thick piece of connective tissue that extends from the hip to the top of the tibia (shinbone).

In runners, the trochanteric bursa can undergo frequent “mini-traumas.” Over time, the bursa becomes inflamed, causing painful symptoms. A tight IT band can exacerbate hip bursitis.

Read more: Iliotibial Band Syndrome

Stress fracture in the hip
A traumatic bone break is caused by a one-time injury, but a stress fracture is caused by repetitive strain on a bone. The impact of jogging can cause a small crack to develop in the femoral head (hip). Runners who have osteoporosis are at a greater risk of stress fractures.

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The pain of a stress fracture will gradually increase and become more pronounced. Pain is more noticeable during and after activity and less noticeable after sleeping, when the bone has had time to rest. Pressing down on the skin over the hip may cause pain.

See All About Stress Fractures

If a stress fracture is suspected but not confirmed, a doctor may recommend beginning non-surgical treatment right away. A definitive diagnosis may require advanced imaging, such as and MRI or bone scan.

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Injury to the Hip and Thigh Muscles

A mild strain can cause a person to feel stiff and sore but he or she will still be able to walk and jog (though it may be a little uncomfortable). This type of muscle strain, defined by small tears in the muscle, may be caused by overuse or lack of conditioning. This condition usually needs only a week or two for recovery.

In contrast, a severe muscle strain, defined by a full rupture of the muscle, may occur suddenly. The injury can be quite painful and cause immediate swelling followed by bruising. A person with a severe muscle strain may not be able to walk normally and may require months to recover.

For runners, the gluteus medius, hamstrings, quadriceps, and groin muscles of the hips and thighs are all susceptible to injuries.

Gluteus medius muscle
The gluteus medius is one of the most commonly injured muscles in runners and typically develops from overuse. A person with a strained gluteus medius may feel dull, achy pain on the outside of the hip and buttock and may find it uncomfortable to lie down on the affected side.

The gluteus medius travels over the outside of the hip joint. Because they are located in the same area, inflammation or injury affecting the gluteus medius can affect the greater trochanteric bursa, and vice versa. The top of the iliotibial (IT) band, which also travels over the outside of the hip joint, may be involved as well.

Hamstring muscles
Runners, especially those who do sprint workouts, may strain the muscles at the back of their thighs, called the hamstring muscles. Traumatic injury to the hamstrings can happen when a runner pushes push off from the ground, forcing the muscle to bear a significant load while fully or almost fully extended. The athlete may feel a distinct sharp pain or “pop” and be forced to stop running. A more mild strain may not be felt until the next day, when the runner wakes up feeling stiff and sore at the back of the leg.

See Acute Hamstring Tears

Quadriceps
Pain and stiffness at the front of the thighs indicated injury to one or more of the quadriceps muscles. Like other muscles, the quadriceps muscles can become strained from overuse if they are not properly conditioned. On the other hand, a sudden injury can occur if the runner suddenly accelerates or stops short.

Groin muscles
The muscles at the inside of the thigh are called the adductor muscles, or groin muscles. These muscles are less likely to be injured during jogging than while sprinting and making fast turns (e.g. playing sports such as soccer or football).

Many mild to moderate groin muscle injuries can be self-diagnosed and treated. If a runner with persistent groin pain and seeks medical attention, a doctor may want to rule other possible conditions with similar symptoms, such as a hernia, a pinched nerve, and tears to the hip joint’s labrum.

See Understanding Sports Hernia (Athletic Pubalgia)

Treatment for a pulled muscle typically involves rest and anti-inflammatory medications. Once symptoms abate, runners should ease back into an exercise routine that includes strengthening exercises and gentle stretching.

See Treating Acute Sports and Exercise Injuries in the First 24 to 72 Hours

If a painful hip or thigh does not get better with rest within two or three weeks, or if pain is severe, medical attention is warranted. Rarely, when there is a severe muscle tear, is surgery recommended.

90,000 The body signals disorders … leg pain

A person remembers his own two only when they get sick. And he almost never connects the problem that has arisen with diseases of other organs. Meanwhile, disorders and inflammation in different systems of the body can be the culprits of your suffering, explains Doctor of Medical Sciences, Professor, Head of the 2nd Department of Internal Diseases of the Belarusian State Medical University Nikolai Soroka.

What makes you suffer

Indeed, leg pain can occur for a variety of reasons.For example, due to inflammatory conditions associated with infections, bowel disease, psoriasis, and rheumatoid arthritis. But still, most often people are pestered by osteoarthritis, popularly known as the deposition of salts in the joints. In this case, pain is clearly formed in the area of ​​the joints – ankle, knee or hip.

Another reason is the obstructed blood flow through the arteries. This will be indicated by cold and pale lower limbs, as well as pain that occurs when walking, the so-called symptom of intermittent claudication.According to Professor Soroka, the reason may be atherosclerosis – with this disease, an atherosclerotic plaque blocks the artery, disrupting blood flow. And not necessarily at the level of the legs, but often where the largest vessel passes – the aorta.

Arteries are often affected by smokers – there is obliterating endarteritis, or inflammation of the inner lining of the artery. It becomes the cause of severe pain, which often annoys even 30-40-year-old people.

Pain associated with damage to the arteries is not uncommon in patients with diabetes mellitus – this is the so-called diabetic foot syndrome.They are burning and are initially associated with damage to blood vessels, and then to the nervous system.

Does your knee hurt? Treat your lower back!

And what to do if pain occurs at the level of the knee, lower leg, foot or thigh, and none of these organs is abnormal? The reason should be sought in the lumbar spine, the professor specifies. These symptoms usually occur with sciatica. Severe pain is also caused by lumboischialgia – irritation of the roots of nerve structures at the level of the lumbar spine.Lower back pain radiates to one or both legs. It mainly spreads along the buttock, as well as along the posterior-outer surface of the leg, sometimes even reaching the toes.

What a weight!

