What are the common symptoms of hamstring muscle tendinopathy. How is this condition diagnosed and treated. What preventive measures can be taken to avoid hamstring tendinopathy. Learn about the causes, risk factors, and management strategies for this painful condition.

Understanding Hamstring Muscle Tendinopathy

Hamstring muscle tendinopathy is a condition characterized by pain and inflammation in the tendons connecting the hamstring muscles to the pelvis. This ailment typically affects the origin of the hamstring muscles, located in the buttocks just below the ischial tuberosities, commonly known as the “sitting bones.”

As the condition progresses, the affected tendon may swell and become red. In more severe cases, the tendon sheath can thicken and darken in color due to increased inflammation. If left untreated, the inflamed tendon becomes more susceptible to tearing.

The Anatomy of Hamstring Tendinopathy

To better understand hamstring tendinopathy, it’s crucial to familiarize ourselves with the anatomy involved:

• Hamstring muscles: A group of three muscles located at the back of the thigh
• Ischial tuberosities: The bony protrusions of the pelvis where the hamstring tendons attach
• Tendon: The tough, fibrous tissue that connects muscle to bone
• Tendon sheath: The outer layer of the tendon that can become inflamed in tendinopathy

Common Symptoms of Hamstring Tendinopathy

Identifying the symptoms of hamstring tendinopathy is crucial for early diagnosis and treatment. What are the telltale signs of this condition? The most common symptoms include:

• Pain or weakness in the hip or hamstring area
• Discomfort localized around the back of the hip bone, particularly on the “sits bones”
• Increased pain during walking, jumping, or other physical activities
• Achiness in the hip or glutes (buttocks)
• Snapping sounds or sensations in the hip or buttocks
• Stiffness in the hip, buttocks, or hamstring

It’s important to note that pain may sometimes subside after the hip “warms up” during activity. However, persistent or worsening symptoms warrant medical attention.

Causes and Risk Factors for Hamstring Tendinopathy

Understanding the underlying causes of hamstring tendinopathy can help in prevention and management. What factors contribute to the development of this condition?

• Sports activities requiring frequent jumping or repetitive movements
• Overuse of the hamstring muscles
• Muscle imbalances in the surrounding areas
• Weakness in core muscles
• Previous injuries to the hamstring or surrounding areas
• Gender: Females tend to be more susceptible to this type of injury

The primary mechanism behind hamstring tendinopathy involves the formation of micro-tears in the tendon due to overuse. When the rate of damage exceeds the body’s ability to repair these tears, inflammation and pain ensue.

Diagnosis of Hamstring Tendinopathy

Accurate diagnosis is crucial for effective treatment of hamstring tendinopathy. How do healthcare providers determine if a patient is suffering from this condition?

Physical Examination

The initial step in diagnosis typically involves a thorough physical examination. During this process, the healthcare provider may:

• Palpate the area where the tendons attach to the hip to check for hardness or swelling
• Assess range of motion by asking the patient to move their hip or leg
• Conduct simple hip or leg exercises to evaluate hamstring strength

Patient History

To aid in diagnosis, patients should provide comprehensive information about their symptoms, including:

• When the symptoms first appeared
• Whether the symptoms are worsening
• Presence of associated symptoms like swelling, buckling, locking, or snapping
• Impact on daily activities such as walking, running, standing, or using stairs
• Any self-care or at-home treatments attempted

Imaging Studies

If the physical examination and patient history suggest hamstring tendinopathy, the healthcare provider may order additional tests to confirm the diagnosis:

• X-ray: To rule out bone-related issues
• Ultrasound: To visualize soft tissue structures and inflammation
• MRI (Magnetic Resonance Imaging): For detailed imaging of tendons and surrounding tissues

Treatment Options for Hamstring Tendinopathy

The treatment of hamstring tendinopathy aims to alleviate pain, reduce inflammation, and prevent further injury. What are the available treatment options for this condition?

Conservative Management

For mild cases, conservative treatment approaches may be sufficient:

• Rest: Avoiding activities that exacerbate symptoms
• Ice therapy: Applying cold packs to reduce inflammation
• Over-the-counter pain medications: To manage pain and inflammation

Medical Interventions

In more severe cases, healthcare providers may recommend:

• Prescription medications: Stronger anti-inflammatory drugs or pain relievers
• Steroid injections: To reduce inflammation in the affected area
• Physical therapy: Targeted exercises and stretches to improve strength and flexibility

Rehabilitation Exercises

Physical therapy plays a crucial role in the treatment of hamstring tendinopathy. A tailored exercise program may include:

• Eccentric strengthening exercises
• Stretching routines for the hamstrings and surrounding muscles
• Core strengthening exercises
• Gradual return-to-activity protocols

Preventing Hamstring Tendinopathy

While not all cases of hamstring tendinopathy can be prevented, certain measures can reduce the risk of developing this condition. What steps can individuals take to minimize their chances of experiencing hamstring tendinopathy?

