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Pain down back of leg to knee: Sciatica and Radicular (Nerve Related) Back and Leg Pain


Sciatica and Radicular (Nerve Related) Back and Leg Pain

Do you have lower back or buttock pain that runs down into one thigh or below the knee into the leg? If so, your doctor may diagnose your symptoms as sciatica—a term doctors use to describe compression of the sciatic nerve. Sensations, or unusual feelings may include numbness, tingling, pins and needles, and sometimes pain is described as electric-shock-like. Depending upon the individual nerve that is affected, pain can radiate only into the buttocks or all the way down to the foot. A common cause of sciatica and nerve compression is a lumbar disc herniation or bone spur that presses on a spinal nerve in the low back.

Sciatica pain radiates along the sciatic nerve, usually from the low back, down the buttocks, into the thigh and leg. One hallmark of classic sciatica is the pain and symptoms are felt below the knee and sometimes into the foot and great toe. Usually, sciatica only affects one side of the lower body.

Sciatica symptoms include low back and leg pain that may be described as burning or electric-shock-like. Photo Source: 123RF.com.

Radicular Pain, Radiculopathy

Radicular pain or radiculopathy are other terms your doctor may use when discussing sciatica. A radiculopathy is pain and/or adverse sensation that travel along a nerve. When a spinal nerve root is compressed, pinched or injured, it may become inflamed. Lumbar (low back) conditions that may cause this type of problem are spinal stenosis, foraminal stenosis or herniated disc.

Proper Diagnosis Essential to Treatment

The doctor will ask you about your symptoms, such as:

  • When the pain started
  • Where you feel the pain
  • Activities that reduce or worsen pain and symptoms
  • Whether the pain goes all the way down your leg or stops at the knee
  • Is there weakness or tingling in your legs and/or feet?
  • How severe your pain is, on a scale of 1 to 10 (10 is the worse pain imaginable)

The doctor may perform a straight-leg test to see if you have an inflamed nerve. You lie on your back while the doctor lifts each leg. If lifting a leg causes, or produces sciatic-like pain and sensations, you may have a bulging or ruptured disc.

The doctor may ask you to walk as you normally do, then on your heels and next, your toes. This helps the doctor to check your balance and aspects of lower-body strength. Compression of the nerve can cause muscle weakness in the foot which will be revealed by these tests.

During your exam, your doctor will:

  • Look at your posture and range of motion
  • Note any movement that causes pain
  • Examine the curvature and alignment of your spine
  • Feel for muscle spasm
  • Check your sensation
  • Test your reflexes and muscle strength

Your doctor may order a plain x-ray, CT scan or MRI. The CT scan or MRI provides the doctor with many snapshots of your spine, and can help confirm a suspected diagnosis. The findings of an imaging test are compared to the information the doctor gathers during the taking of your medical history, and physical and neurological examination results. An accurate diagnosis is one of the first steps in determining the best treatment options.

What Else Could it Be?

Only your doctor can tell for sure if your symptoms are sciatica. There are many other structures in the spine that can cause similar types of pain. For instance, the joint between the pelvic and sacrum (sacroiliac joint, or SI joint), the lowest part of the spine can cause pain in the buttock. You may also feel sciatica-like pain if you sprain a low back facet joint, which are the connecting joints in the back part of the spine. A tear in a disc can cause pain down into the leg. The hip joint can occasionally cause pain in the thigh.

Sciatica Treatment

Sciatica usually can be treated non-surgically with brief (24 to 48 hours) bed rest and pain relievers such as ibuprofen or acetaminophen. In some cases, the doctor may prescribe medication that relieves nerve pain, such as gabapentin. Oral steroids are a good medication to calm down nerve pain. In most cases, patients with sciatica feel better over time, usually within a few weeks. If pain persists, injections might be discussed.

Muscle spasms, which may accompany sciatic symptoms, may be treated with heat or cold. Your doctor may tell you to take short walks, and may prescribe physical therapy. Once you recover, your doctor may give you exercises to strengthen your back.

Is Your Leg Pain Sciatica or Something Else? – Cleveland Clinic

Sciatica. You’ve heard other people talk about this weird leg pain — and now, joy, you’ve got mystery leg pain of your own. Is it sciatica? Spine expert Santhosh Thomas, DO, MBA explains what it is, how to tell if you have it — and how to get relief.

Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy

What is sciatica?

Sciatica is leg pain caused by a pinched nerve. And not just any nerve: Sciatica affects the sciatic nerve, the longest, widest nerve in your body. (In other words, it’s important — and when it’s hurting, it’s hard to miss.)

Nerves come out from your spine and sacrum (your tailbone) and supply strength, sensation and contribute to reflexes that are checked in the doctor’s office. These small nerves exit the spine and form the sciatic nerve, which branches out from each side of your tailbone. They come together, then split again into two large segments that run through your backside and down each leg. They bring movement and sensation to your hips, buttocks and legs.

Sciatica rears its ugly head when something compresses the nerve. That pinch results in pain (and sometimes weakness) up and down the leg, usually just on one side.

“People describe it in all sorts of ways — burning, tingling, numbness, radiating pain or electric shock sensations,” Dr. Thomas says. “Those sensations can come right out of the blue.

The pain can be severe and might even make it hard to walk or stand.

Causes of sciatica

A variety of problems can put the squeeze on your sciatic
nerve. Some of the more common culprits include:

  • Herniated (slipped) discs between the vertebrae pressing on the sciatic nerve.
  • Spinal stenosis, or narrowing of the spinal canal.
  • Spondylolisthesis, when one of the vertebrae slips out of place.
  • Piriformis syndrome, which occurs when the piriformis muscle deep in the derriere becomes tight or starts having spasms.
  • Pregnancy, which can put pressure on the sciatic nerve — especially during the third trimester.

Sciatica symptoms — or something else?

Sciatica isn’t the only reason for pain in the legs, of
course. Other conditions can mimic sciatica:

  • Vascular disease: Narrowing of the blood
    vessels in the legs can cause pain and cramps and might make it hard to walk.
  • Peripheral neuropathy: Small nerves in
    the legs can become damaged, causing burning, pain, tingling or numbness in the
    foot or lower leg. This type of nerve damage is often related to diabetes,
    alcohol use disorder or other medical conditions.
  • Peroneal neuropathy: An injury to the peroneal nerve below the knee can cause weakness and make it hard to lift the foot.

How can you tell if you’re dealing with sciatica or
something else? Sciatica tends to affect the length of the leg, not just the
foot. And most often, that pain radiates downward from top to bottom, Dr.
Thomas says.

Another clue: Sciatica usually strikes just one side. “If you have pain in both legs, it is less likely a disc herniation, but more likely due to degenerative changes like spinal stenosis,” he says.

Sciatica treatment

If you suspect you have sciatica, should you drop everything
and run (er, limp) to the doctor’s office? It’s usually not an emergency, Dr.
Thomas says. But it’s a good idea to get a physical exam to find out what’s
going on.

If you have weakness in the leg, or bowel and bladder
problems, get checked out soon, he adds. Those symptoms could indicate a more
serious problem that could lead to permanent nerve damage if you don’t get
prompt treatment. 

Sciatica usually goes away in time and without serious
complications — though it might take a few weeks or months, Dr. Thomas says. While
you wait (impatiently), there are several ways to manage the pain:

  1. Oral medications: Anti-inflammatories, prescription pain medications, steroids and muscle relaxants can all be used to relieve pain and improve mobility in people with sciatica. “The right medicine depends on your symptoms,” Dr. Thomas says.
  2. Physical therapy: Stretching exercises and other physical therapy maneuvers can ease pressure on the pinched sciatic nerve.
  3. Spinal injections: Injecting anti-inflammatory medications and anesthetics into the spine can calm swelling and help you move more easily.
  4. Surgery: When people don’t respond to other treatments or have serious problems like loss of bladder control, surgery might be necessary to repair the spine problems. But that’s a worst-case scenario, says Dr. Thomas. “We can treat nearly 90% of people without surgery.”

Now sciatica isn’t such a mystery. It’s still no fun, but at
least you know what you’re dealing with — and relief is in sight.

Does Sciatica Cause Knee Pain?

Knee pain that cannot be traced back to a physical injury may be caused by a problem in your lower back. The muscles around your knees are powered by nerves that originate in your lower spine. Irritation or compression of these nerves at their spinal origin causes symptoms, commonly known as sciatica, which may include knee pain and/or weakness.

Sciatica Causes and Symptoms Video


Sciatica is nerve pain that originates in the lower back and radiates down the buttock to the thigh and leg on one side. Watch: Sciatica Overview Video

Read on to learn about how knee pain may feel in sciatica as well as common examples of lower back and other conditions that mimic sciatica pain in the knee.

Knee pain may be a symptom of sciatica

Common knee symptoms that you may experience when you have sciatica include:

  • A warm sensation, sharp pain, or dull ache in the front, side, and/or back of the knee
  • Inability to bear weight on the knee
  • Buckling/giving out of the knee
  • Weakness while extending the knee (attempting to straighten your leg)

When knee pain is a part of your sciatica symptoms, you may also experience pain in your buttock, thigh, calf, and/or foot. The pain will almost always affect one leg at a time, so knee pain in sciatica typically does not affect both knees together.