Sensations with varicose veins are also not pleasant – heaviness in the legs and swelling, inflammation of the veins. The condition can be aggravated by walking, standing or sitting for a long time. Due to stagnation of blood, blood circulation in the extremities is disturbed, the tissues lack oxygen – hypoxia and begin to “signal” with pain, as if calling for help.With severe varicose veins, pain of indeterminate localization may appear – in the lower leg, foot, etc.

With thrombophlebitis – inflammation of varicose veins, edema, swelling and redness can be found in this place. Naturally, pains will follow.

Helpful hint

If the knee hurts, but there are no visible changes in this joint, then the source of the problem should be looked for at the level of the second or third lumbar vertebra. And if the pain is localized in the foot, then in the fifth lumbar and first sacral vertebrae.

Sometimes pain arising from problems with the hip joint radiates to the knee. What do such patients not do! They use ointments, drugs, but all in vain. An x-ray of the hip joints will help to understand, which will clarify the nature of the pain.

Sensitive people

Professor Soroka names another group of patients whose legs hurt, and it can be difficult to explain the reason. This is typical for meteorological people. Their legs ache and “twist” a day or two before the weather changes.It is not easy to deal with such manifestations, the specialist admits.

When the pain in the foot, lower leg and knee is very burning – such as if burned with nettles, or shooting, as if a person had been shocked, this is usually associated with damage or compression of nerve structures, and not simply with inflammation or changes in the nervous system.

The professor points out another reason – the presence of a focus of infection in adolescents and young people from 15 to 20 years old also causes pain in the legs. Boys or girls with chronic tonsillitis with purulent plugs may experience pain along the front of the lower leg, in the bone.This is how intoxication manifests itself.

Flat feet can also be a source of suffering. People with flat feet under load and overload experience pain in the foot, especially towards the end of the day. To determine if flat feet are present, you can wet the sole of your foot and then step on a dry sheet of white paper. With flat feet, the foot will be completely imprinted. And a healthy person will only have prints of the heel and the edge of the foot on the paper.

Advice of Professor Nikolai Soroka

If pain syndrome is associated with the spine, do not look for salvation in compresses and electrical procedures on the area of ​​the joints of the legs! Relief will come only when the strangulated or irritated nerve root is released.All efforts – rubbing, compresses, physical and electrical procedures should be directed to the lumbar spine, then the pain will decrease.

Ambulance

If pain is caused by damage to arterial vessels, then painkillers are not helpers, warns Professor Soroka.

If it is localized in the joints or is associated with a lesion of the spine, then taking non-steroidal anti-inflammatory drugs (for example, drugs based on diclofenac, meloxicam, nimesulide, etc.)), you can alleviate the condition. And for problems with the gastrointestinal tract and pain in the legs, you can use a new generation of non-steroidal anti-inflammatory drugs that are safe for the gastrointestinal tract (etodolac, etoricoxib).

The drug arcoxia has become a kind of ambulance, which begins to act quickly – after 24 minutes and relieves pain for 24 hours. There are other medicines as well.

Anti-inflammatory drugs and venotonics will help with thrombophlebitis.

Endarteritis is a very serious disease that rheumatologists treat, and they prescribe potent medications.

Arterial atherosclerosis is a chronic disease. There is no point in hoping for a quick success. Symptomatic therapy is prescribed in the form of vasodilating drugs, but the most important thing is long-term use of statins, which lower blood cholesterol levels and “smooth” atherosclerotic plaques in the vessels.

But first, you should still go to an appointment with a general practitioner, who will determine which specialist to refer you to.

Natalya Nevidomaya
People’s newspaper , November 9, 2012

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90,000 Pain in the left leg from hip to knee – Question to the neurologist

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Most often, in the absence of traumatic injury (which can suggest a fracture, dislocation or sprain), leg pain in children aged 2 to 12 years is the so-called growth pain.

Growth pains are recurrent pains in the thigh or, less commonly, the lower leg. They are usually bilateral. Despite the fact that, on average, every fourth child is faced with growing pains, their cause is not fully understood.There is a certain hereditary predisposition, but no specific genetic markers have been identified. In addition, it is known that although these pains occur at the age when the child is actively growing, pain episodes may not be associated with the period of the most active growth.

Growth pains appear sporadically – there are periods without pain at all, and sometimes pains can last for several days, weeks or even months. More often, the pain intensifies after intense exertion during the day. Usually growth pains appear in the evening and at night, sometimes they can even wake up the child.Their intensity can also be different, some children even moan in pain.

Massages, a warm bath, activities that can distract the child (reading books, talking) help relieve such pain. Sometimes, if the pain is very severe, pain relievers (ibuprofen, paracetamol) may be used.

As a rule, children with growing pains do not show any pathology when examined by a pediatrician.

Nevertheless, there are alarming symptoms, if they appear, you should consult a doctor.

• Unilateral pain (only in one leg) can be a sign of bone or ligamentous apparatus pathology.
• The absence of intervals, periods without pain may indicate some kind of chronic disease, a thorough examination of the child is necessary.
• Swelling of the joints, redness of the skin over them, restriction of movement in the joints – such symptoms can be observed in juvenile rheumatoid arthritis, other systemic diseases (dermatomyositis, systemic lupus erythematosus, etc.)).
• Swollen lymph nodes, fever, or a rash may be signs of an infectious disease or the onset of cancer with bone or joint damage.
• General poor health of the child: lethargic, inactive, refuses to eat / play – such manifestations are always alarming and require careful examination.

90 130 90 000 Which doctor should you contact with pain in your leg – doctors treating the disease

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Show 10 reviews of 14,264 90,000 Right leg numbness

Numbness of the right leg

Long-term presence of a person in one position sometimes causes such an unpleasant sensation as numbness of a limb.Just remember what happens when you sit for a long time in the “foot to foot” position without changing legs or bending one leg under you. The leg simply becomes numb, it feels like cotton with a palpable or slight tingling sensation. It is very difficult to even stand on it. This is due to a completely explainable reason – pinched nerves and impaired blood circulation. It is enough to actively stretch the muscle, and everything returns to normal. But what if the loss of sensitivity in the limbs, for example, numbness of the right leg, occurs for no apparent reason?

