Thigh pain can come from any of your thigh, buttock, quadriceps, or hamstring muscles also your hip, knee, and lower back joints. To establish where exactly the thigh pain is, it is very helpful to identify which structure is causing the pain. Thigh pain can come from any of the muscles, tendons, joints, or even nerves, so let’s look at the different types of structures in the thigh:
What causes my thigh pain?
In order to understand where your thigh pain is coming from, you’d have to determine how you injured it, or if you can remember a incident at all. Some are outright obvious like a slip on floor or a blow to your leg, meanwhile others are subtle and creeps up on you – getting worse day by day. So, it’s easier to establish how the pain started and progressed until now. Changes in your pain is just as important to understand where you’re pain is coming from.
Our body consists of various types of tissue, some elastic like tendons, or strong like cables (ligaments), some tissue can generate movement, force & power like muscles. We rely on your thigh muscles to stand up, walk and run. The structures in your thigh is quite vulnerable to injury, especially overuse injuries. There are more than 94 structures in your thigh that can get injured, some problems are more common that others, but just to be safe – we test them all.
Here’s a breakdown of a few conditions that we frequently see and how things go wrong to cause your thigh pain:
Get to the root of your thigh pain
Different structures, cause different types of pain, although these are not concrete, it’s a good guideline to which structure produces what type of pain
- Muscle — Dull ache or stiffness, sharp pain with contraction
- Nerve — Numbness, tingling,weakness, electrical stabbing feeling
- Tendon — Burning pain with certain specific movements, pain comes & goes
- Joints — Cramp, constant stiff feeling, worse after rest, better with movement
- Bone — Constant pain, sharp pain with certain movements
- Arteries — Pins & Needles, dead leg feeling, heavy feeling
- Cartilage — Sharp pain when at certain point, painful arch of moment
- Ligament — Pain at the end of range, unstable, clicking
- Referral from other joints — Difficult to pinpoint pain, vague painful area
Causes of Thigh pain
- Trauma – Contusions, fractures and labrum injuries as well as muscle or ligament strains and sprains
- Overuse – Tendon inflammation, athritis
- Autoimmune – Rheumatoid arthritis
- Referral from other joints – Hip or the knee joint
- Referral from nerves – Irritation, compression of the femoral or sciatic nerves
- Visceral referral – Prostate or Overies
What causes my thigh pain?
Thigh Muscle injury
The major muscle group in the front of your thigh includes the Quadriceps muscles and the Hamstrings at the back. On your inner thigh is a group of four muscles called the adductor group, and a strong band of connective tissue called the ITB (Iliotibial band) on the outside of your thigh.
Muscle strains are often called ‘muscle pulls’ or ‘muscle tears’ because of the way these injuries occur, with the muscle tissue forcefully stretched until it tears. Depending on the number of muscle fibers that’s torn, thigh muscle tears are classified as first degree (least severe), second degree (moderate severity) and third degree (most severe) strains. Muscles have very good blood supply and can heal within 4 weeks. Neglected tears in the upper thigh could form excessive scar tissue that restricts the movement of your muscle fibers, which could cause long term pain.
Nerve pain in your thigh
Nerve supply to the thigh comes from two big branches called the femoral nerve in the front of your thigh and the sciatic nerve at the back. There is a less commonly known nerve that supplies the outside of the thigh called the Lateral Cutaneous branch. Irritation or compression of these nerves can cause nerve pain in the thigh.
These nerves relay all the feeling from the your thigh structures, which means an abnormal pain signals from a pinched nerve can cause pain along your inner, upper and outer thigh. Sciatica is also a condition that can cause thigh pain at the back of the leg all the way to your toes. Your femoral nerve can cause nerve pain to the front of your thigh.
Thigh Tendon injury
Tendons are cables that anchor muscles to bone. Tendons acts like a spring to store energy for explosive jumps, and absorbs forces like slowing your decent during a landing. The Rectus femoris tendon in the front of your thigh, hamstring tendons at the back, and Adductors in your inner thigh are more vulnerable to injury due to the large amount of work it needs to handle.
Every muscle has a tendon on either side of the muscle, the one at at the top called the proximal tendon and one at the bottom, called the distal tendon. Any one or multiple tendons can become irritated causing an inflamed tendon which is followed by the suffix “itis”, for example: Quadriceps tendon-itis, an inflamed Quadriceps tendon.