Read more about Sciatica Symptoms


Sciatica is commonly caused by a medical condition that affects your lower back. These underlying conditions may affect your spinal discs, nerve roots, joints, or soft tissues, such as muscles.

L4 radiculopathy

If you have sciatica, a likely cause of your knee symptoms may be compression of the L4 spinal nerve root (L4 radiculopathy).1 Common causes for the compression of this nerve root are a herniated disc or spinal stenosis in your lower back.

When the L4 nerve root is affected, you may also experience pain in your thigh and calf.

See All About the L4-L5 Spinal Segment

Tight hamstrings

Another possible cause for knee pain due to sciatica is tightness in your hamstrings, the group of muscles located at the back of your thigh. When your hamstrings are tight, the stability in your lower back is decreased, the normal curvature of your lower spine is altered, and stresses build up within your spinal joints.2

These changes may cause lower back pain and stiffness, with radiating pain from your lower back into your knee and leg. 3

See Hamstring Stretching Exercises for Sciatica Pain Relief

If your knee pain is caused due to sciatica, your doctor will typically focus on treating the underlying cause. Sciatica symptoms are commonly treated with self-care and medical management. Medical treatments commonly include pain-relieving medications, guided physical therapy and exercise programs, and/or epidural steroid injections.

Read more about Sciatica Treatment

Knee pain that may mimic sciatica

It is possible that your knee pain may originate due to a nerve or joint injury other than the typical causes of sciatica, but may feel like sciatic nerve pain. Two common examples are discussed below.

L3 radiculopathy

A lumbar herniated disc or lumbar spinal stenosis that causes compression of the L3 nerve root in your mid-back region may cause knee pain and weakness. You may also experience pain in the front of your thigh, side of your hip, and the groin region. 4

See All About the L3-L4 Spinal Segment


Patellofemoral stress syndrome

A sharp, burning sensation around the edges of your kneecap may be due to patellofemoral stress syndrome (runner’s knee), a condition where the kneecap (patella) abnormally rubs on the end of the thigh bone (femur).

While this condition typically does not cause pain in other regions, such as the thigh or calf, the hot, burning sensation in the knee along with the resulting weakness may be mistaken for sciatica.

Read more about Runner’s Knee on Sports-health.com

If your knee pain does not subside with self-care, affects your activities of daily living, or worsens over time, consult a doctor for a diagnostic workup. Several back problems that cause sciatica may also result in knee pain, so be sure to mention all your symptoms to your doctor, which will help pinpoint the origin of the underlying cause.

Learn more:

Is My Pain Sciatica or Something Else?

Types of Sciatic Nerve Pain


  • 1. Dydyk AM, M Das J. Radicular Back Pain. [Updated 2019 Nov 14]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK546593/
  • 2.Jandre Reis FJ, Macedo AR. Influence of Hamstring Tightness in Pelvic, Lumbar and Trunk Range of Motion in Low Back Pain and Asymptomatic Volunteers during Forward Bending. Asian Spine J. 2015;9(4):535–540. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4522442/
  • 3.Jeong UC, Kim CY, Park YH, Hwang-Bo G, Nam CW. The effects of self-mobilization techniques for the sciatic nerves on physical functions and health of low back pain patients with lower limb radiating pain. J Phys Ther Sci. 2016;28(1):46–50. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755972/
  • 4.Hirabayashi H, Takahashi J, Hashidate H, et al. Characteristics of L3 nerve root radiculopathy. Surgical Neurology. 2009;72(1):36-40. Available from: https://www.ncbi.nlm.nih.gov/pubmed/19150111

How to Know If Your Knee Pain Comes From Your Spine

Many people assume knee pain is always caused by a problem in the knee joints. However, that is not necessarily the case. If you’re suffering knee pain or discomfort, there is a possibility that a problem with your spine is the cause. 

So how do you know if your knee pain comes from your spine? The muscles around your knees are connected to the nerves in your lower spine so if these nerves are irritated or compressed, your knees may be affected by symptoms such as intermittent back pain, hamstring tightness, weakness in the hips or quads, and the development of bunions on your feet. 

4 Signs Your Knee Pain Comes From Your Spine

Unless you have suffered a traumatic injury to your knees, the knee pain you feel is not an inflammation or a problem with your joints. Most likely, the discomfort in your knees is a symptom of the underlying cause and there’s a good chance your spine is the real culprit.

Here are four signs that can help you determine if your knee pain is a sign of a spinal condition: 

1. Your knee pain is accompanied by back pain.


Knee pain accompanied by back pain is the easiest symptom to identify which suggests the deeper problem is with the spine. Even if the back pain is mild or simply feels like some tension and tightness, it should not be disregarded because these signs are both related.

Think back if you’ve experienced mild back and knee discomfort at the same time, especially if you tend to spend your day sitting down. Sitting shortens the height of the discs along your spine and increases the disc bulge by pushing water out. The pressure on these discs is lowered when you’re sitting compared to when you’re standing. If you’re sitting a lot during the day but have knee and back pains, your spine may be the problem. 

Your knees and back are connected by the spinal cord through a nerve branch that controls the lower extremities. If your spine has a pinched nerve or a bulging lumbar disc, the lower back where the nerve branch is located can redirect the pain to the knees. For some people, this is the reason why they only notice the discomfort in the knee but not in the back.  

If you’re experiencing acute or chronic knee pain, make a mental scan of your body for discomfort in other areas — even if it seems completely unrelated. Let your physician know about these other aches so they can make a fully informed diagnosis. 

2. You have tightness in your hamstrings. 

When you are getting ready to exercise and begin to stretch your hamstrings, do you notice if there is a tightness to it that won’t go away despite frequent stretching? If so, this is one of the first signs in the lower extremities which suggest there is a nerve issue in your back causing knee pain. 

The hamstrings are a group of muscles located in the back of your thighs. When these muscles are tight, the stability of your lower back is decreased. Stress builds up in the spinal joints and the normal curvature of your lower spine alters itself to adjust to the need. These changes cause lower back pain and stiffness to radiate down the knee and leg. As you move around with tight hamstrings, your knees are unable to function properly and may be damaged.  

Hamstring tightness is also linked to a lumbar problem. The L5 nerve travels from the lumbar spine and connects through the outer hamstring muscle to power the biceps femoris. If this nerve is irritated or damaged, the hamstrings will become inflamed or even painful. Your knees will have to adjust when in motion to compensate for the strained hamstring. 

After a few weeks of hamstring tightness, the meniscus cartilage in each knee joint will suffer. Your body will mobilize its stem cells to repair the damage but because the trauma is ongoing, the swelling will remain until the root problem is addressed. 

3. Your hips or quadriceps feel weak. 

Your quads are a group of muscles located at the front of your thigh. The three vastus muscles and rectus femoris make your thighs, one of the most powerful parts of the body, as they allow you to extend your knees and move your hips. 

On the other hand, each hip is a ball-and-socket joint responsible for bearing most of your body’s weight. The hips have many ligament attachments for stability and muscular attachments to help control the motion of your leg and knee joints. The rectus femoris muscle crosses over from the quads and connects to the hip so if a problem occurs with the quad muscles, your hips will be affected. 

Now, the parts of the human body are connected like a chain. Even if you didn’t experience an injury or a major trauma to your hips and quadriceps, you may suddenly feel like you’re unable to move them at full strength. This is a condition that may be caused by a spinal problem since the nerves that control the motor functions of the quads are located between the vertebrae of the lumbar spine. 

If those nerves become irritated or get pinched by the vertebrae, the movement of your hips and quads will be affected. Weakness in these areas will cause the knee joints to work harder and wear out faster, which explains the knee pain you might be feeling. 

4. You have bunions forming on your feet.


It may be surprising to hear that bunions on your feet and your spine can affect each other. You may be wondering how these two can be connected and how they have an impact on your knees. 

Bunions or bone spurs may grow on your feet if you have a back problem. The L5 and S1 spinal nerves travel to the muscles stabilizing inside and outside of your feet. If these nerves become injured, the muscles will be weakened and unable to perform effectively. You wouldn’t be able to walk, run, or stand as you normally would. 

Once this happens, your feet will roll towards the inside and the arches will flatten out to support your weight with the inner edge of your feet. Foot pronation occurs when the main tendon continues to stay misaligned and keeps the joint of the big toes tilted unnaturally, creating pressure in the joint where bunions can form. 

The strain of moving this way tends to cause back pain. When the back and feet areas are weakened, the knee joints have to work harder and wear out faster, causing knee pain.  

Sciatic Nerve: How Your Spine and Knees are Connected 

Your knee and your spine are more connected than you’d expect. Unless you had a major knee injury like ACL, knee pain and associated symptoms are often caused by problems in the nerves that link the spine to the lower extremities. Issues with the nerves housed in your lower back can greatly impact how your muscles work. 

Problems commonly occur with the sciatic nerve, the longest and largest nerve in the body. It is a critical nerve that extends from your lower back all the way to your toes, travelling through the back of your knees. The sciatic nerve is linked to the muscles in these areas so any pressure applied to it can affect the lower half of your body. 

How does the sciatic nerve affect the knee? 

As you grow older (or get injured), the vertebrae discs protecting your spine may degenerate or bulge out, pressing on the nerves and irritating them. The sciatic nerve roots located in your lower back transmit pain sensations depending on which disc is protruding.  