Causes of numbness of the right leg

We have already sorted out one of the reasons.This is an uncomfortable position of the right leg while sitting. Leg numbness can also occur in a standing position if the right leg is used for a long time as a support. Sometimes men like to crouch down to rest their hand on their right leg bent at an angle of 90 ° C in the knee area. This can also cause loss of sensation in this leg for a while. Many are already accustomed to these causes of numbness of the limbs.

But the sensitivity of the leg can also be affected by reasons of a different plan, associated with the development of certain diseases, the presence or manifestations of which you did not even suspect.Numbness of the right leg can be one of the symptoms of these diseases, therefore, in any case, a full or partial examination of the body is necessary to make an accurate diagnosis.

Diseases accompanied by loss of sensitivity in the right leg include:

• Osteochondrosis of the lumbar spine, accompanied by neurological syndrome with numbness of the limb and back pain,
• various manifestations of intervertebral hernia, starting with borderline conditions,
• sciatic nerve neuralgia caused by mechanical damage or inflammation in this area,
• diabetes mellitus (one of the manifestations of the disease is polyneuropathy, manifested in a change in the sensitivity of the lower extremities, the appearance of pain and weakness in the legs),
• alcoholism (development of polyneuropathy),
• tunnel syndrome associated mainly with various diseases of the spine,
• violation of the integrity and elasticity of blood vessels, such as varicose veins, thrombosis, etc.
• severe stages of rheumatoid arthritis,
• heel spur, characterized by numbness of the foot of the right or left leg,
• Raynaud’s disease, manifested as a sharp contraction of the walls of small arteries, as a result of which blood circulation is impaired and numbness of the limb occurs,
• acute stage of stroke at the age of 45 years,
• various neoplasms in the central nervous system and in the periphery,
• Morton’s neuroma affecting the nerve of the foot,
• violation of cerebral circulation and blood circulation.

Numbness of the extremities can be one of the manifestations of multiple sclerosis, affecting the young population, as well as a consequence of various injuries of the spine and extremities or frostbite.

Impairment of the sensitivity of the lower extremities can also be observed in pregnant women, especially at long periods, due to fetal pressure on the nerve endings and an increased load on the spine. Numbness can even be caused by the usual long-term lack of vitamins and minerals in the body, as well as a state of intense fear.

Pathogenesis of numbness of the right leg

Damage or strong mechanical impact on blood vessels or nerves located in a certain area of ​​the body can cause numbness in the right leg. At the same time, patients complain of a decrease in the sensitivity of the limb, a feeling of heaviness in it, and limitation of functioning (it is difficult to bend or raise the leg, it is almost impossible to stand on it, it can hardly take a certain position). At first, these symptoms occur occasionally, but with the development of the disease, which caused the numbness of the limb, these symptoms appear more often and their effect becomes longer.

In severe and acute forms of some diseases, loss of sensitivity of the right lower limb can occur during the entire period of wakefulness, intensifying with active movement or prolonged acceptance of a static state. In some cases, leg numbness can be accompanied by acute painful sensations, both in the limb itself and in the lumbar region or hip joints. Pains usually last for a few minutes and then subside.

If the numbness of the right leg is caused by temporary compression of the nerve endings when sitting or standing and does not have deeper reasons associated with the presence of certain diseases, it does not require special treatment and goes away by itself within 2-5 minutes, when the limb takes a comfortable position and does not feel pressure.

If the loss of sensitivity is associated with the presence of concomitant diseases, then the treatment of this condition can take a long period, since it comes down to eradicating the cause of numbness of the limb, i.e. treatment of a disease that has caused damage to nerves or blood vessels.

The development and spread of the condition with loss of limb sensitivity is associated with an increase in the number of patients with diseases that cause numbness of the arms and legs, as well as with the “rejuvenation” of some diseases, such as multiple sclerosis, stroke, etc.occurring at a younger, and even a young age.

Symptoms of numbness of the right leg

The very process of loss of sensitivity of the leg begins with unusual sensations, as if the limb is squeezed or squeezed. There is an imaginary feeling that the skin is tightly stretched, and the leg increases in size, swells.

At first these sensations seem insignificant, then intensify. Pronounced neurological reactions appear: a slight tingling sensation, which over time becomes more noticeable, “goose bumps” begin to run over the skin, there is a slight itching (tickling), especially in the area of ​​the foot.

A person cannot, as usual, easily control a limb, which unexpectedly “grows heavy” and becomes “wadded”. The mobility of the joints is not impaired, but the ability to control it is temporarily lost. Difficulty bending and rearranging the leg.

The skin does not respond well to touch. At first, she does not feel anything, and then there are unpleasant sensations of vibration inside the muscles. Numbness of the right leg, however, like the left, can be accompanied by cramps and pain, especially at night.

If the numbness is caused by intense fear, shock, or stress, it may be accompanied by frequent breathing difficulties and cramps in the calf muscles.

Why is the right leg numb

It is very rare that there are situations when the whole leg becomes numb. Usually numbness covers some part of the leg: foot, thigh, lower leg, toes. It is the localization of the symptoms of numbness that may indicate a possible cause of this unpleasant condition.

Numbness of the toes of the right foot (big, 2nd and 3rd toes) may indicate the development of a lumbar hernia. The 5th nerve root of the spine, located in the lumbar region, is responsible for providing the fingers with nerves (innervation) and their functioning, which means that it is in this area that an intervertebral hernia may occur. The sensation can extend to the first 3 toes and the outer part of the lower leg.

Numbness of the little toe of the right foot may also indicate the appearance of an intervertebral hernia, but in a different place.The 1st nerve root of the sacrum is responsible for the innervation of the little toe and some part of the 4th toe, which means the hernia is located within the 1st sacral and 5th lumbar discs of the spine. In this case, numbness is felt throughout the little finger and can be given to the heel.

