Thigh Front Side and Back Side Pain

Thigh Front Side and Back Side Pain /Thigh pain may be defined as the pain in a group of muscle, nerve, ligament injury, muscle spasm, spasticity, and acute and chronic injury in the thigh that leads to prostaglandins synthesis in muscle. In some cases, there are no specific causes of thigh muscle anterior or posterior thigh muscle pain. Due to trauma, accident, bone fracture, radiating pain for lower back pain, disc herniation, bulging, protrusion, muscle weakness in the back, sciatica, etc. Muscle cramps in the thigh in front and backside pain result in continuous, involuntary, painful, and localized contraction of an entire muscle group, only a single muscle, and muscle group or select muscle fibers.

Causes of Thigh Front Side and Back Side Pain

Other common sports-related to the thigh front side of the backside pain include football, basketball, tennis, figure skating, baseball, horseback riding, karate, and softball.

Proximal Thigh

• Thigh muscle cramping, itching, and restless leg syndrome
• Lumbosacral facet syndrome
• Acute or chronic sciatica that causes the thigh front side of the backside pain
• Road traffic accident
• Car Auto accident
• Chronic back pain.
• PLID, hemiplegia, stroke may cause the thigh front side of the backside pain
• Chronic gluteal sciatic pain (hamstring syndrome)
• Lumbosacral radiculopathy in thigh front side and the backside pain
• Piriformis syndrome
• Sacroiliac joint injury
• Lumbosacral discogenic pain syndrome
• Failback surgery syndrome
• Pain may be caused by sciatic nerve compression in inferior
• Pain may be caused by a superior gluteal artery aneurysm
• Lack of exercise endurance
• Postoperative low back pain
• Electrolyte imbalance
• Sprain or strain in thigh front side of the backside pain
• Prolonged wound healing
• Weak adductors, muscle fatigue, decreased range of motion, and
• Inadequate stretching of the adductor group muscle complex.
• Over sweating, muscle cramping in thigh front side of the backside pain
• Blue toe syndrome
• Ischemic leg and poor blood circulation due to the blood vessels disease

Worm up and suddenly changing direction and body movement causes rapid adduction of the hip against an abduction force, putting exaggerated or overstress on the tendon. Sudden acceleration in sprinting in a basketball player, athlete, and cricket player is the most common mechanism of injury. Jumping and overstretching the tendon are less common causes.

Distal Thigh

• Deep vein thrombosis
• Baker cyst rupture
• Knee meniscus injury
• Proximal gastrocnemius injury
• Popliteus injury
• Sciatica
• Atheroembolic disease
• Venous insufficiency
• Vasculitis

It is the abnormality of neuromuscular function, excessive weight gain in women or men, peripheral nerve compressions, laceration, insufficient and inadequate blood flow to the muscles, and increased work by the muscles of the lower limbs.

Symptoms of Thigh Front Side and Back Side Pain

The symptoms of Thigh Front Side and Back Side Pain  are described bellow

• Pain, swelling, tenderness in the thigh is the first symptoms
• Pain may increase during stretching, walking, running in thigh front side, and the backside pain
• The pain may be an increase or worsen in the night with discomfort on the first or initial steps after getting sleep.
• Pain warms may increase with the movement and the condition of pain may progress during walking or daily activities
• Muscle cramping at night
• Paresthesia and sensory function may decrease in thigh front side and the backside pain
• Pain may decrease when the leg is elevated
• The burning sensation may be feeling when the feet are placed on the uneven surface
• Tingling sensation intolerable pain may feel in the thigh
• The pain may increase with ambulation or athletic activities, cricket playing, but then increase all the day
• The normal range of motion in thigh front side and the backside pain may be decreased and may feel discomfort in wearing your footwears

Diagnosis of Thigh Front Side and Back Side Pain

Physical exam should focus on the neurovascular territory of the involved compartment

• Observe skin for lesions, swelling, or color change that seen in the thigh front side of the backside pain
• When palpating over the compartment, you are observing temperature, tension, tenderness
• Check pulses, blood pressure, temperature
• Gait and muscle endurance
• Evaluate two-point discrimination and sensation
• Evaluate motor and sensory function
• The chronic pain in the thigh, buttock, and hip area
• Pain when getting out of bed
• Inability to sit for a prolonged time
• Pain may be in the buttocks that are increased by hip movements
• On examination  – In the physical appearance  your doctor can not see any abnormality such as swelling, skin rash, wort, skin change cyanosis, paling is not found in a physical examination in both side of the thigh
• Palpitation – In this examination patient may feel pain, tenderness when pressure creates in the thigh. It may worsen in the morning. Pain may feel in stretching of leg, sole, and foot.