If the pinched nerve is at the second, third, or fourth lumbar vertebrae, referred pain will be received by the knee. Referred pain is a phenomenon where discomfort is felt at a location other than where the cause is situated as a result of pain signals being sent along interconnected sensory nerves. 

How would sciatica feel? 

Sciatica is the condition that occurs when this nerve is compressed or irritated. It often begins as back pain that “shoots” discomfort down to your leg and knee. This may also cause the discomfort to radiate down the hips, the outer side of the leg, and the other body parts connected to these areas. 

Low-level nerve irritation may not always be felt as back or leg pain, however. The pinched nerves can also cause your muscles to misfire and destroy the protection your knee joints need, triggering discomfort. The pain may also manifest as tingling or numbness in the legs and feet. Although sciatica is common and treatable, it can be quite debilitating in severe cases.  

How can I know if I have sciatica?

Sciatica is linked to certain conditions including pregnancy, osteoarthritis, degenerative disc disease, and herniated or bulging discs. Doctors who suspect their patients have sciatica may ask their patients to perform some exercises or undergo x-rays and similar tests. 

Physicians will also ask questions several questions including:

  • Where do you feel discomfort?
  • What is the pain like?
  • How often are you uncomfortable?
  • How long does the pain last?
  • What triggers the discomfort and what helps it go away?
  • Do you sit for a long period of time?
  • Do you do any lifting or strenuous physical activities for your job?
  • Do you have an active lifestyle?

Treatment Tips You Can Follow To Manage Knee Pain

Depending on your physician’s diagnosis, they can create a specific treatment plan which will address the root cause of your problem and help you relieve knee pain. Surgery is often not the first option a specialist will propose for your treatment. 

You can expect your doctor to recommend physical therapy, postural correction, and self-care to help you heal. Here are a few treatment tips you can follow to help you care for your body: 

  • Physical therapy: In many conservative treatment plans, physical therapy is favored especially if the pain is severe and requires long-term treatment measures. Your physical therapist can teach you exercises and strategies to safely get rid of knee pain, prepare you for future flare-ups, and improve your overall condition so you can resume normal activities. Hot and cold therapy or anti-inflammatory medication may also be combined with physical therapy to reduce swelling.
  • Postural correction: Maintaining a good posture will keep your back, hips, knees, and feet perfectly aligned. A good posture keeps the pressure off your lower back and helps stabilize the rest of the lower body. Learning proper body mechanics, using safe lifting techniques, and keeping your posture upright will prevent the symptoms from worsening. 
  • Self-care: Your body will benefit from important self-care habits such as maintaining a healthy weight, performing exercises and stretches which can strengthen your back muscles, and having plenty of rest. You will find it easier to manage the pain if you are taking proper care of yourself. 

Consult With The Spine & Rehab Group 

Having a healthy body is key to living a full and active life. At the Spine & Rehab Group, we are committed to helping our patients recover from uncomfortable conditions or injuries that are holding them back. 

The Spine & Rehab Group is composed of top-rated, board-certified physicians serving in seven convenient locations around New York. With over 15 years of experience, we are well-trained in non-surgical approaches that bring our patients back to full health. Contact us to schedule an appointment. 

Sciatica – Knee – Conditions – Musculoskeletal – What We Treat

What is sciatica of the knee?

The sciatic nerve runs from the back of the pelvis and ends at the feet. If the nerve becomes damaged and causes pain in the knee area, this is known as sciatica of the knee. Sciatica of the knee can be acute (less than six weeks) or chronic (more than six weeks). Physiotherapy should be used to treat sciatica of the knee.

Above: Therapist performing knee assessment

How does sciatica of the knee happen?

There are a number of possible causes of sciatica of the knee. A prolapsed disc is a common cause of sciatica of the knee. The material that makes up the vertebral disc can leak out and irritate the sciatic nerve causing pain that can extend as far down as the knee. Other causes of sciatica of the knee include:

  • Spinal stenosis
  • Trauma to the spine
  • Malignancy
  • Infection
  • Bone diseases

What are the symptoms of sciatica of the knee?

The main symptom of sciatica is pain that originates in the lumbar spine (lower back) and is referred to areas along the course of the sciatic nerve including the knee. You may also experience it in the buttocks, back of the thigh, calves and feet depending on the severity of the injury. Other symptoms include:

What should I do if I have sciatica of the knee?

If you notice symptoms of sciatica of the knee, you should obtain a professional opinion as soon as possible. This may involve having several tests including X-rays and MRI or CT scans. This will provide a more accurate diagnosis of your condition. Physiotherapy is an important part of your rehabilitation programme for sciatica of the knee.

What shouldn’t I do if I have sciatica of the knee?

You should avoid any activities that aggravate your symptoms. Do not ignore symptoms of sciatica of the knee as this may make your condition worse and delay your recovery.

Above: Knee stability exercises supervised by specialist MSK physiotherapist

Physiotherapy treatment for sciatica of the knee.

Physiotherapy is very effective in reducing symptoms of sciatica of the knee. Your physiotherapist will devise a programme that is tailored to your personal needs and goals. Possible treatments will include:

To arrange a physiotherapy assessment call Physio.co.uk on 0330 088 7800 or book online.

Are there any long-term complications of sciatica of the knee?

Surgery may be advised to patients who have chronic sciatica although this approach is very rare. Most cases of sciatica of the knee can be resolved with an appropriate graduate physiotherapy programme although the length of this will depend on the severity of the sciatica.

The Reason Behind Knee Pain Could Be Sciatica

Knee pain is often caused by lower back pain, especially when not from an injury. The nerves that start in the lower back control muscles around your knees. Thus, the reason back problems can be the reason behind knee pain.

Sciatica is compression or irritation to these nerves. This irritation starts at the origin of the nerve. Pain then travels down the nerve. As a result, you may experience knee pain.

Knee pain is a common symptom of sciatica. Symptoms are felt in the front, back, or side of the knee. For instance, you may experience the following 5 symptoms:

  1. A dull ache around the knee
  2. Buckling of the knee
  3. A warm sensation around the knee
  4. Sharp pain around the knee
  5. Weakness when extending the knee

In addition to knee pain, you can also feel it in the thigh, calf, buttocks, or foot. However, it will likely occur mostly in one leg at a time. Both knees will not be affected at once.

Sciatica develops as a result of a medical condition. Specifically, a condition that affects your lower back, such as a herniated disc. Then the condition irritates one of the following parts of your lower back:

  • Discs
  • Nerves
  • Joints
  • Tissues
  • Muscles

Common Conditions That Cause Sciatica

Conditions that are known to cause sciatica include:

L4 radiculopathy: 

The compression of the L4 spinal nerve root causes sciatica. A herniated disc or spinal stenosis contributes to this. You may also get pain in your thigh and calf.

Tight hamstring:

These are the muscles at the back of the thigh. When muscles are tight, back stability is reduced. Therefore, the curvature is altered. This increases back stress and causes sciatica. Pain can then radiate to the knee.

L3 radiculopathy: 

A herniated lumbar disc causes L3 nerve compression. This part of the spine is in the lower back. This can cause pain in the knee as well as weakness. Pain can also be felt in the groin, hip, and thigh.

Patellofemoral stress syndrome: 

This is a condition where the kneecap rubs the thigh bone. This is also known as runner’s knee. You will feel a burning sensation at the edge of the kneecap. The pain will not be felt elsewhere in the leg. But, it is often mistaken for sciatica pain.

Treatment of Knee Pain Caused By Sciatica

If knee pain is caused by sciatica, treatment is required. This is accomplished by focusing on the underlying cause. And symptoms can be treated with self-care or medications. You can also relieve pain through physical therapy and exercise. In some cases, epidural steroids are injected.

In most cases, knee pain should subside with self-care. You can also try medical management and altering activities. However, if it continues or worsens, you need to see your doctor. Additionally, you want to cease activities that cause your pain level to increase.

Back problems commonly cause sciatica. And, sciatica is a common reason behind knee pain. Make sure you mention all symptoms to your doctor. So, he/she will be able to effectively diagnose. Furthermore, with regular exercise, you can prevent back injury and sciatica.

If you continue to experiencing knee pain or sciatica, call us at 888-409-8006. Our joint specialists can help. Offices are located throughout South Florida!

Sciatic Nerve Pain

What is Sciatic Nerve Pain?

Often, when a person complains of hip and back pain, the most common diagnosis is sciatica. The quick answer is Sciatica or the inflammation of the sciatic nerve is actually a very specific source of pain. The sciatic nerve’s origin and path starts just at the top of the gluteal muscle in the L4 and L5 vertebrae. When inflammation occurs in this area, it can compress the sciatic nerve and send a radiating pain down the back of the leg, typically ending at the back of the knee but also radiating down to the calf.

What Causes of Sciatic Nerve pain?

Sciatica is always caused by inflammation around the sciatic nerve. The source of this inflammation maybe low back pain which can include a bulge in the L4 or L5 vertebra, commonly called a pinched nerve in the lower back.  Inflammation of portions of the hips and glutes can also cause sciatic pain, but because the sciatic nerve is deep, the inflammation is typically also in a deep rather than superficial part of the anatomy.