If the numbness of the right leg in the area of ​​the fingers is accompanied by edema, redness, a significant decrease in mobility, this may indicate the presence of diseases such as sciatica, osteochondrosis of the spine, spondylitis, spondylosis, heel spur, etc.This may be a manifestation of Raynaud’s disease, arthritis, or evidence of thermal tissue damage (burns, frostbite).

Numbness in the right foot most often indicates a heel spur. But osteochondrosis of the spine, and intervertebral hernia, rheumatoid arthritis, polyarthritis, spondylosis (deformity of the vertebrae), inflammation of the sciatic nerve, neuropathy of the tibial nerves can manifest themselves in the same way. In this case, the symptoms become more pronounced with active movements.In the form of tingling and numbness, the legs can also occur at night. Walking on heels becomes impossible due to pain.

Numbness of the lower leg of the right leg is most often observed outside the lower leg itself. Patients complain of difficulties with bending forward, shoeing, raising a straight leg. Sensory impairment in this area most likely indicates various lesions of the spinal discs. Numbness in the calf of the right leg, especially if it is accompanied by pain, cramps and muscle weakness, can be a manifestation of various tunnel syndromes that appear due to compression of peripheral nerves in the canals.

Numbness of the thigh of the right leg can cause both vascular diseases and lesions of the vertebral discs. The thigh is the area from the knee to the hip joint, bounded by the groin line. Many blood vessels, lymph nodes and nerve fibers pass here, which means that numbness of the thigh can cause disturbances and inflammatory processes in them.

Loss of sensitivity outside the thigh in the upper part may indicate tunnel syndromes, a striking example of which is Bernhardt-Roth disease, intervertebral hernia in the area of ​​1-4 discs, the presence of tumors in the region of nerve endings.

If the thigh becomes numb inwardly at the bottom, closer to the knee, this may indicate a violation of the femoral nerve in insufficiently wide canals and cause acute throbbing pain in a sitting position.

Complications and consequences of numbness of the right leg

It’s no secret that any disease can be most easily treated and corrected at the initial stage, and neglected forms, if they do not develop into more serious conditions, then acquire a chronic course.If you do not take into account the temporary loss of sensitivity of the lower extremities due to an uncomfortable posture, lack of vitamins or pregnancy, this condition is evidence of serious disorders in the body, and therefore it must be treated with full responsibility.

If the frequently recurring numbness of the right leg is not given due importance, you can waste time and not diagnose a dangerous disease in time. And the consequences will already depend on the course and degree of neglect of the disease, the symptom of which was the loss of sensitivity in the leg.

Feelings may change over time. If you do not consult a doctor in time, you can successfully wait for the complication of the situation. At first, numbness of the legs manifests itself only as a feeling of heaviness, “cottoniness” and tingling, in the future it can cause difficulties in movement, decreased motor activity of the limbs, serious circulatory disorders, up to partial gangrene.

In addition, painful sensations often join unpleasant sensations, which significantly reduces the quality of life.For example, the patient cannot normally stand on the heel or rise on the toes, pain passes to the lower back and difficulties appear with bending forward, pain can interfere with normal walking or sitting, does not allow raising a straight leg, night sleep is disturbed, etc. Such complications can, in turn, lead to anxiety, nervousness and depression, especially in a young active age.

Diagnosis of numbness of the right leg

In order to avoid unpleasant and even dangerous consequences, it is necessary to start treatment of the existing cause of the loss of sensitivity of the right leg in time.But for effective and correct treatment, an accurate diagnosis is required. You need to understand that numbness of the right leg is not a diagnosis, but just a symptom of a possibly more serious pathology. Here it is precisely what needs to be revealed.

It is not possible to make an accurate diagnosis only on the basis of the patient’s complaints. Some aspects may indicate the most likely causes of leg numbness, and only a specialized (or general) examination of the body can clarify the presence or absence of a particular pathology.

An important stage in the diagnosis is instrumental diagnostics. The most popular types of examinations that are prescribed by a doctor (therapist, rheumatologist, vascular surgeon, orthopedist, etc.) are MRI (tomography), ultrasound (ultrasound of the spine) and x-rays of the spine.

Sometimes, if vascular pathology is suspected, specific methods are added to these studies: EEG (echoencephalography), USDG (Doppler sonography of the head and neck), ultrasound of the heart, cardiogram, X-ray of the foot, etc.

If the presence of diabetes mellitus and other pathologies of internal organs that cause numbness of the arms and legs are suspected, laboratory tests of blood and urine, spirography, liver function tests, etc. are prescribed. Based on laboratory parameters and instrumental examination data, a more accurate differential diagnosis is carried out, taking into account the patient’s complaints and the collected anamnesis.

Treatment of numbness of the right leg

Treatment of any pathology begins only after the correct diagnosis has been established.Numbness of the right leg is just one of the symptoms of many diseases, which must be treated in conjunction with the disease itself that caused this condition.

The medication prescribed by your healthcare professional will depend on the condition causing the numbness and pain in your legs. Since most often numbness of the extremities is associated with disorders in the spine and rheumatic diseases, anti-inflammatory nonsteroidal drugs (NSAIDs) are prescribed in the form of injections or tablets to relieve this symptom, which relieve inflammation in the affected area, have antipyretic and analgesic effects.

“Diclofenac” – the most popular among the non-steroidal group, used for various lesions of the spine. The recommended daily dose is 50-150 mg (2 to 6 tablets per day). The drug should be taken 2-3 times. The tablets should be taken whole with a little liquid with or immediately after meals.

There are certain contraindications for taking Diclofenac:

• erosions, ulcers and bleeding from the gastrointestinal tract,
• hemophilia, hematopoietic disorders,
• hypersensitivity to drug components, including NSAIDs (for example, aspirin asthma),
• pregnancy and lactation,

90 120 age up to 6 years.

