
این درد رایج، حسی مثل کشیدگی عضلات دارد اما اغلب پیچیدهتر است. در ادامه درباره علل احتمالی کشیدن درد از کشاله ران به زانو و آنچه باید بعد از تشخیص انجام دهیم صحبت خواهیم کرد.
اگر دردی دارید که از کشاله ران به زانو میزند، علت میتواند کشیدگی جزئی عضلات بالای ساق پا یا مشکلات مربوط به نواحیای باشد که اصلاً ارتباطی به کشاله ران ندارند مثل کمر یا باسن.
این درد انقدر رایج است که اگر از ده متخصص ارتوپد بخواهید بهترین تشخیص را بر اساس درد کشاله ران تا زانو نجام دهند به شما میگویند مشکل آرتریت مفصل ران است.
علت هرچه باشد مهم نیست. اگر دردی است که آرام نمیشود باید حتماً به پزشک مراجعه کنید. بیایید به چند عامل اصلی درد ران و انتقال آن به زانو و درمانهای آن بپردازیم.
کشیدگی عضلات
کشیدگی عضله ایلیوپسوآس میتواند باعث درد کشاله ران به زانو شود. The iliopsoas is a long muscle that starts at the front of the hip and runs toward the knee, and is mostly responsible for bending the hip.
Therefore, it plays an important role in walking, running, and sitting. But what causes gluteus medius muscle pain?
Excessive hip flexion, usually in weight training, can cause a certain type of pain. Exercises such as lifting weights from the knee to the hip and/or lifting the leg are examples of these cases.
Bending of the hip joint also occurs during football and frisbee.
Treatment for strained pain from the groin to the knee due to stretching Muscles
The best treatment is to stop for 6 to 8 weeks the activity and sports that you do. This treatment is called self-limitation and depending on the severity of the strain, the doctor also prescribes physical therapy.
But resting the affected area is usually the best treatment. You can also use pain relievers such as acetaminophen or non-steroidal anti-inflammatories. src="data:image/svg+xml;base64,PHN2ZyB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciIHdpZHRoPSIxMDI0IiBoZWlnaHQ9IjU3NiIgdmlld0JveD0 iMCAwIDEwMjQgNTc2Ij48cmVjdCB3aWR0aD0iMTAwJSIgaGVpZ2h0PSIxMDAlIiBzdHlsZT0iZmlsbDojZjdmN2Y3O2ZpbGwtb3BhY2l0eTogMC4xOyIvPjwvc3ZnPg==" decoding="async" width="1024" height="576" data-src="https://doctoreshghi.com/wp-content/uploads/2024/12/keshale-run-1024x576.webp" alt="Arthritis of the hip" class="wp-image-15435" data-srcset="https://doctoreshghi.com/wp-content/uploads/2024/12/keshale-run-1024x576.webp 1024w, https://doctoreshghi.com/wp-content/uploads/2024/12/keshale-run-500x281.webp 500w, https://doctoreshghi.com/wp-content/uploads/2024/12/keshale-run-200x113.webp 200w, https://doctoreshghi.com/wp-content/uploads/2024/12/keshale-run-80x45.webp 80w, https://doctoreshghi.com/wp-content/uploads/2024/12/keshale-run-300x169.webp 300w, https://doctoreshghi.com/wp-content/uploads/2024/12/keshale-run-768x432.webp 768w, https://doctoreshghi.com/wp-content/uploads/2024/12/keshale-run.webp 1120w" data-sizes="(max-width: 1024px) 100vw, 1024px">
If you are over 50 years old, there is a high chance of developing osteoarthritis and hip to knee pain.
Most people are surprised to learn that this pain often originates from the hip. Arthritis causes damage to the cartilage of the thigh and the pain spreads from there. The femoral nerve, which starts from the back and reaches the front of the leg, signals the pain in the thigh. takes it and takes the message to the knee.
In fact, when you have pain in the groin, this pain goes around from that area. Although the onset and progression of hip arthritis is caused by wear and tear, it can also be seen in adults and young people, especially those who have other diseases such as rheumatoid arthritis, lupus, psoriatic arthritis, and hemochromatosis.
arthritis specialist in Shiraz
arthritis treatment of the hip in Shiraz
Usually when a person goes to Orthopedic specialist in Shiraz comes and complains of thigh and knee pain, first X-rays are used to diagnose hip osteoarthritis.
If positive, less invasive treatments are started unless the arthritis is very advanced and interferes with life.
In this case, physical therapy, drug therapy, and pain relievers are prescribed. If the above cases are not effective, the doctor prescribes cortisone injections or oral anti-inflammatory drugs for hip joints.
But cortisone should only be recommended in acute and very limited cases. As soon as the pain is gone, physical therapy will begin so that you can fully recover. Regular exercise is both effective in reducing the pain of osteoarthritis of the hip and keeps the supporting muscles of the hip joint in good shape.
Most importantly, if you keep injecting, things will get worse. Over time, the cortisone injection causes the development of arthritis.
If all treatment methods fail, the orthopedic doctor suggests hip replacement surgery to replace the damaged part of the thigh with an artificial implant.
You may need a complete hip replacement, meaning both the ball (sphere) and the joint cavity are replaced. Or partial hip replacement (femur head only) is the solution.
This operation is common for many hip surgeons. Normally, the recovery process after surgery will take about 3 months.
Other hip problems

If the problem is not arthritis, the doctor will see symptoms of hip joint stenosis on imaging or MRI, which indicates abnormal alignment of the hip joint.
Because the bones are not perfectly aligned with each other, they rub against each other when moving. Certain movements also cause pain from the groin to the knee.
If you were born with hip stenosis, this problem can be caused by repetitive activities such as high range of motion in the legs in gymnastics, soccer, and American football.
MRI can detect a tear of the labrum (the cartilage that surrounds the edge of the hip socket).
Labor tears are sometimes caused by tightness The hip joint is formed. In this case, the labrum gets stuck in the middle and gets damaged.
Sometimes it can be due to excessive and repetitive use of the joint. Labrum tears are very common among athletes in general, including in tennis, basketball, and hockey.
Treatment due to hip joint problems
If the person's problem is hip joint stiffness, it can be solved with minimally invasive arthroscopic surgery. The doctor will trim the femur so that it does not rub any more.
Arthroscopic surgery is usually necessary for a labrum tear. This tear does not heal by itself. If it is just a simple tear in the labrum, it will be stitched.
If the problem is more complicated, it should be removed. In general, sometimes correcting the joint stiffness also solves the main problem.
Stretching pain in the groin to the knee due to the compression of the nerves
Compression of the femoral or sciatic nerve can cause pain from the front of the groin down. (The sciatic nerve starts from the lower back and goes from the hip to the hip, then the back of the thigh and the knee).
Compression of the nerve can be the result of various factors, including lumbar disc protrusion or age-related natural erosion in the spine.