Image of Sciatic Nerve Pain

Contraindications and Treatment

Lower back and hip pain may increase with forward bending or flexion of the hip joint. You may know you have sciatica because the pain radiates down the leg when you bend over. For this reason, sciatica often treated with gentle back bends and mild external rotation of the hip. If you suffer from bad sciatic pain, you may even consider sleeping with the affected leg in the butterfly position.

If sciatica is caused by a bulging disc in the lumbar spine, it will be critical to work with a doctor to know when motion can be reintroduced to this area of the body. Forward bending is contraindicated for any lumbar bulge. Training to properly engage the muscles of the core will be very important in healing this injury. Strengthening, lower back stretches, exercises for the hips, stretching the hamstrings may help restore the spine’s natural curvature and function to help reduce sciatica pain. Exercises for hip pain and stretches for sciatic nerve pain must be performed gently at first to avoid irritating lower back structures.  To learn more about sciatic nerve stretches, go to this ARTICLE.  Here is one example of a stretch which can help!

Piriformis Stretch for Sciatic Nerve Pain

How do you Treat Sciatic Nerve Pain?

Massage therapy can help relax the muscles in the back it can and loosen some of the muscles that are affected by the sciatic nerve. It helps circulation in the back, and if you suffer from chronic sciatic discomfort, massage therapy is a good way to help prevention of sciatic nerve pain.

Physical therapy can include a variety of modalities that include massage, electrotherapies, heat or ice and exercises. Physical therapy is intended to help reduce pain, inflammation and muscle spasms. Physical therapy also consists of education and training to learn about correct movements and postures that can best help you and your sciatic nerve pain.

Location of the Sciatic Nerve

Support and posture is very important for treating sciatic nerve pain. Sitting on hard or uneven surfaces can aggravate the sciatic nerve therefore, making sure there is good support and posture for your low back can help. If you sit at a desk for long periods, make sure you have a chair that tilts and shifts your weight can reduce stress on the lower back creating less pressure and pain. Sleeping with side bent knees can also help align posture while you are sleeping.

JOI Doctors are currently offering ASAP fracture and soft tissue injury care.  For an appointment with a JOI Orthopedic Spine Specialist, please call 904-JOI-2000, schedule online or click below. 

By: Ehren Allen, PT, Certified Manual Therapist


Friends, great health to everyone! In this publication, I analyzed the muscles of the back of the thigh, or, as they are also called, the flexor muscles of the lower leg, which, being affected by trigger points, can cause pain in the lower part of the buttock, back of the thigh, knee joint and even the lower leg. As usual, we will first talk about anatomy, functions and trigger points, and in the second part of the video we will analyze therapeutic exercises that can help you to remove pain at home and restore the health of muscles and fascia.

Who loves video content more –


Who likes to read more – the text with illustrations below.

Muscles of the back of the thigh: anatomy

The group of muscles – flexors that make up the back of the thigh includes 3 muscles: semitendinosus and semimembranosus, which are located closer to the inner surface of the thigh and the biceps femoris, which consists of two heads (short and long ) and is closer to the outer surface of the thigh.

Above, the semitendinosus muscle, lying above the semimembranosus, attaches to the tuberosity of the ischium, and below its tendon attaches to the tuberosity of the tibia, and part of the bundles is woven into the fascia of the leg. By the way, this tendon is easy to feel in the bent position of the leg at the knee joint and contracted muscles, closer to the inner thigh next to the knee.

The semimembranosus muscle, lying under the semitendinosus, is attached at the top to the tuberosity of the ischium, and at the bottom to the posterior inner surface of the medial condyle of the tibia.

The long head of the biceps femoris at the top is attached to the tuberosity of the ischium. The short head, lying under the long head, is attached at the top to the lateral lip of the rough line of the femur. At the bottom, both heads of the biceps femoris are combined into a common tendon and attached to the posterolateral surface of the fibular head. This tendon can also be easily felt closer to the lateral surface of the lower leg near the knee joint by bending the leg at the knee and tensing the muscles.

Muscles of the back of the thigh: functions

All three muscles are involved in the extension of the hip at the hip joint

and in the flexion of the leg at the knee joint.

All three muscles with a fixed lower limb, together with the gluteus maximus muscle, extend the trunk in the hip joint.

The semitendinosus and semimembranosus muscle with the knee bent rotate the lower leg inward.

The biceps femoris with bent knee rotates the lower leg outward.

All three muscles restrict the flexion of the leg in the hip joint, which occurs under the influence of body weight during the phase of placing the foot during walking.

Trigger points of the muscles of the posterior surface of the thigh

Trigger points located in the semitendinosus, semimembranosus muscles and biceps femoris cause extensive characteristic pain from the gluteal fold region, going down the posterior and posterior inner surface of the thigh, knee and lower leg.

Trigger points located in the semitendinosus and semimembranosus muscles reflect pain in the gluteal fold, in the area of ​​the posterior-inner surface of the thigh and knee, in some cases going even lower to the lower leg area.

Trigger points localized in both heads of the biceps femoris, cause pain, which from below captures the area of ​​the posterior and posterior external surfaces of the knee joint and the upper part of the lower leg, and from above extends to the posterior surface of the thigh to the area of ​​the gluteal fold.

Myofascial pain syndrome caused by damage to the flexor muscles of the lower leg has been described, including in children. These muscles ranked fourth in the frequency of occurrence of trigger points in 85 children under study with myofascial trigger points.(Bates T, Grunwaldt E: Myofascial pain in childhood. J Pediatr 53: 198-209, 1958.)

Trigger points in the flexor muscles of the lower leg cause pain that increases while sitting and walking, which may be accompanied by lameness, as well as often disturb sleep.

The onset of pain or its prolonged existence can cause acute or recurring overload, muscle injuries as a result of compression of the lower thigh, for example, by the high front edge of a chair seat. In addition to overloading, overstretching of these muscles can also lead to problems, for example, when hitting the ball in football or when mastering the longitudinal split.

When sitting, pain can occur in the buttocks, upper hamstrings, and back of the knee. Pain can also occur or worsen when getting out of a chair, especially after prolonged cross-legged sitting.

An effective way to eliminate such pain is to use a special footrest, which not only prevents prolonged shortening of the calf and soleus muscles of the lower leg, but also raises the hips, which is especially important for children and stunted people when sitting on a chair or chair feet do not reach the floor.When using such a support, it is important to observe the angle of flexion in the knee and ankle joints. Do not put your foot too close to the chair and rest your heels on the floor.

It is necessary to put the foot in a neutral position on a support, the angle of flexion in the knee joint must be greater than 90 degrees, i.e. stupid.

The legs should be in a position in which you can freely move your hand between the thigh and the front edge of the seat, which is evidence of the absence of compression of the muscles of the back of the thigh.

A particular urgent problem concerning children is rigid school chairs, which have standard sizes and are not adapted to different heights of schoolchildren.

As I said earlier, in children, the flexor muscles of the lower leg are in fourth place in terms of the frequency of myofascial trigger points. Parents, pay close attention to how your children are sitting at home and at school, this is very important for maintaining their health.

Shortening of the muscles of the back of the thigh leads to an overload of the quadriceps muscle of the thigh, as a result of which trigger points can also form in it, causing a characteristic pain picture.I have already recorded a video about the quadriceps muscle of the thigh, you can watch it below.

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Because the muscles of the posterior surface of the thigh are part of the superficial posterior line described by Thomas Myers and form a single functional chain, which also includes the plantar fascia and the muscles of the foot, the gastrocnemius muscle, the sacroiliac ligament, the sacro-lumbar fascia and the muscle that straightens the spine, the suboccipital group muscles, supracranial aponeurosis and fascia of the skull, then their persistent shortening will inevitably provoke problems and pain symptoms in the foot, lower leg, muscles along the spine, neck and even the head.

The flexor muscles of the lower leg affected by the trigger points lead to a significant limitation of mobility when lifting the straightened leg. Muscle shortening is diagnosed if the leg straightened at the knee cannot be lifted up to 80 degrees above the horizontal line.

In people with hardened and shortened muscles of the back of the thigh, there may be a displacement of the pelvic bone back, which leads to a smoothing of the lumbar lordosis, as well as excessive tilt of the head forward, which in turn will lead to damage to the quadratus lumbar muscle, paravertebral muscles, neck muscles and shoulder girdle with the possible development of headache, impaired cerebral circulation, damage to the temporomandibular joint.I covered this topic in detail in a video on correct posture, you can check it out below.

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Treatment of the muscles of the back of the thigh

If the muscles of the back of the thigh are affected by trigger points at home, you can help yourself by mechanical action on the problem area, followed by stretching the muscles and the surrounding fascial membranes.

For mechanical action, take a large massage roll and roll it on the back of the thigh for a few minutes (see the video at the beginning of the post).

Of course, it is better to work out both the foot and the lower leg, and all surfaces of the thigh, and the gluteal region, and the lower back with the back, and neck at a time, this will have a more pronounced healing effect, but since the publication is devoted to the muscles of the back of the thigh, then in in it, we will analyze the effect only on the areas of trigger points in the muscles of the back of the thigh.

After rolling on a large roll, take a massage ball with a diameter of 12 cm and apply a deeper and more targeted effect on the areas of greatest compaction and soreness in the muscles.Having found such an area, press firmly and continuously on it for 30-60 seconds. Pay particular attention to the area of ​​muscle attachment to the ischial tuberosity.