Taking the drug can cause the following side effects: various disorders in the gastrointestinal tract, up to bleeding, headache and dizziness, tinnitus, rash and itching of the skin, urinary retention. Very rarely (less than 1%): malfunctions of the pancreas and liver, sleep and rest disturbances, convulsions, dermatitis, problems with the kidneys and the genitourinary system, incl. acute renal failure, as well as certain disorders in the hematopoietic system, respiratory, immune and cardiovascular systems.

Diclofenac should be taken with caution in patients with renal and hepatic insufficiency. Treatment should be carried out under the supervision of a physician with the necessary control laboratory tests. The drug negatively affects attention and reaction speed.

Analogs of “Diclofenac” with the same active substance are “Voltaren”, Naklofen SR “,” Diclofenac retard “.

Meloxicam is a non-steroidal anti-inflammatory drug.Depending on the type of disease and severity, take from 1 to 2 tablets per day at a time. Food intake does not affect the effectiveness of the drug.

Contraindications for use are:

• pregnancy and lactation,
• age under 15 years old,
• erosions and ulcers of the gastrointestinal tract,
• various bleeding,
• heart failure in the stage of decompensation,
• serious progressive liver and kidney disease,
• history of allergic reaction to aspirin.

Patients with ischemia, diabetes mellitus and other diseases of the cardiovascular and immune systems, elderly people, as well as patients with addiction to alcohol and smoking should be treated with caution. Meloxicam also has a negative effect on concentration, causing drowsiness.

Side effects: disturbances in the normal activity of the gastrointestinal tract, anemia, skin rashes, dizziness and pain in the head, edema.Sometimes there are bleeding in the gastrointestinal tract, changes in the composition of the blood, tinnitus, increased blood pressure and heart rate, etc. Other health and wellness disorders are extremely rare.

For external use, doctors may prescribe Ibuprofen in the form of a gel. The dosage of this drug depends on the size of the affected area. Usually a strip of gel from 4 to 10 cm is applied to the skin and rubbed in with light, smooth movements. The course of treatment is 14-21 days.

The drug is prohibited for use in the following cases:

• hypersensitivity to NSAID drugs, in particular to aspirin,
• open skin lesions: various wounds, cuts, abrasions, eczema, etc.,
• last months of pregnancy,

90 120 age is under 6 years old.

In case of intolerance to the drug, spasms in the bronchi may occur, other side effects (in the form of allergic reactions) are very rare. Caution when using “Ibuprofen” should be observed by patients with severe liver or kidney disease.

Very often, for the treatment of diseases that cause numbness of the right or left leg, muscle relaxants are prescribed, which inhibit nerve impulses and have an analgesic effect.The most popular of these is Midocalm. The initial dose of the drug is 1 tablet 2-3 times a day, gradually the dose is increased to 3 tablets 2-3 times a day. The dosage for children is calculated based on the patient’s weight – from 2 to 5 mg per 1 kg of body weight.

Contraindications for use are:

• under 3 years old,
• myasthenia gravis (chronic rapid fatigue),
• hypersensitivity to drug constituents.

Side effects: headaches, muscle weakness, fatigue, lowering blood pressure, nausea, sometimes accompanied by vomiting, discomfort in the stomach and intestines, various allergic reactions are possible.

If necessary, for patients with numbness of the right leg or other extremities, the attending physician may prescribe drugs from the group of corticosteroids (“Prednisolone”, “Methylprednisolone”), which have a strong anti-inflammatory effect.

In parallel with the specific treatment, the body is saturated with vitamins, for which vitamin-mineral complexes with a predominance of B vitamins are prescribed.Particular attention is paid to the case when the numbness of the right leg is caused by a prolonged lack of vitamins in the patient’s body.

Physiotherapeutic treatment plays a non-fundamental, but no less important role in the treatment of the causes of numbness of the extremities. In combination with drug therapy, physiotherapy can significantly improve the patient’s condition and well-being.

The composition of physiotherapy for numbness of the right leg includes: phototherapy using a therapeutic laser, ultrasound exposure, electrophoresis and phonophoresis, anesthesia using the Amplipulse apparatus, etc.

In addition, patients are shown physiotherapy exercises, moderate physical activity against the background of a healthy lifestyle with a balanced diet. If there are no contraindications, then swimming, jogging and skiing give a good effect.

Traditional methods of treating numbness of the right leg

Traditional medicine, as always, does not stand aside from the problem of numbness of the limbs. Her recipes allow, if not cure, then significantly alleviate the patient’s condition with numbness in the right leg.In the bins of traditional healers there are means for both ingestion and external use.

Garlic tincture. Grind several heads of garlic and fill a third of a half-liter jar with it. Fills the dishes to the top with 36-40% alcohol (you can take high-quality vodka, moonshine) and set to infuse for 2 weeks, shaking occasionally. You need to take the product inside, 5 drops with a little water. It is recommended to do this 3 times a day.

Rubbing to enhance blood circulation.We take 3-4 red hot peppers and a couple of pickled cucumbers, cut into small pieces (or pass through a meat grinder) and pour the mixture? liters of vodka. We insist the composition for a week in a dark place.

Tincture of black pepper for massage. Pour 100 g of ground pepper into 1 liter of vegetable oil and put on a very low heat. We warm up the composition for half an hour.

Lilac tincture for compresses. Do we fill in lilac flowers (1 glass)? liters of vodka or moonshine.We insist for a week.

Honey wrap. Apply a thin layer of honey to the numb areas and wrap with a cotton cloth. This should be done at night. Usually 3-4 wraps are enough.

Herbal treatment takes pride of place in traditional medicine. Helping patients with right leg numbness is no exception.