• Proper stretching: Regular stretching of the hamstrings, glutes, and quadriceps
• Correct technique: Ensuring proper form during sports and exercise activities
• Gradual progression: Slowly increasing the intensity and duration of physical activities
• Balanced strength training: Focusing on overall leg and core muscle strength
• Adequate rest: Allowing sufficient recovery time between intense workouts
• Listen to your body: Paying attention to early signs of discomfort and addressing them promptly

By incorporating these preventive measures into their fitness routines, individuals can significantly reduce their risk of developing hamstring tendinopathy.

When to Seek Medical Attention

Recognizing when to consult a healthcare provider is crucial in managing hamstring tendinopathy effectively. When should individuals seek medical attention for their symptoms?

• Persistent pain lasting more than a few days
• Severe pain that interferes with daily activities
• Inability to bear weight on the affected leg
• Visible swelling or redness in the hamstring or buttock area
• Symptoms that worsen despite home remedies and rest

It’s important to note that the symptoms of hamstring tendinopathy may mimic other, more severe conditions such as arthritis, tendon tears, or fractures. Therefore, prompt medical evaluation is essential for accurate diagnosis and appropriate treatment.

Long-term Management and Prognosis

Understanding the long-term outlook for hamstring tendinopathy can help individuals better manage their condition. What can patients expect in terms of recovery and ongoing care?

Recovery Timeline

The recovery period for hamstring tendinopathy can vary depending on the severity of the condition and individual factors. Generally, patients can expect:

• Mild cases: 2-4 weeks with conservative treatment
• Moderate cases: 4-8 weeks with a combination of rest and physical therapy
• Severe cases: 3-6 months or longer, potentially requiring more intensive interventions

Ongoing Management

Even after the initial recovery, ongoing management may be necessary to prevent recurrence:

• Regular stretching and strengthening exercises
• Gradual return to sports or high-impact activities
• Periodic check-ups with a healthcare provider or physical therapist
• Modifications to training routines or ergonomics as needed

Potential Complications

If left untreated or managed improperly, hamstring tendinopathy can lead to:

• Chronic pain and discomfort
• Increased risk of tendon rupture
• Decreased athletic performance
• Development of compensatory movement patterns

By adhering to proper treatment protocols and maintaining good habits, most individuals can expect a positive long-term outcome with hamstring tendinopathy.

Emerging Treatments and Research

As medical science advances, new treatments for hamstring tendinopathy are being explored. What cutting-edge approaches are researchers investigating to improve outcomes for patients?

Regenerative Medicine

Promising areas of research include:

• Platelet-Rich Plasma (PRP) therapy: Using a concentration of the patient’s own platelets to promote healing
• Stem cell therapy: Injecting stem cells to potentially regenerate damaged tendon tissue
• Growth factor injections: Utilizing specific proteins to stimulate tissue repair

Advanced Imaging Techniques

Improved diagnostic tools are enhancing our understanding of tendon pathology:

• High-resolution ultrasound: Providing detailed images of tendon structure and blood flow
• Functional MRI: Assessing tendon health during movement
• Shear wave elastography: Measuring tendon stiffness and elasticity

Innovative Physical Therapy Approaches

Novel rehabilitation techniques are being developed:

• Blood flow restriction training: Enhancing muscle strength with lower loads
• Eccentric overload training: Focusing on the lengthening phase of muscle contraction
• Vibration therapy: Using mechanical stimulation to improve tissue healing

While these emerging treatments show promise, more research is needed to establish their long-term efficacy and safety. Patients should consult with their healthcare providers to determine the most appropriate treatment plan based on current evidence and individual needs.

By staying informed about the latest developments in hamstring tendinopathy treatment, patients and healthcare providers can work together to optimize outcomes and improve quality of life for those affected by this condition.

Hamstring Muscle Tendinopathy | Orthopedics Sports Medicine

With hamstring tendinopathy, this usually happens with the muscles at the origin of hamstring muscles, which are located deep in the buttocks, right below the two boney points that you feel when you are sitting. These are often called the “sitting bones,” and their medical name is the ischial tuberosities. 

When this happens, the tendon will swell and sometimes also become red. As the tendinopathy gets worse, the outside of the tendon, called a sheath, can thicken or get bigger, and get darker red in color. Most of the time, when the tendon turns a darker shade of red, it is because of the inflammation in the tendon. If the tendon gets too inflamed, it can tear easily. 

Usually, the pain will develop over time, and get worse and worse until it is treated. It can even make it difficult to stand or walk in some extreme cases. Most of the time, it can be healed with physical therapy. Sometimes proper stretching can help prevent it.  

(Tendinopathy refers to several types of tendon problems, including tendinitis.)

