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Pulling pain from the groin to the knee: why?
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Pulling pain from the groin to the knee: why?

3 weeks ago
183 بازدید
Dr. Zohra Eshghi

Dr. Zohra Eshghi

Shiraz

Physical medicine specialist - nerve and muscle tape

کشیدن درد از کشاله ران به زانو
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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

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.

Read more: treatment due to Nerve compression

Physiotherapy for compression and nerve pain

In most cases, the first line of treatment is physiotherapy to open the space in the lower back where the nerve is stuck. Also, the muscles of the core area of ​​the body should be strengthened in order to reduce the pressure on the lumbar bone and thus on the nerves.

The spine specialist also suggests the use of over-the-counter oral pain relievers.

If the pain continues for a few weeks, injecting corticosteroids into the lower back area where the nerve is compressed is a temporary solution.

In this case, the inflammation will decrease and the width of the nerve will become smaller. Therefore, less pressure will be applied to that area.

If the pain continues, surgical options such as discectomy and anterior cervical fusion (ACDF) or artificial disc replacement will be proposed. It changes.

In addition, the added weight due to increased fetal growth will put more pressure on the sciatic nerve.

Read more:

treatment of pain from groin to knee-due to pregnancy

Pregnancy and knee and hip pain

Usually by reaching the third trimester of pregnancy and the uterus moving higher in the abdomen, these women experience less pain.

During this period Performing exercises related to the lower back, hamstrings and quadriceps muscles can help strengthen the surrounding muscles to reduce back pain or pain from the groin to the knee.

Yoga positions and simple stretching exercises also help pregnant women to reduce pain. Nerve compression is not a rare thing among pregnant women.

Out of more than 1800 pregnant women, 21% of them experienced sciatica pain. If pain relief is needed during pregnancy, Tylenol in moderation is the only approved medication.

Talking to a doctor about stretching pain from the groin to the knee

If you experience pain from the groin to the knee for more than 4 to 6 weeks, even after a long rest, you should see an orthopedist. Make an appointment.

If you are pregnant, the issue will be different and you should see a gynecologist.

If the person is old, it is likely that this pain is caused by hip arthritis. In many cases, such as pregnancy and hip arthritis, the pain felt is a referred pain from another underlying problem that has nothing to do with the thigh muscle.

Depending on the cause of the pain, the doctor will recommend the best way to reduce the pain.

Contact with Dr. Zohra Eshghi

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