• Recipe 1. We take wild rosemary herb and apple cider vinegar in a ratio of 1 to 3. We insist the composition for a week.Lightly rub the numb limbs with tincture at least 3 times a day.
• Recipe 2. Pour 100 g of grass of the drop cap? l 40% alcohol and insist for 10 days in a place protected from the sun, sometimes slightly shaking the composition. The strained tincture can be used both for grinding and for ingestion. Inside, the agent is taken before meals, 1 teaspoon (3 times a day).
• Recipe 3. Take a pinch of herbal sweet clover and brew in a glass of boiling water.We leave to insist. Take in the form of tea 3 times a day for 1 glass. The treatment lasts 2 days.
• Recipe 4. Herbal baths. Pour 400 g of a mixture of chamomile and mint with hot water in an amount of 6 liters and leave for at least 3 hours. Add the broth to the bath in the amount of 1 liter. The course of treatment is from 18 to 20 baths.

Instead of chamomile and mint, you can use sage herb or a mixture of herbs: nettle, oregano, burdock. You can also practice contrasting baths with hot and cold water, which also has a positive effect on the patient’s condition.

Homeopathy in the treatment of numbness in the right leg

Despite all the many recipes of traditional medicine, they alone cannot cure the disease. The desired effect is achieved only in the case of the complex use of folk methods, physiotherapy and drug treatment. If you are not an adherent of synthetic dosage forms, but prefer natural remedies, then homeopathic remedies are exactly what the “doctor ordered” for you.

Aconite napellus (blue wrestler or aconite) is a widespread homeopathic remedy.It acts on the central nervous system and has a pronounced anti-inflammatory effect, relieving heat and pain.

Dosage and method of administration. Like most homeopathic remedies, “Aconit” is available in the form of granules, which are taken in 8 pieces at once, put under the tongue. In the first three days, it is supposed to take the drug five times, in the next 10-14 days, the granules are taken 3 times a day, and only then they switch to a two-time intake regimen. You need to take the drug half an hour before meals or an hour after eating.

The duration of treatment with “Aconit” granules is prescribed by the doctor. He can also suggest trying the tincture of the same name. For diseases of the spine and joints, such a tincture is applied externally 2 times a day for a month.

Precautionary measures. Since the blue wrestler is a very poisonous plant, treatment with a drug based on it should take place strictly according to the scheme prescribed by the doctor. Look for any unusual symptoms. Side effects of the drug are usually associated either with an intolerance to the active substance, or with an overdose of the drug.Overdose symptoms: nausea accompanied by vomiting, facial numbness, feeling of cold or heat in the extremities, thirst, dry mouth, muscle cramps, falling blood pressure, blurred vision. Uncontrolled use of the drug can be fatal.

If the right leg is numb, a homeopathic doctor may prescribe Secale cornutum (ergot), a homeopathic remedy based on the mycelium of the fungus. It is taken in low dilutions, the dosage will be indicated by the doctor himself.The drug is also quite poisonous.

Calcarea phosphorica (calcium phosphate) is indicated for rheumatic diseases causing numbness and coldness in the limbs. Homeopaths will prescribe the required dosage, but usually it is 3, 6 or 12 times the dilution.

Sometimes, with a feeling of coldness in the limbs associated with joint diseases, doctors recommend the homeopathic preparation Calcium carbonicum (calcium carbonate) based on oyster shells.The homeopathic remedy is available in the form of granules, drops or powder, the effective and safe doses of which, as well as the duration of the course of treatment, will be indicated by the doctor when prescribing this drug. An overdose of the drug can cause metabolic disorders.

In case of peripheral circulatory disorders and the associated numbness of the right leg in homeopathy, the drug Aesculus compositum is often prescribed in the form of an alcohol solution. A single dose for adult patients is 10 drops, for children – from 3 to 10 drops, depending on age.You need to take the drug three times a day, half an hour before meals, diluting in a small amount of water (5 ml).

Contraindications to taking homeopathic remedies can be childhood, pregnancy and lactation, as well as hypersensitivity to the components of the drug.

Any homeopathic remedies are preferable to purchase in specialized pharmacies, where there is an opportunity to get advice from a homeopathic doctor, who will prescribe a course of treatment.This is very important, considering that some homeopathic remedies contain poisonous substances that, in recommended doses, have a good therapeutic effect, and in case of an overdose, pose a danger to health and life in general.

In addition, when turning to homeopathy for help, one must be prepared for the fact that the treatment with such means will be long enough, and one should not expect quick results. Just as it is not worth stopping halfway.

Surgical treatment for numbness of the right leg is carried out only in connection with the therapy of concomitant diseases that caused this condition.This can be both phlebectomy for varicose veins, and surgical removal of a tumor or intervertebral hernia.

Prevention of numbness of the right leg

Preventive measures aimed at preventing such an uncomfortable condition as numbness of the right leg are primarily aimed at preventing the development of diseases that cause this state of the body. These measures include:

• Active, mobile lifestyle with rejection of bad habits.
• Due attention to a correct balanced diet rich in vitamins and minerals.
• Lack of unnecessary stress on the spine in everyday life and in the performance of professional duties.
• Timely and complete treatment of colds and viral diseases.
• Exercise and exercise, both motor and static.
• Prevention of spinal injuries and compounds.
• Wearing comfortable footwear that does not place long-term stress on the spine.
• Avoiding excessive cooling of the extremities or getting them wet.
• Adequate exposure to fresh air and room ventilation.
• Annual preventive examinations by specialist doctors.

Prognosis for right leg numbness

In principle, numbness of the right leg does not cause any particular danger and is quite easily cured, unless, of course, it is associated with the presence of tumors. Even if a complete cure does not occur, then the therapy is still able to stabilize the situation and stop the numbness of the extremities.The prognosis for the treatment of this condition is generally favorable. The known difficulties, up to a lethal outcome, can be caused by the treatment of concomitant diseases caused by malignant neoplasms.