Pain or weakness in the hip or hamstring are the most common symptoms of hamstring muscle tendinopathy. The pain is usually located around the back of the hip bone, on the “sits bones,” where the hamstring starts. Pain will often get worse when trying to walk, or jump, or with other activity. Sometimes this pain goes away after the hip “warms up.” Other symptoms may include: 

• Achiness in the hip or glutes (buttocks) 
• Snapping sounds or sensations in the hip or buttocks 
• Stiffness in the hip, buttocks, or hamstring 

When to See a Doctor

The symptoms of hamstring tendinosis may mimic other, more severe, conditions. Other conditions that are similar include arthritis, tendon tears, and fractures. You should see a healthcare provider if you have these symptoms and they don’t go away after a few days. Your healthcare provider can help you figure out what is wrong and to start treatment, if needed.

Find a Provider

Hamstring tendinopathy is often caused by playing sports that require a lot of jumping, or other overuse. Hamstring tendonitis can also be caused if the nearby supporting muscles are too weak or too strong, which can cause a muscle imbalance. Sometimes, a weakness in the core muscles can also lead to this type of injury. 

Tendon overuse can cause tiny micro-tears in the tendon. The body will try to heal these tears, but sometimes they are made faster than the body can fix them, especially if you are exercising a lot or training hard. 

As the number of tears increases, they can cause pain from inflammation, or weaken the tendon. Previous injuries can also lead to this type of injury. Females trend to have this type of injury more than males. 

Diagnosis, Treatments & Prevention

Diagnosis & Tests

To find out if hamstring tendinopathy, is the cause of your symptoms, your healthcare provider will perform a physical exam. During the exam, your healthcare provider may press on the area where the tendons attach to the hip to see if they can feel any hardness or swelling. Your healthcare provider may also ask you to move your hip or leg to assess your range of motion. You may also be asked to perform simple hip or leg exercises that will help your healthcare provider determine how strong your hamstring is.

Before you see the healthcare provider, you should get together as much information as you can about your pain and other symptoms.  Try to think about or write down: 

• When your symptoms started
  If the symptoms are getting worse 
• If your pain comes with swelling, buckling, locking, or snapping 
• If your symptoms gotten in the way of, or prevented, you from doing regular activities such as walking, running, standing, or using stairs 
• If you have you tried any self-care, or at-home treatments 

If your healthcare provider finds that you have the symptoms of hamstring tendinosis, your healthcare provider may perform an x-ray, ultrasound, orMRI to confirm the diagnosis.

Treatments

Treatment will usually focus on relieving the pain and preventing further injury. If your case is mild, you may be able to heal your case with rest, ice, and medicine. If your case is more severe, your healthcare provider may recommend medicine, steroid injections, or physical therapy. 

Prevention

Although it is no guarantee, stretching and using proper technique during your regular activities may be able to prevent tendinosis. You may also be able to prevent hamstring tendonitis by easing up on regular activities. Tight leg muscles, such as glutes, hamstrings, or quads have also been linked to hamstring tendinosis, so making sure you stretch properly, especially muscles in the thigh, may also help prevent it.

Hamstring muscle tendinopathy is when any of the many tendons in the hip or hamstring become inflamed. With hamstring tendinopathy, this is usually the muscles at the origin of hamstring muscles, which are located deep in the glutes (buttocks) , right below the two boney points that you feel when you are sitting (often called the “sit bones. ”

Treatment, Recovery, Causes, and More

Hamstring Pain: Treatment, Recovery, Causes, and More

• Health Conditions
  • Featured
    • Breast Cancer
    • IBD
    • Migraine
    • Multiple Sclerosis (MS)
    • Rheumatoid Arthritis
    • Type 2 Diabetes
  • Articles
    • Acid Reflux
    • ADHD
    • Allergies
    • Alzheimer’s & Dementia
    • Bipolar Disorder
    • Cancer
    • Crohn’s Disease
    • Chronic Pain
    • Cold & Flu
    • COPD
    • Depression
    • Fibromyalgia
    • Heart Disease
    • High Cholesterol
    • HIV
    • Hypertension
    • IPF
    • Osteoarthritis
    • Psoriasis
    • Skin Disorders and Care
    • STDs
• Discover
  • Wellness Topics
    • Nutrition
    • Fitness
    • Skin Care
    • Sexual Health
    • Women’s Health
    • Mental Well-Being
    • Sleep
  • Product Reviews
    • Vitamins & Supplements
    • Sleep
    • Mental Health
    • Nutrition
    • At-Home Testing
    • CBD
    • Men’s Health
  • Original Series
    • Fresh Food Fast
    • Diagnosis Diaries
    • You’re Not Alone
    • Present Tense
  • Video Series
    • Youth in Focus
    • Healthy Harvest
    • No More Silence
    • Future of Health
• Plan
  • Health Challenges
    • Mindful Eating
    • Sugar Savvy
    • Move Your Body
    • Gut Health
    • Mood Foods
    • Align Your Spine
  • Find Care
    • Primary Care
    • Mental Health
    • OB-GYN
    • Dermatologists
    • Neurologists
    • Cardiologists
    • Orthopedists
  • Lifestyle Quizzes
    • Weight Management
    • Am I Depressed? A Quiz for Teens
    • Are You a Workaholic?
    • How Well Do You Sleep?
  • Tools & Resources
    • Health News
    • Find a Diet
    • Find Healthy Snacks
    • Drugs A-Z
    • Health A-Z
• Connect
  • • Breast Cancer
    • Inflammatory Bowel Disease
    • Psoriatic Arthritis
    • Migraine
    • Multiple Sclerosis
    • Psoriasis