A small massage ball with a diameter of 8 cm can be even more intense, but near a wall or on the floor, or it sinks into the muscles, especially if you have voluminous hips and do not apply the necessary pressure. For more efficiency and convenience of this exercise, use the edge of a tabletop or a wooden chair and roll the back of the thigh with the knee bent and the lower leg hanging quietly.

After mechanical action on the muscles of the back of the thigh, they must be gently extended. It is important to keep in mind that without preliminary mechanical action on the trigger points of the muscles of the back of the thigh, they stretch poorly. Therefore, if before any physical activity you perform only stretching, and at once intense, then this can lead to problems with muscles and ligaments, as well as to increased pain symptoms.

Since the main function of all three muscles is flexion of the lower leg in the knee joint and extension of the hip in the hip joint or posterior tilt of the pelvis with a fixed lower limb, then these muscles will be stretched in any position in which the leg is extended in the knee joint and the hip is flexed in the hip, or anterior tilt of the pelvis with a fixed leg.

The simplest exercise for stretching the muscles of the back of the thigh is supine position with a straight leg raised. You can work only with your hands, grabbing the thigh or, if available, the lower leg, direct the toe towards you and pull the leg towards the body. You can also use a strap or yoga loop, the end of which is located on the foot, and the other end is gripped by your hands.

The same exercise can be done while standing, putting your foot in front of you on a high support and carrying out a gentle tilt of the pelvis and body forward.

Strengthen the degree of traction by pulling on the sock.

You can also stretch the leg flexors while sitting. To do this, first pull up the gluteus maximus muscles, thereby exposing the ischial tubercles and making a slight forward tilt of the pelvis. Then, keeping your back straight, grab your shins or feet with your hands and feel in this position the tension on the back of the thigh and lower leg.

The degree of traction can be enhanced by coordinated eye movement with breathing.To do this, while inhaling, look up, slightly straightening the cervical spine, and with a slow and smooth exhalation, go into an even deeper tilt, slightly lowering your head.

In the practice of hatha yoga, a number of other exercises are used in which you can stretch these muscles. This is uttanasana with the body tilted forward to straight legs and padahastasana, in which the degree of extension becomes even greater with the help of the lever of the arms, and longitudinal split, where the back of the front leg and the front of the thigh of the back leg are intensely stretched, as well as a number of other exercises.

An important point in the successful treatment of pain syndrome emanating from trigger points located in the flexor muscles of the lower leg is to avoid muscle overloads, which are observed, for example, during crawl swimming, where the legs constantly work and the hip is extended in the hip joint. Any running loads. You should also exclude activities that keep the muscles in a shortened state for a long time without stretching, for example, when riding a bicycle in a low sitting position, when the legs are not fully extended at the knees.

Friends, I hope this video was useful for you. The massage tools that I use in my work can be found here.

Sergei Chernov, doctor, master of yoga tried for you. Good luck and see you in new publications!

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Pain below the knee – from the lower leg to the foot

Pain in the legs is the third most common complaint among our patients. The reason for this is the large spread of varicose veins, arthritis and the seeming insignificance of such a problem as pain in the legs.At the same time, if the legs hurt from the knee to the foot, this symptom cannot be ignored as unimportant, since it can be the beginning of a more serious disease.

Pain below the knee in front usually occurs in several typical situations. These include varicose veins, chronic venous insufficiency, myofascial pain syndrome (in which seizures join the pain) and, less commonly, deep vein thrombosis, which is essentially a medical emergency.

At the reception, we explain to our patients that pain in the legs must be treated and all necessary measures must be taken to eliminate it, since it deprives a person of the main factor of health – his mobility.

Pain below the knee with varicose veins

A typical situation in which a person is worried about heaviness in the calves, swelling, “hum in the legs”, sometimes cramps. This picture is caused by poor outflow of venous blood from the calf muscles, resulting in edema, fluid accumulation, heaviness and pain. Superficial veins swell, blue venous nodes appear, the skin of the lower leg takes on a brownish tint (pigmentation). The causes and treatment of varicose veins are described in detail in our article Varicose veins: causes, treatment, symptoms.Osteopathy helps not only to get rid of the symptoms of this disease, but also to prevent its further development, and often the need for surgery.

Myofascial pain syndrome

Overextension of the leg muscles is the main cause of myofascial leg pain. Even in a healthy person, the deep muscles of the lower leg, as a rule, are in spasm, and if you run your hand over them, an acute characteristic pain appears. It is distinguished from venous pain by its great severity, localization at one or several points, irradiation to the foot or deep into the lower leg.Often, muscle overstrain turns into spasms and convulsions. In this case, neither taking calcium tablets nor increasing the dose of vitamins and minerals helps.

Myofascial pain is eliminated by osteopathic methods in 2 – 3 sessions, from the first admission the patient already becomes much better. But you have to endure a little: the trigger points on the legs are quite painful when touched, and their relaxation is associated with a pressing effect on the spasmodic area of ​​the muscle. However, the positive effect quickly and completely overrides the unpleasant sensations of manipulation.

Acute vein thrombosis of the leg

An urgent condition in which emergency treatment is required in a hospital. It is impossible to postpone hospitalization, a blood clot can completely block the outflow of venous blood and lead to gangrene of the limb. In addition, a detached blood clot can block the vessels of the lungs and cause thromboembolism. If a patient comes to us with symptoms of acute thrombosis, we immediately refer him to a hospital. It will be possible to continue osteopathic treatment after discharge – to eliminate the causes that led to the development of thrombosis, improve venous outflow from the lower extremities, eliminate blood stasis at the level of the small pelvis, etc.


Shooting pain, spreading along the back of the leg from the buttocks to the heels, is characteristic of lumbosacral osteochondrosis. Many diseases come from a problem back – clamps, improper lifestyle, low physical activity aggravate the poor condition of the spine and lead to pain in different parts of the body, including the legs from the lower leg to the foot.

Osteochondrosis is dealt with by neurologists, vertebrologists and osteopaths: you can always contact our doctors for advice and help, which will not only relieve pain, but also eliminate the original cause of its occurrence.

Osteopathy is one of the most effective methods of treating osteochondrosis, relieving pain literally after the first dose and helping, in addition, to eliminate the original cause of the painful condition.


The cause of the painful condition of the legs from the feet to the lower legs can be “normal” flat feet. This pain is characterized by an increase in the evening and aggravation with long walking and other physical exertion, it is aching, tiring, spreads throughout the lower extremities.The feet may increase visually, often the bone begins to protrude.

Flat feet are “treated” by choosing shoes after consultation with a doctor, complexes of physiotherapy exercises, and osteopathy also helps to cope with it. Osteopaths work on the foot to improve circulation, eliminate congestion, and stimulate the production of synovial fluid, which works as a lubricant for joints. After just a few tricks, even an adult who has suffered from flat feet all his life, it becomes easier and more comfortable to get around.


1. Relax. Lie with your ankles on the bolster to raise your legs above heart level. The blood will drain, the swelling will decrease, the muscles will relax.

2. Apply a cold compress. For example, a thin ice towel or a bag of convenience foods taken out of the freezer. Hold the compress for up to 20 minutes, repeat several times a day.

3. Take an over-the-counter pain reliever such as ibuprofen.But take only those medications that you are sure of, and if the pain persists, be sure to visit a doctor.

4. Make a massage. This is true if the legs are cramped, or if they “buzz” after a long load. You can stretch your muscles on your own, you can consult a specialist, including an osteopath.

Benefits of osteopathy in the treatment of leg diseases

  • Osteopathy restores not only the function of the damaged area, but also the biomechanics of your entire body.
  • We find the cause that led to the appearance of your dysfunction and eliminate it.
  • We do not give you injections into the joint cavity, we do not use hormonal drugs, which means you have no risk of infection and other complications.
  • We provide all patients with a complete osteopathic examination and examination, regardless of complaints. This allows you to carry out correction at a higher level, turn on the body’s reserves and direct them to self-healing.

Leg pain treatment in Moscow, we treat leg pain in the clinic Doctor Dlin

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Leg pain above the knee

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Painful sensations from the knee to the buttocks develop for several reasons.Pathology can be localized directly in this area, or it can come from another point. Discomfort is often caused by diseases of the lumbosacral spine. Not less often, pathology develops in the area of ​​the hip joint, because this is one of the largest joints in our body.


Positive dynamics in 97% of cases

The results of the treatment course are confirmed by control MRI scans.


No side effects

The methods used in our clinic are safe and have no side effects.


Long-term effect

Treatment minimizes the risk of new hernias in other segments, as well as hernia recurrence.

Successful treatment of pain in the legs above the knee in the clinic of Doctor Length is based on professional diagnostics and extensive experience of doctors.Feedback from our patients confirms that significant relief occurs after just a few treatment sessions. You can sign up for a free diagnostics and specialist consultation right now by calling the hotline: 8 (495) 101-60-35.

Why does the leg start to hurt above the knee

Correct determination of the causes of the disease contributes to the effective correction of pathology and its symptoms. Often, pain above the knee takes novice specialists by surprise. Most often, the cause of violations is sought in the patella, but it can be localized in other parts of the body.A survey under the supervision of specialists has shown in practice that there can be many root causes of problems.