Lab Tests

• Laboratory tests – Leukocytosis is one of the most important tests for the front and backside thigh pain that supports the possibility of infection and bone-related disease in the thigh. Blood cultures, urine examination, or other possible primary sites of foot bone infection that obligatory when a septic infectious joint is being considered for examination. The and elevated inflammatory condition markers like ESR or CRP include suggesting an infectious or inflammatory disease condition of the ankle joints.
• A serum uric acid level – It is often considered by clinicians and doctors when gout, pseudogout is suspected, but it is not a reliable and dangerous condition as it may be spuriously elevated or high in acute inflammatory conditions or acutely during a or not
• Ultrasound – It is basically done to investigate the thickness of the fascia, ligament injury with chronic heel pain are likely to have a thickened plantar fascia with the associated fluid collection, and that thickness values >4.0 mm that are the diagnostic of plantar fasciitis in right and left leg plantar fascitis.[rx]
• Musculoskeletal ultrasound – It can further visualize the tendon and bony attachment of the thigh sites, muscles, ligaments, and nerves. Ultrasound can also be used to identify the area and extent, nature of the injury and used to evaluate periodically during the recovery phase.

Imaging

• Radiographs of the joint – Conventional x-ray and radiography is the most widely used imaging modality and allows for the detection of bone fractures, osteoporosis, and abnormal pathologies condition like fracture, osteoporosis, erosions, osteonecrosis, osteoarthritis, or a juxta-articular bone tumor, neoplasm. Characteristic features of in thigh front side and the backside pain include marginal osteophytes formation, joint space gradually narrowing, subchondral sclerosis formation in the thigh front side, and backside pain.
• CT Scan – High contrast CT scan is more effective to diagnose in thigh front side and the backside pain. Abnormal tendon, ligament, cartilage, muscle and osteophyte, synovial fluid. It also helps to identify the bone tumor, necrosis, abnormal joint condition, etc.
• MRI – It is called magnetic radical imaging is also helpful to find the bone conditions, abnormal tendon, ligament, cartilage, muscle and osteophyte, synovial fluid. It also helps to identify the bone tumor, necrosis, abnormal joint condition, etc. It is the final stage test to confirm that all thigh front side and the backside pain or any other abnormality. suspected others condition heel pain, such as tarsal tunnel syndrome, soft tissue injury and bone tumors, osteonecrosis, osteomyelitis, subtalar arthritis, and stress fracture.[rx,rx]
• Bone scintigraphy – It is the most important test to diagnose bone cancer, neoplasm, fractures, necrosis of bone, and joints. It also helps to identify the tendon, sprained ligament, cartilage, muscle spasm., sprain, and strain in the thigh front side and the backside pain.
• Muscle Biopsy – Muscle biopsy is basically done to investigate abnormal congenital problems such as dutchmen muscular dystrophy, myasthenia graves, hemophilia, etc. A small part of the cell or tissue is collected from the thigh and send to investigate other abnormalities.
• Nerve Conduction velocity test – It a special test for leg pain on both sides or right and left side leg. It is the procedure where test the sensation of the peripheral nerve stimuli to send the central nervous system means brain. It helps to identify the nervous system problem from the central to the peripheral cell.