Medically reviewed by William Morrison, M. D. — By Ashley Marcin — Updated on April 30, 2020

Overview

Aches and pains on the back of your legs may be a sign of a hamstring injury. Your hamstring is a group of muscles located on the back of your thighs. Strain in these muscles is relatively common, especially in people who play sports that involve sprinting, like soccer, basketball, or track.

Mild hamstring injuries may respond well to rest, over-the-counter (OTC) medications, and ice, but more severe cases may take months to heal.

Read on to learn more about what causes injury to the hamstring, how to get relief from the pain, and when to see your doctor.

The main cause of injury to the hamstring is muscle overload. Strains and tears happen when the muscle is lengthening as it contracts or shortens. They may also happen if the muscle is stretched too far or is taxed too suddenly.

When you sprint, for example, your hamstring muscles must contract repeatedly as your leg lengthens with your stride. All this lengthening and loading of the muscles creates a perfect environment for injury. You may feel anything from sudden pain, to a popping or snapping feeling in your leg. Your hamstring may feel tender and you might even see bruising at the site of your injury.

There are several risk factors for hamstring strain:

• Exercising with tight muscles. Athletes who have particularly tight muscles may be more likely to experience injury.
• Muscle imbalances, where certain muscles are stronger than others.
• Poor conditioning. If the muscles are weak, they’ll be less able to deal with the demands of certain sports or exercises.
• Fatigue in the muscles, because tired muscles don’t absorb as much energy.

Hamstring strain is commonly seen in people who participate in the following activities:

• football
• soccer
• basketball
• tennis
• running and sprinting, and other track events
• dancing

Older athletes who walk as their primary form of exercise are also at higher risk. So are adolescents whose bodies are still growing. Muscles and bones don’t necessarily grow at the same rate. This means that any force or stress to the muscles, like a jump or impact, may leave them vulnerable to tearing.

If you feel sudden pain in your hamstring, stop what you’re doing to prevent more damage. You may have heard the acronym RICE before. It may help you get better, faster.

RICE stands for:

• Rest. Avoid doing activities that may aggravate your injury. This may mean totally resting or even using crutches or another mobility aid.
• Ice. Use a cold pack for 15 to 20 minutes every 2 to 3 hours throughout the day. You may even use something like frozen peas wrapped in a light towel. Don’t apply ice directly to skin.
• Compression. Consider bandaging your thigh with an elastic wrap to limit swelling and movement.
• Elevation. Try to keep your leg propped up on a pillow to limit swelling.

OTC pain medications may help ease your discomfort with a hamstring injury. Oral nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen (Motrin, Aleve), or another OTC pain medication like acetaminophen (Tylenol), may be good for short-term relief.

Topical NSAID creams or gels can also help ease pain. If you feel you have injured yourself severely, though, it’s a good idea to see your doctor before self-medicating.

Another option for pain relief involves using a foam roller to apply what’s called myofascial release to your hamstrings. Place the roller just above the back of your knee and roll upward in the direction of blood flow to massage the muscles. Professional sports massage may also help with your pain.

Many hamstring injuries respond well to home treatment and heal within a few days. If your pain isn’t going away or your symptoms are getting worse, it’s a good idea to call your doctor to set up an appointment. In severe cases, your hamstring injury may require surgery and several months of rest and physical therapy.

Regardless of the severity, your doctor can give you important tips on how long you should rest or what exercises might help you prevent future injuries. Your doctor can also refer you to a physical therapist to work on any muscle imbalances that may be contributing to your injuries.

Your recovery will depend on the degree of your strain. A mild or “grade 1” strain heals easily within a few days. A complete tear or “grade 3” strain may take several months to get better.

In some cases, your doctor may ask you to wear a splint for immobilization therapy. This will keep your leg in a neutral position so it can fully rest and heal.

Physical therapy (PT) is another option you may try after your swelling has gone down. In PT, you’ll do different exercises meant to build up your muscles’ range of motion, flexibility, and strength.