Pain occurs due to the following violations:

  • Varicose veins, when ornate bumps of a bluish color appear on the skin.
  • Osteochondrosis with pathological disorders of the intervertebral structures (discs).
  • Damage to nerve fibers located below the end of the spinal cord (cauda equina syndrome, CES).
  • Sciatica, in which the sciatic nerve is pinched and inflamed, causing severe pain radiating to the lower extremities.
  • Damage to the cartilage lining the joint with subsequent deformation of the surfaces of the bones that form the joint (deforming osteoarthritis).
  • Tibial nerve neuropathy.
  • Lesions of the ligamentous apparatus, soft tissues in the area above the knee.

Sometimes pain impulses are not dangerous. This happens during physical activity that is unusual for a person.

Novice athletes note that, having practiced sports out of habit, they feel discomfort the next day.This is how lactic acid accumulated in myocytes makes itself felt. The tissues are stretched, causing soreness. Only professional massage and special ointments with a warming effect will help to cope with such a symptom. However, these pharmacological agents cannot be bought and used without a doctor’s recommendation.

How the leg hurts above the knee in front and behind

Pain in the leg above the knee in the front and back can appear due to mechanical trauma resulting from dislocation, sprains or bruises.An inflammatory process, an infectious tissue lesion can provoke discomfort. The cause is often a deformation of the bones or pinching of large nerves that pass in this part of the body. One of the most serious causes of such symptoms is the pathology of blood vessels, arteries, veins. This includes thrombophlebitis, trophic insufficiency and much more.

According to statistics conducted by traumatologists when treating patients with pain in the legs above the knee, the results are as follows:

  • Pain in front is usually caused by an injury that prevents the patella from being stable.This can include chondromalacia or partial rupture of the ligamentous structures. To make a diagnosis, it is required to undergo an instrumental examination, a physical examination. In some cases, it is necessary to pass laboratory tests.
  • Pain in the back of the legs in the area above the knee is more often provoked by vascular pathology and innervation. In this part, the sciatic nerve splits, forming branches that run near the skin. Even the wrong posture while sitting often leads to pinching. At first, the limb becomes numb, a tingling sensation appears.It seems that goose bumps are creeping along the surface of the thigh. Compression can have a negative effect on the nerves with constant infringement. In this case, they become inflamed, which entails severe pain.

Failure in the patency of the venous bed also does not pass without a trace. The pain from it spreads down the leg above the knee in the back. This is where the collateral external veins pass. Varicose veins affect the vascular structures in the first place. Blockage of the venous lumen interferes with the outflow of blood. This leads to tissue swelling.An experienced doctor can easily identify the problem during the initial examination.

The success of treatment is 90% dependent on experience
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During the consultation, we carry out a thorough diagnosis of the entire spine and each segment.We for sure
determine which segments and nerve roots are involved and causing pain symptoms. Following the consultation
we give detailed recommendations for treatment and, if necessary, prescribe additional diagnostics.


We will carry out functional diagnostics of the spine


We will perform a manipulation that significantly relieves pain


We will compose an individual treatment program

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Leg hurts above the knee from the outside and inside

With the appearance of painful sensations in the joint, a variety of deviations from the norm can be suspected.Among the most common is the stretching of the ligamentous apparatus in the knee articular joint. The cruciate ligament and lateral (external) ligamentous fibers are usually hit.

Bursitis and simple hypothermia, which lead to more serious pathologies, can cause pain in the leg above the knee. On the inside of the legs, soreness occurs more often due to physical overwork. There is a lot of load on the legs while jumping, running, lifting weights. Athletes, kettlebell lifting representatives, volleyball players, football players, basketball players are subject to such factors of physical fatigue.

Many athletes have injuries that they have suffered in the course of professional sports activities. If there was no normal rehabilitation during primary injuries, then in the future they lead to scarring of physiological tissues. This, in turn, provokes severe myofascial syndrome.

In the clinic of Doctor Length, work with professional athletes is one of the main directions. Our doctors understand in detail the causes of the disease, which have led to the gradual development of complications.Having identified the cause, we are working to eliminate it, and together with it we remove all negative symptoms. Visit a doctor’s consultation and find out how you can get rid of leg pain permanently. Do not tolerate discomfort, take care of your health now.

When the pain in the leg is above the knee cutting

Stabs, cuts, burns, pulsates, slowly spills over the body or shoots. It’s all about her – about pain. So is it worth it to endure. Better to deal with it immediately and permanently with the help of a qualified doctor.At your doctor’s appointment, try to accurately describe the nature of the discomfort. Answer a few questions:

  • When the pain first appeared.
  • How pain syndrome “behaved”: changed, intensified, weakened.
  • What means helped to cope with the situation.
  • Have a history of injuries, diseases of bones and joints, ruptures of ligaments and tendons.

Be sure to tell your doctor if you are dealing with hazardous working conditions. Tell us about genetic background and other events that can affect your health.Usually, a sharp pain in the leg over the knee is a sign of a pinched sciatic nerve. Sometimes soreness comes from lumbago in the lumbosacral zone, rolling over the body, it goes to the lower extremities.

Acute and burning pain above the knee is provoked by the following factors:

  • Injuries of soft tissues, damage to closely spaced joints (hip, knee).
  • Baker’s cyst, hernia of the knee, or a lump around the knee that has an elastic texture.
  • Problems with intervertebral discs, aneurysms of vascular structures and much more.

Treatment of leg pain above the knee

The therapeutic process is based on the use of gentle methods of exposure. Surgery is prescribed only when other methods do not help, and complications lead to disability. When diagnosing, the doctor of our clinic differentiates the diagnosis. The patient is then given an individualized treatment. This includes:

  • Sessions of manual therapy and osteopathic practices (help to restore the balance between structures).
  • Kinesio taping (the use of elastic tapes is aimed at fixing the painful area).
  • Di-Tazin therapy (author’s method of treatment with the introduction of a medicinal substance deep into the tissues for intensive exposure).

In addition, therapeutic massage and shock wave therapy are performed. After 2-3 sessions, the pain goes away or decreases significantly. This enables the patient to return to his usual life and not feel restrictions in movement.

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Video reviews of patients

Hernias in the lower back and neck

I came to the clinic of Doctor Length with spinal problems. With two intervertebral inferior hernias and two intervertebral hernias in the neck. I was assigned a comprehensive 10 step program. In 4 months my lower vertebrae completely disappeared and the crunches in my neck disappeared…


Lumbosacral hernia

“After the first time, my back stopped hurting. I felt relieved. Now I have already passed 7 sessions and my back really does not hurt. I began to forget about it. And at first it hurt badly. ”


Inflammation of the sciatic nerve

“For 4 months I suffered from severe inflammation of the sciatic nerve on the right side.After the first visit, relief came immediately within six hours. After 6 courses, the pain practically disappeared. ”


Pain in the lower back and leg

Yakovleva Natalya Mikhailovna
Head of the department, surgeon of the highest category, oncologist-mammologist
I want to express my deep gratitude for the fact that they put me on my feet in the truest sense of the word.I came to the clinic a month and a half ago with severe pain in the lower back and leg. These complaints were of a rather prolonged nature and the ineffective treatment that I used in the past. Fortunately, I ended up at the clinic of Dr. Length and his team of super professionals!


Osteochondrosis of the cervical spine

“Appealed 2 months ago with osteochondrosis of the cervical spine.I have a sedentary job and my neck muscles cramped very badly. It was impossible to work. Before that I turned to other doctors, but this did not solve my problem. For 2 months I have quite positive dynamics. It gets better and better every week. ”


Ankylosing spondylitis

“I have had ankylosing spondylitis for 10 years.The vertebrae began to move out, I began to slouch. I have consulted other chiropractors, very famous media therapists. As a result, I did not get the result. After 2 sessions, I felt much better. Now nothing hurts me. ”


Pain in the spine

“I came with problems in the back, cervical, thoracic and lumbar spine.I was prescribed procedures, had a massage, and was assigned to do physical education at home. This made me feel much better. I’m already turning my head. I have no pain. ”


Shoulder-scapular periarthrosis

I went to the clinic with severe pain in my shoulder. My hand did not rise, I could not sleep at night, I woke up in pain.After the first session of procedures, it became much easier for me. Somewhere in the middle of the course, my hand began to rise, I began to sleep at night.


Arthrosis of the knee joint of the 2nd degree

She came with a very serious illness. I could not walk, I have arthrosis of the 2nd degree of the knee joint. I underwent a course of treatment in the Clinic and now I am going 100%.


Herniated disc

“I came to the clinic after I had back pain and turned out to be a herniated disc. I went to other places, but there they only removed the attacks of pain. Only Sergei Vladimirovich, his golden hands, gave the hope for a return to ordinary life! ”



“From adolescence I was worried about scoliosis in the thoracic region.I felt a feeling of discomfort, tension, periodic pain in the spine. I turned to various specialists, a masseur, an osteopath, but I did not feel a strong effect. After treatment at Length S.V. I almost have an even spine now. Currently I don’t feel any problems or discomfort. ”


Herniated disc

“On the 5-6th session there was an improvement.I felt much better. The pain was gone. The improvement progressed more and more each time. Today is the 10th lesson. I feel great.”


