Pain at the back of your thigh
If there is pain at the back of your thigh when bending your knee, or you’re suspecting that you’ve torn your hamstring muscle, read this article. Thigh muscle pain develops in an instant (single overload) or over time (repetitive muscle tearing). One of the main signs for a hamstring tear is pain during contraction.
This is a sudden, painful involuntary contraction of your hamstring muscle. You’ll have difficulty straightening your leg for a while but thigh cramps usually wears off within a few minutes. If these cramps happen more often, you should consider seeing a physiotherapist.
Due to irritation of the nerves that runs along the back of your leg and provides the skin & muscle its ‘power’. Abnormal compression and irritation on the Sciatic nerves that supply your leg, will give you nerve pain at the back of your thigh. The pain may be contained to the back of the thigh or spread below your knee, depending on the branches of the nerve that are pinched. Nerve pain will have a tingling quality and feels like pins and needles, numbness or weakness. A pinched Sciatic nerve is a serious problem.
Upper buttock or thigh pain at the back
A Hamstring tendinitis is a condition where one of the 3 hamstring tendons are inflamed due to constant irritation from repetitive overload on the tendon. This occurs either at the hamstring tendons that attach to the buttock (sitting bone) or at one of the two distal tendons that attach at the back of the knee.
Your thigh pain is usually worse after long periods of sitting or driving, or using the muscle with the hip bent, like doing deep lunges, a lot of stretches, or increasing your running speed or hill training. The hamstring tendons must be able to withstand the pulling force when its suddenly loaded, but if overloaded the upper thigh/ buttocks becomes painful and usually the pain feels worse at the start of exercise, then disappear as the body warms, only to return after you have cooled down.
Hip bursitis is inflammation of a fluid filled sac or cushion (bursa) over the a bony point at the bottom of your pelvis (sitting bone), and the tendon of your hamstring. This condition occurs when the bursa becomes irritated, compressed or infected. Pain in your upper thigh will be localized to the fold, just beneath your buttocks.
This is caused by an injury or problem elsewhere such as your lower back, sacroiliac joints or muscles of the buttocks. The pain you’re experiencing is pain that radiates from other soft tissue, organs and nerves. Only after thorough tests has shown no upper thigh problems, we must start looking at these other sites.
Lower back pain may refer down to the hamstring area. This may be due to disc pathology, arthritis or facet joint strain. If your pain is referred from the lower back you would have experienced some kind of back ache leading up to your symptoms.
Repetitive strain and excessive training may cause a stress fracture of your thigh bone (femur). The Femur shaft is a common site of these overuse injuries. This type of pain is dull and constant, irrespective of rest or load. Applying a manual load over your femur during testing will increase your pain. Stress fractures are not visible on normal X rays, but a skilled Physio will be able to detect & treat it.