You may need surgery to stitch the muscle back in place if you’ve experienced tendon avulsion. An avulsion injury occurs when the tendon tears away from the bone, pulling bone along with it.

Once you’re on the mend, you may use crutches or a brace for some time before beginning a PT program. Your recovery from surgery may take anywhere from three to six months.

Not all hamstring strains can be prevented. You may be in a higher risk group, like an older adult or an adolescent, or experience a sudden impact that causes injury. That said, regular stretching and strengthening exercises may help you lower your risk of hamstring strains. Ask your doctor or coach to suggest specific exercises that may work best for your particular activity.

Following are some general tips for prevention:

• Warm up before working out or playing sports, and cool down afterward.
• Exercise regularly to maintain your cardiovascular and muscular fitness. Doing so will help you prevent injuries related to fatigue.
• Spend time stretching and strengthening muscles in your weekly exercise routine. Doing so will help prevent muscular imbalances that may cause injury.
• Take days off or have easy days between particularly hard physical sessions to give your body adequate rest.
• Try adding speed work to your routine to prepare hamstring muscles for the types of forces that may lead to injury.

Hamstring pain can be uncomfortable and sideline you from your favorite sports and other activities. Most cases of strain are likely to ease up in a few days. With some rest, ice, compression, and elevation, you should be back on your feet in no time.

Don’t hesitate to call your doctor if you feel your injury is more serious. The sooner you get help, the sooner you can return to your favorite activities.

Last medically reviewed on October 20, 2017

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

• American Academy of Orthopaedic Surgeons. (2015). Hamstring muscle injuries.
  orthoinfo.aaos.org/topic.cfm?topic=a00408
• Mayo Clinic Staff. (2015). Hamstring injury.
  mayoclinic.org/diseases-conditions/hamstring-injury/basics/definition/con-20035144
• NHS Choices. (2015). Hamstring injury.
  nhs.uk/conditions/hamstring-injury/Pages/Introduction.aspx

Share this article

Medically reviewed by William Morrison, M.D. — By Ashley Marcin — Updated on April 30, 2020

Read this next

• Muscle Strain Treatment

  Medically reviewed by Amy Elizabeth Wolkin, PT, DPT, MBA

  A muscle strain, or pulled muscle, occurs when your muscle is overstretched or torn. This usually occurs as a result of fatigue, overuse, or improper…

  READ MORE

• 5 Easy Foam Roller Stretches to Help Muscle Pain

  Medically reviewed by Peggy Pletcher, M.S., R.D., L.D., CDE

  READ MORE

• What Is Myofascial Release and Does It Work?

  Medically reviewed by George Krucik, MD, MBA

  Find out what this massage-like therapy can do for chronic pain.

  READ MORE

• Is It a Sprain or a Strain? Tips for Identification

  Medically reviewed by Katie Mena, MD

  READ MORE

• How to Perform a Lacrosse Ball Massage on Sore Muscles

  Medically reviewed by Peggy Pletcher, M.S., R.D., L.D., CDE

  READ MORE

• What Are the Health Benefits of a Hot Stone Massage?

  Medically reviewed by Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT

  Hot stone massage is a type of massage therapy. It offers a number of health benefits, in addition to relieving muscle tension and pain. Learn more.

  READ MORE

• Running Tips: 3 Essential Quad Stretches

  Medically reviewed by Peggy Pletcher, M.S., R.D., L.D., CDE

  Try these three quad stretches before and after your run to help maintain and gain flexibility.

  READ MORE

• 7 Reasons Why I Lift Heavy (And You Should Too)

  Medically reviewed by Peggy Pletcher, M.S., R.D., L.D., CDE

  If you usually go for the 5-pound dumbbells at the gym, it might be time to up your game. Here are seven reasons to lift heavy.

  READ MORE

• Treating Pain with Heat and Cold

  Medically reviewed by Judith Marcin, M.D.

  Treating pain with hot and cold can be extremely effective for a number of different conditions and injuries. The tricky part is knowing which…

  READ MORE

• Latissimus Dorsi Pain

  Medically reviewed by Amy Elizabeth Wolkin, PT, DPT, MBA

  Feel pain across your back? It could be coming from your latissimus dorsi. Learn about its causes and home exercises that can help.

  READ MORE

causes, treatment – how to get rid of pain in the knee area

home

Articles ➡

Symptoms

Pain behind the knee

This symptom is treated by an Orthopedic Traumatologist.

Make an appointment

Share:

Patients often complain to the doctor about pain behind the knee at the back. This is a common symptom of diseases of the knee joint and nearby structures, including tendons, blood vessels, and muscle tissue. The specialist pays attention to other complaints and conducts an examination, since it is impossible to make a diagnosis on this basis alone. The possibility of flexion and extension of the lower limb in the knee joint is checked. Instrumental and laboratory studies are used. Taking into account the results of the diagnosis, the doctor selects therapeutic measures.