Pain in the lumbar and cervical spine

“I am 21 years old. I went to the clinic with discomfort in the lumbar and cervical spine. I also sometimes had sharp pains.After undergoing therapy, I felt a significant improvement in my back. I have no pain. The general condition has improved. ”


Back pain

“At the beginning of the treatment, my back ached very badly. I could no longer walk. I will take 5 steps and stop. My whole journey consisted of such stops.During the first procedure, I left the office with no pain in the spine. ”


Hernia of the cervical spine

“I came up with a problem in my neck and my right arm was very sick. The neck did not turn, the hand did not rise. After the 3rd session I felt better. After the 5th, all this pain went to decrease.It turns out that I have 2 hernias in my cervical vertebra. After the sessions, I did an MRI and one hernia decreased. Now I started to move, my hand started working. ”


Neck pain

“I turned to Dr. Long because my neck was very painful on the right side. 5 years ago I fell on a snowboard, even went to an osteopath, but somehow it didn’t help much.Now everything is fine, there were some consequences, the muscles were spasmodic. When I came there were steel muscles, now my neck is very soft. ”


Pain in the thoracic region

“I went to the clinic with pain in the back, namely in the thoracic region. After 10 sessions of treatment, I could calmly do my usual things, sit at work until lunchtime, without howling in pain.Now I have already come to the correction after 2 months. I’m fine, my back doesn’t hurt. ”


Hernia and protrusion

“I came to the clinic with hernia L4-L5 and protrusion L5-S1. The course of treatment ended today. The lower back hurt, it was difficult to bend over. After completing the course and receiving instructions in the form of physical exercises, it became much easier.After a month of treatment, I do not feel any stiffness of movements. ”


Pain in the lower back and hip joint

“From a young age I was worried about back pain. When they became unbearable, I went to the clinic of Dr. Length. After the first procedure, pain disappeared from the hip joint. After the third procedure, the shooting pains in the lower back stopped.»


Very effective procedures

The procedures turned out to be very effective. I used to go to other clinics and absolutely did not relieve my pain, they bothered me. After this specialist, after three or four sessions, my functions recovered, the pain in my joints went away.


Treating Today Will Help

Avoid Tomorrow’s Surgery!

Relieve pain and inflammation

After 2-3 treatments, the exhausting pain goes away, you feel better.

Eliminate the cause of the disease

Complex improvement of the spine improves well-being: you feel a surge of strength and energy.

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Discomfort in the legs occurs for various reasons – from banal overwork to serious illness. In case of pain from hip to knee, you should consult a doctor and undergo an examination in order to refute or confirm the development of dangerous pathologies.

What you should pay attention to

Painful sensations are not always localized in the damaged area.If it starts to pull or contract muscles from the groin to the knee, it is important to remember, after which the complaints appeared. The main causes of pain include:

  • Damage to the soft tissues of the leg (tendon and muscle tears, sprains, recent bruises and abrasions).
  • Bone fractures. Many injuries of this kind make themselves felt even after recovery, when it seems that the problem has already been completely resolved.
  • Inflammatory processes: abscesses and lymphadenitis, panniculitis.
  • Tumors: Leukemias, sarcomas or metastases that respond best to early treatment.
  • Disturbed work of the nervous system due to intervertebral hernias, osteochondrosis, neuritis, spinal injuries, clamping between nerve endings.
  • Skin diseases.

The leg from the groin to the knee can hurt due to overwork, old injuries, weather sensitivity, pregnancy, muscle weakness, as well as after surgery on the back or lower extremities.

Concomitant symptoms of leg pain

To correctly determine the diagnosis and begin competent treatment, it is necessary to tell the doctor about the symptoms that accompany leg pain:

  1. Increased body temperature. It occurs in many diseases, but at the same time excludes the presence of pathologies associated with the nervous system.
  2. External edema. It can form anywhere on the upper leg, including the kneecap. Its presence indicates a disruption in the normal functioning of blood vessels, an inflammatory process in the body, or internal damage after injury.
  3. Feeling the seal. It is necessary to conduct an examination to confirm or deny oncology. If a lump is felt on the back of the leg, the patient is most likely developing a Baker’s cyst.
  4. Skin numbness and creeping sensation on the outer thigh. Speaks of damage to the nervous system. Unpleasant sensations and decreased sensation can spread throughout the leg.
  5. Pain and redness of the skin. They signal problems with blood vessels and large veins.Another reason is soft tissue inflammation.

Pain in the leg from the groin to the knee on the inside can occur after active sports, physical strain or overcoming long distances. It is important to give the body a rest. If the discomfort is gone or diminished over the next day, there is no cause for concern.

People with a large weight, as well as sedentary work and a sedentary lifestyle are prone to discomfort. To avoid complications, it is recommended to lose extra pounds, start doing exercises in the morning, and walk more.

Relationship between the disease and the nature of the pain

Depending on the initial cause, pain in the leg from the knee to the groin differs in nature and strength. Due to this, it is much easier for a doctor to conduct an examination and determine the correct diagnosis.

Acute pain is not common and may indicate the presence of diseases:

  • Suppuration in the thigh, pelvis or knee. Concomitant symptoms: high body temperature, swelling of the skin and a gradual increase in discomfort.
  • Injury after falling or impact. The pain may not appear immediately, especially if there is no external damage.
  • Intervertebral hernia. There is an acute unbearable pain in the lower extremities due to the fact that the hernia grows and gradually changes its location. Painful sensations can sometimes be given to the legs, even if you do not make sudden movements.
  • Thrombophlebitis. The pain increases with movement, although discomfort is often felt even in a calm, immobile state.

Often patients complain that the leg hurts from the groin to the knee in front, that the sensitivity of the outer skin decreases and that pulling sensations periodically disturb.
Based on these indicators, one can make an assumption about the presence of diseases:

  1. Osteochondrosis, in which there are also discomfort in the lumbar spine, numbness of the inner or front side of the thigh.
  2. Varicose disease. Without the intervention of specialists, unpleasant aching sensations “grow” over the entire surface of the legs and it becomes very difficult to walk.
  3. Osteoarthritis or meniscus injury, which, if not treated promptly, can lead to chronic pathologies. It is much more difficult to treat them, it is rarely possible to achieve complete recovery. Serious problems with joints arise, inflammatory processes develop, fluid accumulates in the joint capsule. The pain is localized in the back of the leg, but it can also move. The right joint suffers from pathologies much more often.
  4. Muscle strain. It passes quite quickly and without assistance.Traditional medicine helps to improve the condition.
  5. Tunnel-fascial syndrome. The muscle that pulls the connective tissue plate outside the thigh is constantly tense. As a result, nerve compression occurs, and blood supply interruptions begin.

If the right or left leg hurts from the groin to the knee very much or for a long time, it is worth contacting a therapist who will give a referral to narrow specialists: an orthopedic traumatologist, surgeon or vascular surgeon.

Why pulls the leg from the hip to the knee behind

It is almost impossible to determine the cause of the pulling pain from the hip to the knee or from the hip to the foot in the back from one symptom. This requires an integrated approach and, above all, consultation with a specialist.

Substrates of pain

The localization of pain does not always coincide with the localization of the lesion or the focus of inflammation. Often pulls the left leg from hip to knee or from hip to foot due to impulses from other parts of the body.Pulling pain can be caused by the following elements:

  • Skin
  • Tendons
  • Fat layer
  • Bones
  • Joints
  • Ligaments
  • Vessels
  • Nerve complexes
  • on the thigh.

Important! The syndrome, when the left leg is pulled from the hip to the knee or foot, is not trivial and specific. It will not be possible to independently figure out the true causes of discomfort.The help of specialists is needed here.


Why pulls on the back of the thigh? As mentioned above, there are a lot of causes of pulling pains. It is worth analyzing the main and frequently encountered ones.

Damage to bone structures

Bone trauma is rarely without consequences. Quite often, they cause severe pain even after the structures have completely healed.

Tightens the leg muscles, usually after a fracture of the femoral neck or head.Similar sensations can occur after severe bruises.

The site of damage to bone structures becomes inflamed, reddens. Any touch brings intense pain. After the healing of the neck or head of the thigh, even in a calm state, pulling pains may remain.

Soft tissue injury

Soft tissues include:

  • Tendons
  • Muscle
  • Ligaments

They are quite easily injured. Various bruises and bruises of soft tissues inevitably lead to severe pulling pains.

Symptoms of soft tissue damage are very similar to those of bone fracture. Quite often, without proper diagnostics, they are confused with each other.

Injuries of the spine

With injuries of the spine, pain can radiate to other parts of the body, for example, to the lower extremities. Pulls the muscles of the legs with a spinal injury much stronger at night. During the day, pain becomes less noticeable or disappears altogether.

Damage to soft tissues

The following ailments lead to damage to soft tissues:

  • Abscess
  • Phlegmon
  • Lymphadenitis
  • Tendovaginitis
  • Myositis, etc.d.

They can be of infectious or non-infectious origin. Inflammatory processes lead to the fact that the leg is strongly pulled from the hip to the knee or foot.

Inflammatory processes in bone structures

Inflammatory processes in bone structures can be caused by diseases such as tuberculosis, necrosis, etc. They often pull the leg from the hip to the knee.


Similar pathologies include:

  • Leukemia
  • Sarcoma
  • Metastasis, etc.d.