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90,000 what to do and in what cases ›Articles and news› DoctorPiter.ru

The most common cause of injuries in winter is playing catch-up with public transport. At the same time, we all understand that running after a minibus or a bus is harmful: firstly, you still cannot catch up, and secondly, you will create yourself a lot of problems.The obvious ones are stress and stress on the cardiovascular system, as well as trauma. In a state when you cannot control the safety of movement, you step on the icy sidewalk, slip … When falling, young people most often have fractures of the ankles in the ankle joint, and they require rather serious and long-term treatment. Or a broken arm, if a person, falling, manages to put his hand forward, protecting his face from “meeting” the sidewalk. In older people, the most common fracture is the proximal thigh.Well, of course, almost half of the active population of St. Petersburg gets bruises, dislocations and sprains during the winter.

What to do if you hurt your leg

If you fell and, overcoming the pain, went on with oohs and oohs, watch your condition. A bruise that seems harmless can cause big problems: a bruised breast in a woman is fraught with tumor formations, and a concussion – headaches, decreased vision and hearing, and other neurological pathologies.

Fracture or severe dislocation is usually defined without problems: sharp pain, increasing swelling and inability to move the injured arm or leg normally. If you are in the city, you should immediately call an ambulance. In the suburbs, it is more difficult with an ambulance, so the victim must be given first aid correctly, otherwise the patient’s condition can be aggravated.

Under no circumstances should you jerk your arm or leg, twist, align. These uncontrolled actions can only harm, unless, of course, they are not performed by a doctor who is able to assess the situation in the “field” conditions.Everyone remembers that in case of a fracture, it is necessary to apply a splint, or rather, to create rest for the damaged organ. This does not mean at all that you need to look for a fixing stick, it is enough to tie the injured leg to the healthy one, for example, with a scarf, and the hand to the chest. But all this must be done very carefully so that the person does not writhe in pain.

We must not forget that while the victim was being helped, all this time he was lying in the snow. Therefore, if there is damage allowing, he needs to be helped to move to a warm room, or move him to some kind of blanket to isolate him from the cold ground.To relieve pain, you can take any pain reliever (Nurofen, Ketanov).

( How to recognize frostbite in a victim, find out here )

If the injury is not severe and you know for sure that it is not a fracture, then before going to the doctor you need to help yourself – the leg must be provided with rest. Rest for the leg means bed rest.

Cold is a very simple effective remedy in the first 2-3 days after injury, it relieves pain, swelling, restores blood circulation in the damaged area.Take out of the refrigerator whatever you find in it – wrap the frozen meat or vegetables in plastic, then in a towel and put it in the place of the injury. Hold – without fanaticism: no longer than 20-30 minutes, then a break for two hours and again – cold. If a hematoma (bruise) has formed, use Troxevasin gel to dissolve them.

However, if the leg (arm) is deformed, or it hurts to move, it is very cold and very painful, and the independent attempts of self-help listed above do not bring relief within 5-6 hours, then you need to seek specialized help.Otherwise, everything can end in tears – if it is a fracture, then an incorrect fusion awaits you, and the worst thing is the loss of the function of an arm or leg. And if sensitivity is lost, then their loss is possible. That is, the consequences can be very different: from a situation when “it passed by itself” to a lethal outcome.

( For all addresses and phone numbers of St. Petersburg emergency centers see here )

Fall with an emphasis on the arm

This falls when in flight a person manages to put his hand forward and bend forward brush.In such cases, so-called “extensor” fractures or forearm injuries in the lower third often occur. If it is a fracture, then the hand quickly and strongly swells, mainly from the outside of the wrist. On its back side, a bayonet-like deformation is visible, it is painful to move the joint, and often impossible. Of course, in such a situation, you should immediately call an ambulance or get to the emergency room on your own, if possible.

First aid consists of pain relief and correct fixation.It is necessary to immobilize the wrist joint and fingers. If there is no tablet at hand, a thin hardcover book will do. It should be applied from the side of the palm and bandaged (secured with a scarf or kerchief) to the tire. Hang it with a kerchief or scarf to the neck so that the arm at the elbow is bent at an angle of 90 degrees.

Falling on a straightened arm can damage not only the hand, but also the shoulder, elbow joint. Injuries can be different: contusion, sprain, tendon rupture, dislocation.

With injury of the shoulder joint and shoulder , an outpouring of blood into the joint cavity (hemarthrosis) occurs. Bruising and hemarthrosis are accompanied by severe pain, especially when the joint is moved and felt. In the area of ​​the joints, swelling forms, their contours become smooth, sometimes a bruise is visible under the skin.

The result of a fall can be rupture of the large deltoid muscle (it takes the arm to the side). This injury can be identified by soft tissue edema, hemorrhage of the lateral surface of the shoulder.And also because of severe pain when feeling the joint or when trying to move the shoulder, take it to the side. First aid for such injuries is immobilization (hanging a hand on the neck on a kerchief), taking an anesthetic, ice to the muscle. In no case should you do anything else – this injury is difficult to distinguish from a fracture, so an urgent need to consult a doctor.

With stretching of the ligaments and muscles of the shoulder joint, pain occurs mainly when moving in a certain direction.When a tendon ruptures, the shoulder area hurts from tension, for example, when lifting even light weights. Pain in these cases can be relieved by using pain relievers and cold (ice) compresses.

Trauma of the elderly

The most typical and very dangerous trauma for the elderly is a fracture of the proximal femoral neck. So if you see that an elderly woman has slipped, fell and cannot get up, do not pass by. If she complains of pain in the ankle area is one story, osteoporosis in the elderly leads to fragile bones that break easily.The victim must at least be dragged to the wall, if there is no way to bring it into the room, and call an ambulance. When the pain is concentrated in the hip area, you should not even move it (if it did not happen on the roadway) – urgently call an ambulance.

Fall to the fifth point

Fractures or injuries of the coccyx are accompanied by damage to the so-called ischial tubercles. If a man or woman of an unborn age has suffered from a fall, then no specific treatment is required.The doctor will prescribe bed rest and medication. If a woman has to give birth, and the tailbone was deformed during the fall, then big problems are possible, it must be adjusted, seriously treated.