CMRT specialist tells

Kuchenkov A.V.

Orthopedist • Traumatologist • Surgeon • Phlebologist • Sports doctor • 24 years of experience

Publication date: September 25, 2021

Verification date: February 02, 2023

All facts have been verified by a doctor.

Contents of the article

Causes of back knee pain

Varieties

Which doctor to contact

Diagnostic methods

Treatment of back pain behind the knee

Rehabilitation

After completion of treatment, patients need recovery to normalize motor activity and return to normal life.

In case of musculoskeletal pathologies, exercise therapy and physiotherapy are carried out. Effective methods of rehabilitation are used in the “Laboratory of Movement” center.

Consequences

Prevention of back knee pain

Other related articles:

Knee arthroplasty

The fundamental method of treatment of advanced gonarthrosis, which leads to impaired function of the lower limb, complete limitation of mobility and disability, is knee arthroplasty. The use of modern minimally invasive technologies allows for successful high-tech operations that return patients to a full life. However, the maximum efficiency of replacing the components of a destroyed articular joint with an endoprosthesis depends not only on competent surgical correction, but also on subsequent restorative therapy and physical rehabilitation.

Inflammation of the knee joint

Inflammation of the knee joint – arthritis (from the Greek word arthron – joint) – a disease that affects the internal and periarticular structures of the knee.

Bursitis of the knee

Bursitis of the knee is an inflammation of the joint capsule or bursa of the knee. Pathology is classified according to localization, the nature of the course and the cause of occurrence. Depending on the type, it is manifested by pain, limited mobility, swelling, local hyperemia and fever. With purulent bursitis, symptoms of intoxication of the body are expressed. The disease proceeds in a subacute, acute, chronic relapsing form.

Arthrosis of the knee joint (gonarthrosis)

Arthrosis of the knee joint is a chronic degenerative disease caused by a violation of the integrity of the cartilage tissue and structural changes in the underlying bone plate. A progressive pathological process, gradually covering all elements of the articular joint, leads to a pronounced impairment of motor function, reduces working capacity and even causes disability. Traumatologists-orthopedists are engaged in the treatment of gonarthrosis. Timely diagnosis and a competent approach to orthopedic correction allow achieving positive results even in the most severe forms of pathology.

How is an MRI done on the knee?

The knee is one of the most injured joints at any age. With persistent pain or swelling, an MRI of the knee joints is done for adults and children to diagnose damage. An accurate method helps to draw up a treatment plan, the need for surgical intervention, and track the dynamics of the therapy carried out.

Rehabilitation after knee arthroplasty

Knee arthroplasty is a surgical operation during which the pathologically altered articular surfaces of the femur and tibia are replaced with artificial implants.

Did you like the article?

Subscribe so you don’t miss the next one and get a unique gift from CMDT.

e-mail

By clicking on the button, I accept the agreement for the processing of my data.

---

Article checked

Moskaleva V.V.

Editor • Journalist • Experience 10 years

We publish only verified information

medical education and specialists of the company CMRT

Read more

Center specialists

round-the-clock appointment by ph.

+7 (812) 748-59-05

Sign up for diagnostics

Personal Area

Make an appointment at CMRT

Need a preliminary consultation? Leave your details, we will call you back and answer all
questions

The information on the site is for guidance only, please consult your doctor

Request a call back

Your name

Telephone

By clicking on the button, I accept the agreement for the processing of my data

Enroll

Your name

Telephone

By clicking on the button, I accept the agreement for the processing of my data

Enroll

e-mail

By clicking on the button, I accept the agreement for the processing of my data

Ask a question to a specialist

Your name

e-mail

Telephone

Your question

Send a reply to e-mail

Publish anonymously

By clicking on the button, I accept the agreement for the processing of my data. Your question may be posted on the site.

Your application has been sent,
our operator will call you back

Treatment of pulling pain in the knee

Free appointment
and diagnostics

Pain relief
for 1-2 sessions

Author’s method
treatment

Internships in USA,
Israel, Germany

Complaints of pulling pains under the knee are caused by damage to the knee joint, inflammation of the lymphatic and blood vessels, irritation of the nerve trunks, suppuration of soft tissues or tumors located in the popliteal fossa.

1

Positive dynamics in 97% of cases

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

2

No side effects

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

3

Long-term effect

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

The knee joint has a complex structure. The articulation is formed by three bones: the femur, tibia and patella. Inside the joint there are cartilaginous pads – menisci, which provide cushioning and even distribution of the load. The constituent elements of the joint also include the joint capsule, joint bags, tendons and ligaments that fix the bones and limit the range of motion.

In the popliteal fossa there are lymph nodes, the neurovascular bundle also passes here.

Damage to any structure of the joint or tissues surrounding it is manifested by the occurrence of pain with a violation of the functional activity of the joint.