Attention! Malignant tumors are the main signs of cancer. Such formations progress very quickly and affect individual parts of the body. That is why, if a tumor is found even insignificant in size, it is necessary to consult a specialist.

Diseases of the joints

The following diseases of the joints are distinguished, which can lead to pulling pains of the back of the thigh:

Often joint diseases affect the soft tissues that surround them.

Varicose veins

Varicose veins are an ailment that affects not only the elderly, but also young people. The main causes of varicose veins are:

  • Wearing uncomfortable shoes, in particular heels.
  • Sedentary lifestyle.
  • Non-observance of techniques for performing various physical exercises, etc.

With varicose veins of a patient, pulling pains excite mainly towards the end of the day and at night.Long walks, even light loads, can lead to discomfort.

Flat feet

This orthopedic ailment is quite common. Its main symptoms are swelling and severe pain.

But discomfort with flat feet is very easy to get rid of. Today there are many orthopedic products for feet with similar ailments.


Oddly enough, diabetes can also cause such pain.With this ailment, blood circulation is significantly impaired.

Due to insufficient oxygen supply to internal organs and tissues, pulling pains, loss of sensitivity, swelling, etc. may occur.

Other reasons

Similar pain sensations may occur not only due to specific diseases. They can be caused by the following factors:

  • Pregnancy period
  • Overexertion
  • Fatigue
  • Underdeveloped leg muscles
  • Sensitivity to weather changes
  • Growth stage of children, etc.e.

Treatment of pain caused by these symptoms is to relieve the discomfort. The pain disappears immediately after the cause of its occurrence is eliminated, for example, after the birth of a child, strengthening of muscle mass, etc.

Concomitant symptoms

pain symptoms.


The formation of edema indicates the presence of a lesion in this place.These can be inflammatory processes, fractures and other damage to bone structures and tissues, disturbances in the work of the cardiovascular system, etc.

A separate area becomes inflamed, reddens, any effects on it cause severe pain. Puffiness that does not go away for a long period of time becomes the cause of serious consequences (osteomyelitis, etc.).

Loss of sensitivity

Loss of sensitivity, or numbness, is a phenomenon that quite often accompanies pulling pain.Together, they speak of disorders of the nervous system.

As a rule, with pain in the hip area, the nerve roots have significant disorders. An additional symptom is goose bumps.

Skin discoloration

Skin discoloration can be caused by a variety of reasons:

Redness can be in the form of elongated stripes or focal. It all depends on the reasons for their occurrence.

Increase in body temperature

The body reacts to many lesions and changes in the functioning of systems with an increase in temperature.As a rule, it is accompanied by inflammatory and purulent processes.


In order to get rid of pulling pains, it is necessary to cure the cause of their occurrence. Everything is pretty simple here. But how to accurately determine this cause and diagnose? A comprehensive diagnosis is required, which consists of several stages.

Examination and consultation with a specialist

The first and most important step, from which the diagnosis of any disease begins, is examination and consultation with a specialist.Further diagnosis and treatment of the disease will depend on this step.

First, the specialist will know about the patient’s complaints. In turn, the patient needs to describe his condition as accurately and in detail as possible, the approximate time of the manifestation of complaints, the nature of the pain, etc.

Next, the doctor must examine and study the patient’s medical history. This is necessary to identify possible causes of discomfort. Pulling pain can occur as a result of operations, trauma, etc.

If necessary, an initial inspection can be carried out. The condition of the tissues, the presence of inflammatory reactions and edema, etc. are assessed. With the help of the initial examination, it is possible to make a preliminary diagnosis of thrombophlebitis, varicose veins and other vascular diseases.

Biochemical blood test

Biochemical blood test is one of the main and standard diagnostic methods. It allows you to get general information about the patient’s state of health.

The composition of the blood can give accurate information about the presence of inflammatory and purulent reactions in the body, the lack of certain elements in the body, etc.e. Already on the basis of these data, it is possible to make a preliminary diagnosis.

Instrumental diagnostic methods

Instrumental diagnostic methods provide accurate information about the patient’s condition. They are used for definitive diagnosis.

The most common and effective methods for this disease are ultrasound and X-ray. They differ significantly from each other.

Ultrasound can be done an unlimited number of times. It is prescribed when the patient’s condition is unstable, when it is necessary to regularly monitor all processes in the body.

X-rays, on the other hand, cannot be done often. But with the help of it, you can get a visual picture of the condition of the affected area.

Treatment with folk remedies

Treatment with folk remedies takes a separate position in getting rid of pulling pains. It is affordable, does not require a lot of money.

Important! Do not self-medicate! If you have any health problems, contact a specialist immediately. Not all traditional medicines are effective or effective.They should only be used as directed by a physician.

Foot baths

Foot baths cannot relieve severe pain in case of serious illnesses. But they can relieve stress and fatigue, which are often the causes of discomfort.

The most common recipe is using sea salt. A tablespoon of sea salt must be dissolved in one liter of warm water.


Compresses for the legs are aimed at relieving fatigue, tension and swelling.The duration of their wear can vary from half an hour to several hours.

Quite often, chamomile decoction is used for compresses. This plant has amazing anti-inflammatory properties. A few tablespoons of dry chamomile must be poured with a liter of boiling water.

The broth should be infused for at least 1 hour. After which it must be filtered. Moisten a gauze bandage with broth, put it on the affected area of ​​the skin. To increase efficiency, you can insulate the area with cling film and a warm cloth made from natural materials.

Time to wear the compress – 3-4 hours. You can leave it overnight.

So, pulling pains of the back of the thigh is a syndrome that can be caused by a variety of reasons. If you experience discomfort, you should immediately contact a specialist.

About the author: Andrey Stepanovich “Previous post Next post”

Pain in the back of the knee | Sports club MKCF

Biceps femoris

The biceps femoris consists of two parts and can be compared to the biceps of the upper arm.It is also called the lateral popliteal because it is located closer to the outer side of the thigh.

The main part of the biceps femoris is attached to the ischium and to the posterior aspect of the femur, then descends and attaches to the apex of the fibula, the thin outer bone at the bottom of the leg. The biceps femoris powerfully flexes the knee and participates in straightening the thigh, i.e. provides those movements that are necessary when walking, running and jumping. The inhibitory functions of all the Popliteal muscles keep the body from falling forward when you move or stand still, these same muscles control the degree of tilt when you bend forward, bending at the hip region.


Dull deep pain from trigger points present in the biceps femoris, felt behind the knee (Fig. 9.45). It is displaced from the center of the thigh to its outer side, and sometimes it is concentrated around the head of the fibula. Discomfort sometimes extends up to the back of the thigh and down to the upper calf (not shown) (1992, 316).


Popliteal problems begin when the legs remain bent at the hips and knees for a long time.A sedentary lifestyle leads to the shortening and stiffness of these muscles. The formation of starting points in them is facilitated by chairs that exert pressure on the lower thighs. Injuries to these muscles are common during football, basketball and soccer, especially if the players are physically ill-prepared amateurs. If latent trigger points shorten and weaken

muscles, and other sports activities such as swimming and cycling are harmful to them (1992, 324-326).

The work of all muscles of the thighs and hip region is interconnected.The failure of one muscle is quickly transmitted to the other. For example, stiffness in the quadriceps forces the hamstrings to work harder to restrict knee movement. The trigger points in the hamstrings tighten the glutes, as both muscle groups must be stretched to allow flexion in the hip region. The weakening effect of trigger points in the popliteal muscle during knee flexion also puts a lot of stress on the sartorian, calf, and plantar muscles. You should always be prepared for multiple trigger points in your hips.


Distinguish the biceps femoris from the other hamstrings by the groove between them in the middle of the hamstring. This can be done while sitting. Place your foot on the floor and squeeze your thigh from below, as if you were going to pull your leg back. The muscles will become bulging. Behind the knee, you can feel the massive tendon of the biceps femoris. This tendon ends at the head of the fibula, which protrudes at the apex of the lower leg. Notice in Figure 9.45 that this muscle runs diagonally upward from the head of the fibula to the ischium.The lower black dot on each leg denotes the location of possible multiple trigger points in the short head of the biceps femoris, which is hidden by the long head.

When massaging the hamstrings, hands and fingers get tired quickly, but Tera Kane is very suitable for these purposes in a sitting or standing position. Use the lever of this appliance while sitting on a soft chair. Better yet, use a tennis ball while sitting on a hard surface, such as a wooden chair or bench (Figure 9.46). You cannot use a ball against a wall to massage these muscles.

To take care of your hamstrings, look for car seats, chairs, or sofas that are pressing on your lower thighs, and if possible, avoid doing so. If your feet don’t quite reach the floor, find a support of some kind. The hamstrings of people with short legs are endangered wherever they go, and car seats and deep sofas pose problems for tall people too.

Latent trigger points in the popliteal muscles are incredibly insidious: you may not be aware of their existence even when they cause serious trouble.Pay attention to stiffness in the back of your legs, this is a sure sign of hamstring. If you check these muscles frequently and work on the trigger points you find, you won’t regret it. This is the best preventive measure to prevent serious injury to the popliteal muscles and the negative impact of their shortening on other muscles.

Based on “Trigger Points” by Claire Davis and Kelly Starrett “Becoming a Supple Leopard”

90,000 Right leg hurts from hip to knee – Question to the surgeon

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