Treatment of  Thigh Front Side and Back Side Pain

• Protection – In thigh front side and the backside pain, and acute or chronic injury with pain in the knee. Protection means the save the injured joint and muscle of the thigh from further injuries and dislocation, sprain, strain. It can be done by the tapping process or adhesive bandage.
• Rest – After an injury from the thigh front side and the backside pain, the lag is kept in rest for some time today to prevent injury and accelerate the healing. It is an excellent manual process to protect in thigh front side and the backside pain and the sole of the foot.
• Ice – The application after acute injury is helpful for the healing process of in thigh front side and the backside pain. It basically constricted the peripheral blood vessel that helps to prevent edema, swelling, or accumulated water. It can be used alternatively by ice and heat therapy at the same time.
• Compression – It is the most important manual techniques to protect the swelling, effusion and keep the tendon, ligament, cartilage intake and regenerate the joint cartilage.
• Elevation – Elevation is the process to prevent swelling, edema, and fluid accumulation in knee joints. Your doctor may advise elevating the legs at the same position as the heart vertically. The leg must be elevated just a small high comparing to the heart position in sleeping times.
• Physiotherapy – It is one of the most common and effective non-pharmacological treatments in the world. It has a variety of treatment module to erase acute and chronic pain. It is especially helpful in muscle spasticity, spasms related to thigh front side and backside pain. Inflammatory and noninflammatory pain is treated by ultrasound, MRI, Shortwave, microwave, wax therapy, IRR, laser therapy, interferential current therapy, iontophoresis.
• Exercise – Different types of exercise may be done under the supervision of a physiotherapist or healthcare provider. It falls into the active range of motion, tapping, isometric movement, active range of movement, or passive range of motion of right leg or left leg plantar fasciitis.
• Stretching – It is one of the most helpful treatments to reduce muscle pain, spasm, spasticity that is gradually increasing due to old age and not perform daily workouts or activities.
• Bracing – It is one of the most important self-help devices that is used in thigh front side and backside pain and, maintaining proper joint position, reducing swelling, improve posture and maintain the range of motion exercise.
• Acupuncture – It is the China-oriented acute and chronic treatment system where are needle is used to stimulate the pain receptor to reduce pain. It is also helpful in some spasticity formation pain, stroke, hemiplegia, and chronic rheumatoid arthritis pain in the hand.
• Deep friction massage – It is very helpful in the treatment of thigh front side and backside pain. It is done by the physiotherapy expert that is sudden forceful thrust to prevent the abnormal muscle, ligament, tendon, in thigh front side and the backside pain. It is very helpful for maintaining the arch of food.
• Extracorporeal shock-wave therapy – It is a multidisciplinary device that is used to relieve pain, enhance mobility, improve the tendon, cartilage, ligament injury, and pain. It is basically used by the physiotherapist, orthotist, sports medicine to erase acute and chronic pain.
• The calf muscle and hamstring stretching – It is a very easy and self-treatment system to perform in your home keeping the towel near the bedside and perform before going to bed and taking the first step in the morning and continue to Pull back on foot for 30 seconds 3 times with 30 seconds of rest in between.
• Diet – Diet may be normal or according to the doctor mentions food you can take for you, such as papaya, banana, potato, nut cereal, seasonal fruits, and drink of water. In your daily routine meal must have magnesium, calcium, iron, zinc, folate, vitamin B complex, Vitamin A, Vitamin C, etc.

Medication

• NSAIDs – It is considered to be the fast-acting nonsteroidal anti-inflammatory drugs (NSAIDs) as including acetylsalicylate, naproxen, ibuprofen, indomethacin, and etodolac, ketorolac in pain is acute. Aspirin is also an effective anti-inflammatory for in thigh front side and the backside pain when used at high doses, due to the decrease or inhibition of prostaglandin synthesis. It is also called one of the oldest NSAIDs used for multiple joint pain. NSAIDs work by inhibiting cyclo-oxygenase to prevent the synthesis of prostaglandins, prostacyclin, and thromboxanes. It has also some side effects of aspirin at high doses when used are including tinnitus, hearing loss, and gastric intolerance.
• Muscle relaxant – It is important for patients with chronic muscle spasms, wasting, and muscle cramping releasing drugs. The drugs are tolperisone HCL, eperisone, baclofen, dantrolene, tizanidine, etc. The drug increases the blood supply with oxygen and nutrition to the affected joint.
• Nerve relaxant –  It is basically used to reduce neuropathic pain, inflammation, nerve root entrapment, myalgia, neuralgia, and fibromyalgia, and thigh pain in the front side or backside. Your doctor may prescribe gabapentin, pregabalin, vitamin B1, B6, B12, etc. Major side effects are abdominal pain, nausea- vomiting.
• Vitamin B1, B6, and B12 – It is essential for neuropathic pain management, pernicious anemia, with vitamin b complex deficiency pain, paresthesia, numbness, itching with diabetic neuropathy pain, myalgia, etc. A side effect may be nausea- vomiting, abdominal pain, cramping
• Corticosteroid injections –  Corticosteroids to healing the nerve inflammation and clotted blood in the torn fascia that is accumulated in the joint pain. The injections may provide temporary pain relief anywhere from days to several months. With repeated injections, several times the patient may experience a more permanent improvement in their symptoms.^[rx] The steroid injections are typically used in severe conditions when normal treatment can not respond.^[rx] Common side effects muscle cramping, increase metabolism, dry mouth, vertigo, blurred vision.
• Dietary supplement – Especially seasonal fruit vitamin B complex, vitamin b12, omega-3 fatty acid, antioxidant, spirulina, cord liver oil,  avocado soybean,  prime rose oil, fish oil, etc to remove general weakness & improved health.
• Botulinum toxin A – It is the terminal stage of treatment in tendon laceration, thigh injury either front side or backside. The injection is pushed to the torn tendon, ligament, muscle to heal inflammation, pain, irritation quickly. Your doctor decides whether the injection are needed or not
• Platelet–rich plasma (PRP) – It is a kind of therapy that uses an injection form of a concentration of patients platelets to accelerate the healing of the tendon, cartilage, ligament, muscle, and joints injury. It is very helpful in the treatment of musculoskeletal disease conditions.

References