Factors causing pain under the knee are conditionally divided into 3 groups:

• Pathologies of the knee joint itself.
• Periarticular diseases that have a negative effect on the knee joint.
• Other reasons.

Pathology of the knee joint

The appearance of pain in the popliteal fossa after intense physical exertion or injury may indicate stretching of the ligamentous apparatus or damage to the joint capsule or joint capsules.

Knee injuries not only affect the skin and subcutaneous tissue, but also intra-articular structures such as menisci. There is pain, swelling at the site of injury. In the joint itself, blood (hemarthrosis) or synovial fluid accumulates, which leads to aseptic inflammation.

In the acute phase, knee injuries are treated in emergency rooms. During the recovery period, to prevent the development of long-term complications, rehabilitation should be carried out in clinics specializing in the treatment of joint pathologies.

Arthrosis

The disease causes the destruction of the synovial cartilage that lines the surface of articulating bones. The cartilage tissue softens, loses its elasticity, the normal sliding of the articular surfaces is disrupted, any movement in the joint causes pain.

Arthritis

In arthritis, pain occurs as a result of damage to the synovial membrane, in which nerve endings, blood and lymphatic vessels are concentrated. Arthritis is most often a manifestation of systemic diseases (rheumatism, psoriasis, gout) or infection.

Diseases of the periarticular tissues

Diseases of the soft tissues around the joints are inflammatory or degenerative. Inflammation is more often secondary against the background of damage to tendons, ligaments during excessive loads or in violation of the trophism of these tissues.

Bursitis – inflammation of the synovial sac of an infectious and non-infectious nature. With an infection, pulling pains under the knee are accompanied by swelling, redness and hyperthermia of the skin in the area of ​​localization of the pathological process.

Tendinitis occurs when a tendon becomes inflamed or severely stretched. Inflammation begins after injury to the tendon. Connective tissue fibers receive microtears, and the formed hematomas serve as an excellent nutrient medium for pathogenic microbes. The initial signs of tendovaginitis are characterized by slight pain, but with the progression of the purulent process, tissue fusion may occur, which threatens to completely rupture the tendon. Tendinitis is common among athletes (football players, tennis players, basketball players).

Bursitis, tendonitis and other inflammatory diseases of the tendon tissues increase the risk of degenerative processes in the cartilage of the knee joints.

The main cause of inflammation of the sciatic nerve or its branches (small and tibial nerves) is their tunnel compression or stretching in the posterior popliteal fossa. Sometimes the nerve sheaths are damaged by their own antibodies in autoimmune diseases.

A Baker’s cyst is a synovial fluid-filled mass that forms behind the knee. May be the result of arthritis or injury. In addition to pain, the patient is concerned about stiffness and problems with knee flexion.

Other causes

There are a number of reasons why pulling pain under the knee appears in diseases that are not directly related to the pathology of the knee joint.

Treatment success is 90% dependent on experience
and physician qualifications.

Free medical consultation and diagnostics

• Chiropractor
• Vertebrologist
• Osteopath
• Neurologist

At the consultation, we conduct a thorough diagnosis of the entire spine and each segment. We are exactly
we determine which segments and nerve roots are involved and cause symptoms of pain. As a result of the consultation
We give detailed recommendations for treatment and, if necessary, prescribe additional diagnostics.

1

Perform functional diagnostics of the spine

2

Let’s perform a manipulation that significantly relieves pain

3

We will create an individual treatment program

Book a free appointment

Vascular pathology

Varicose disease manifests itself in the weakness of the vascular wall of the veins. Along with pulling pains for varicose veins, a characteristic feature is the appearance of swollen blue veins under the knee, appearing under the skin.

Thrombophlebitis – inflammation of the venous wall – can occur as a complication of varicose veins, or develop due to a violation of blood coagulation processes. Starting with a slight pulling pain, the further development of the disease can lead to complete blockage of the vessel, followed by necrosis.

Among the vascular pathologies that can cause pain under the knee, embolism and arteries and aneurysms are also distinguished.

Polyneuropathy is a group of diseases characterized by multiple diffuse lesions of the peripheral nerves. The causes of diseases are different – exposure to toxins, including alcohol, autoimmune processes, complications of diabetes.

Lymphadenitis with localization in the popliteal lymph nodes can also become a factor in the occurrence of discomfort in the knee area. Drawing pains are typical in the early stages of lymphadenitis. Further development of the disease is accompanied by fever and increased pain.

Pain in the popliteal fossa is often caused by pathological processes in other parts of the lower limb, such as the hip joint or ankle joint.

Sometimes nagging pain under the knee is due to incorrect foot placement or deformity of the big toe. This changes the position of the muscles of the lower leg, which are unevenly reduced during walking, causing a dull aching pain.