It is very dangerous if, after a fall, pain appears not in the coccyx, but higher – in the lower back or cervical spine (it also manifests itself in headaches, and not just pain in the neck). This suggests that the person received not direct, but indirect trauma. The consequences can be very different – from the acute development of a hernia to a vertebral fracture.In case of pain in the spine after a fall, you should urgently seek help from a traumatologist. Based on the results of the examination, he will either prescribe the necessary treatment or refer him to another specialist. Diagnostics is prescribed after examination: X-ray, CT, MRI.

Falling and hitting the head on the ice

If after an unsuccessful fall, loss of consciousness, nausea, vomiting, headache is observed, bed rest and a mandatory visit to a doctor are required. But even if there are no such symptoms, and the person after the fall does not remember how he fell, or who lifted him, this is the first sign of a concussion, you must also consult a doctor.The principles of first aid for concussion were formed by Hippocrates. It is cold, hunger and calm plus symptomatic treatment.

With any injury, the main thing is not to panic and remember that the worst that could happen is behind us. Ahead – the process of recovery. Even if you did not plan it for the near future …

How not to become a victim of ice

1. Train to fall. If you feel that you have slipped and cannot keep your balance, pull your head into your shoulders, press your elbows to your sides, straighten your back, bend your legs slightly.Since you are falling, then try to fall on your side, without putting your straight arms forward.

Falling on your back? Press your chin to your chest, and spread your arms wider so that they serve as a shock absorber when you fall.

If you slip on the stairs and fly down, take care of your face and head, if possible, group up.

Of course, remembering these tips when you are already falling is difficult. Maybe you should practice? Our utilities are unlikely to work better in the coming years, so no one is safe from falling.

2. Drunk people fall more often. Do not believe those who say that someone is laying a straw underneath the place of the fall drunk. It is not true. Most injuries occur to people who are intoxicated. Therefore, after taking on the chest, stay at home.

3. Resist the laws of physics. You can reduce sliding and fight gravity by following simple rules. Choose shoes with non-slip, preferably grooved soles. Women should give up high heels for this period, and even more so from stilettos.Watch your step. And if there is a slippery road ahead, step on the ground with all your feet.

© Doctor Peter

Why does the shin hurt – Questions from patients

There are several reasons for pain in the lower leg. Some of them are:

The most common causes of acute leg pain are:

• trauma,
• cramp,
• stretching of the musculo-ligamentous apparatus of the lower leg,

90 120 Muscle pain after exercise.

As a rule, in this case, the pain in the lower leg appears immediately or after a short period of time after injury or physical exertion. Typically, this pain goes away within a few hours or days without leaving any serious consequences. If the pain in the lower leg does not subside over time and does not go away within a few days, then it is recommended to contact a general surgeon or traumatologist who will prescribe an optimal examination and treatment plan.

Why do shins hurt with flat feet?

Flat feet are characterized by an irregular anatomical shape of the foot (flattening of its longitudinal and transverse arch).As a result, the foot ceases to function as an effective spring when walking.

As a result, an additional load falls on the musculo-ligamentous apparatus of the lower leg and foot, which are overloaded and quickly get tired while walking. Due to muscle fatigue, painful sensations appear in the lower leg, especially in the anterior muscle group. After a short rest, such pains usually go away quickly. The use of comfortable shoes with shock-absorbing soles or orthopedic insoles greatly relieves painful sensations in the lower legs when walking.

Why does the lower leg hurt with varicose veins?

With varicose veins, blood stasis develops in the vessels. Blood ceases to circulate through the vessels as in a healthy person. Stagnation leads to overstretching of the walls of the venous vessels and edema. These consequences of venous stasis are the cause of pain. The elevated position of the legs or the use of elastic compression means (compression hosiery, elastic bandages) lead to a decrease or complete disappearance of venous stasis and lead to the disappearance of pain.

Also, pain in the lower leg with varicose veins decreases when walking or exercising on an exercise bike (cycling), which is also associated with the stimulation of blood circulation in the veins and a decrease in congestion. They intensify under static loads – prolonged standing or sitting, as well as when lifting weights. If you notice signs of venous stasis in yourself, then you need to consult a specialist in the field of vascular surgery, including phlebology.

How do you know if your lower leg hurts from vein thrombosis?

Vein thrombosis (or venous thrombosis) is of two types – superficial and deep.

Superficial vein thrombosis is manifested by inflammation along the saphenous veins in the form of reddening of the skin and a painful cord in this area. In the case of deep vein thrombosis, outwardly, the disease may not detect itself in any way or manifests itself only by edema of the limb. Both superficial and deep venous thrombosis in the legs is a dangerous situation that requires an urgent appeal to a vascular surgeon.

Venous thrombosis in the legs often develops in people suffering from varicose veins who have undergone surgery, trauma, and also in women taking hormonal contraceptives.

How is pain in the lower leg manifested in obliterating atherosclerosis of the lower extremities?

In diseases of the leg arteries, blood delivery to the leg muscles is impaired. As a result, the muscles cannot work for a long time, as they quickly get tired of the lack of oxygen and nutrients. This is manifested by a feeling of fatigue, pain or cramps in the muscles of the lower leg when walking a certain distance, after which the patient is forced to stop. Within a few minutes of rest, the pain disappears and the patient can resume walking again.Having covered the same distance as the first time, he is forced to stop again. Thus, the walking distances habitual for the patient turn into walking with stops. With a timely appeal to a vascular surgeon, it is possible to reduce or completely eliminate such complaints.

What is the nature of the pain in the leg with arterial thrombosis?

With arterial thrombosis, leg pain is acute and appears suddenly. She, as a rule, is accompanied by a cold snap, and in some cases, numbness of the leg.It is difficult for the patient to stand on his foot and move, the leg may become “wadded” and not obey commands. A condition such as thrombosis of the arteries of the lower extremities requires urgent hospitalization in the department of vascular surgery. Delaying the question of hospitalization can lead to irreversible changes in the leg and the development of gangrene.

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