Even a far from complete list of pathologies that can provoke the occurrence of pulling pains under the knee shows how important it is to seek qualified medical help in case of minor, at first glance, symptoms.

Diagnosis and treatment

At the initial consultation, the doctor, after taking an anamnesis, conducts an initial functional diagnosis of the joints.

To clarify the diagnosis, the patient is sent for an examination, which includes:

X-ray, ultrasound of the affected joint; if necessary, CT, MRI, arthroscopy.

In the course of differential diagnosis, additional examinations and consultations of specialized specialists are prescribed.

In the clinic of Dr. Length, they carefully study the methods of treatment and diagnosis of diseases of the musculoskeletal system of the leading centers of manual therapy in the USA, Germany, Israel, and the most effective of them are successfully used in their practical work.

The choice of treatment methods depends on the identified disease. The doctor draws up an individual treatment program: a set of procedures, quantity, variability are determined by the stage of the disease, the severity of clinical symptoms, the patient’s age, and concomitant diseases.

The basic set of procedures for the treatment of the knee joint includes a unique Di-Tazin therapy, articular manual therapy, SWT, taping, orthopedic insoles.

The author’s method of Di-Tazin therapy consists of 3 components: soft manual techniques, electrophoresis and photodynamic treatment. The method has a powerful regenerative effect on the damaged structures of the knee joint.

If athletes and people leading an active lifestyle pull under the knee, then most likely it is a consequence of numerous knee injuries, as a result of which cicatricial changes are formed in the tendon and muscle tissues. In such cases, a set of rehabilitation measures is prescribed to restore the integrity and elasticity of the muscular-ligamentous apparatus. These include kiseology, reflexology, massage, physiotherapy.

Drawing pains under the knee, caused by damage to the structures of the knee joint, respond well to manual therapy methods.

For pain caused by dystrophic processes of cartilage tissue (gonarthrosis), intra-articular blockades, injections of chondroreparants and hyaluronic acid are effective.

The treatment methods used in Dr. Length’s clinic relieve pain and inflammation in several sessions, start the regeneration process, eliminate the cause of the disease, and prevent complications.

We are recommended by 94% of patients.
Thank you for your trust and your choice.

Material verified by an expert

Mikhailov Valery Borisovich

Manual therapist, vertebrologist, neurologist

Work experience – 25 years

Video testimonials from patients

Articular block in the neck 90 003 Hernias in the lower back and neck

Clinic Dr. Length I came in with spinal problems. With two intervertebral lower hernias and two intervertebral hernias in the neck. I was assigned a comprehensive 10 step program. For 4 months, my lower vertebrae completely disappeared and crunches in my neck disappeared …

Lumbo-sacral hernia

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

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 was almost gone.

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 I was put 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 long enough and the treatment that I used in the past was ineffective. Fortunately, I ended up in the clinic of Dr. Length and his team of super professionals!

Osteochondrosis of the cervical spine

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

Bechterew’s disease

“I have had Bechterew’s disease for 10 years. The vertebrae began to move out, I began to slouch. I turned to other chiropractors, very famous, media ones. In the end, I didn’t get any results. After 2 sessions I felt much better. Now I don’t have any pain.”

Pain in the spine

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

Shoulder-shoulder 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 from pain. After the first treatment session, I felt much better. Somewhere in the middle of the course, my hand began to rise, I began to sleep at night.

Osteoarthritis of the knee joint, 2nd degree

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

Herniated disc

“I came to the clinic after I had back pain and it turned out to be a herniated disc. I went to other places, but they only relieved attacks of pain. Hope for a return to normal life was given only by Sergei Vladimirovich, his golden hands!

Scoliosis

“Since I was a teenager, I have suffered from scoliosis in the thoracic region. I felt a feeling of discomfort, tension, periodic pain in the spine. I turned to various specialists, a massage therapist, an osteopath, but I did not feel a strong effect. After treatment, Length S.V. I almost have a straight spine. Currently, I do not feel any problems and discomfort.”

Intervertebral hernia

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

Pain in the lumbar and cervical region

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

Pain in the back

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

Cervical hernia

“I came in with a problem in my neck and my right arm was very sore. The neck did not turn, the hand did not rise. After the 3rd session, I felt better. After the 5th, all this pain began to decrease. It turns out I have 2 hernias in my cervical vertebrae. After the sessions, I did an MRI and one hernia decreased. Now he began to move, his hand earned.

Pain in the neck

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

Pain in the thoracic region

“I went to the clinic with back pain, namely in the thoracic region. After 10 sessions of treatment, I could already calmly go about my usual business, stay at work until lunch, without howling in pain. Now I’ve come back for an adjustment after 2 months. I’m fine, my back doesn’t hurt.”

Hernia and protrusion

“I came to the clinic with L4-L5 hernia and L5-S1 protrusion. Today the course of treatment has ended. Lower back hurt, it was difficult to bend down. 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.