Joints above and below your thigh
Joints can refer pain downwards from the hip towards your upper and inner thigh, Your knee can radiate pain to your lower and outer thigh. Joint pain is usually more difficult to pinpoint therefore a skilled set of hands would need to determine where your pain is coming from.
Size – The larger the area of your thigh pain, is actually better, because muscles in your thigh stretch from below your knee to your hip. Pain tends to radiate along the muscle fibers and affect large areas. Muscles heal easier & recover faster.
Colour – Bruising in & around the middle of your thigh is quite common after a thigh muscle tear, because of the high concentration of blood vessels in your thigh. These capillaries rupture & leak plasma even after a minor bump. Blue discoloration closer to your knee is more concerning for it may involve your knee joint.
Swelling – Swelling is your body’s way of healing itself by sending cells to heal the tissue. More swelling could mean more tissue damage, however not all injuries swell. Injury to tissue that develops over a few weeks doesn’t swell, because the tissue trauma is continuous and repetitive, so your body stops the inflammatory reaction.
Area – Thigh pain in the front of your thigh are more restrictive during forward driving movements like walking, while pain at the back of your thigh limits you from deceleration movements like climbing down stairs and sitting down. If your thigh pain is closer to your joints, (knee or hip) you must be more concerned.
Sharp pain over a small area makes it easier to pinpoint structures in close proximity to your pain. Vague, dull & deep thigh pain can take longer to identify the root cause.
Motion
Stiffness – Stiffness followed by pain is regressing, and getting worse. Seek help. Pain followed by stiffness is a good sign of tissue healing, specifically scar tissue formation. Scar tissue is hardening wound tissue that tends to shorten and pull on structures surrounding the injured site. This is more pronounced in muscle strains & tears, where the normal slide of muscles are restricted during a contraction.
Range of movement – Difficult moving your knee or hip through its range is a big problem. A painful arch means the structure injured only takes tension over that specific range i.e Only painful when you straighten your knee the last 30 degrees. Thigh pain over a smaller range of movement is not necessarily better. If you feel pain only at the end of your range its less severe and easy to fix. When your thigh pain stops the range completely i.e unable to bend your knee you should definitely come see us as soon as possible.
Monitor over time:
Intensity – When you grade your pain from 0 – 10. You may think it’s not that bad because it’s not that painful. On the contrary, pain intensity is not a sign of how severe your tissue injury is i.e. Complete ruptures of ligaments are less painful than partial tears. When fibers are stressed while it’s anchors are completely loose, there’s not much pain, but fibers that are partially torn will produce severe pain. People have different pain thresholds, so be careful to ignore your thigh pain.
Frequency – Pain that’s fleeting or intermittent short burst of pain must not become more frequent and constant. This shows that the tissue damage is not getting any better. Pain that only lasts for a few seconds tend to heal faster, so the longer your pain lasts the faster you should get to us.
Latency – If your pain lags to come on, and builds up over the day you must be very cautious. This is a sign of a relapse of your tissue pathology. It’s difficult to judge what makes it worse, because the pain only comes on a few hours after your activity, and not during.
Loading – Pain while you are walking, climbing stairs and jogging is not fine. Putting compromised tissue under strain is dangerous. Would you tow a car with a partially torn cable? No! Because it just needs that final pull or jerk that could cause catastrophic tissue damage. Loading soft tissue without knowing what it’s able to handle is dangerous & reckless.
Diagnosis of Thigh pain
Our physiotherapists know & understand the intricacy of the anatomy of your thigh. There are many structures to test, and we even take into account the complex biomechanics of your hip & knee movements. We’ll accurately diagnose which structures are involved, and to what degree.
During your physiotherapy evaluation, we’ll be stretching and stressing the soft tissue structures like muscles, ligaments, nerves and tendons. This way we can diagnose muscle tears, ligament sprains, tendinitis and nerve irritations. We’ll test look at different aspects like muscle strength, range of motion, flexibility and stability. This confirms how severe your tissue damage is and dictates your treatment plan.
Gathering information through our evaluation allows us to make a diagnosis based on your individual injury. Then we’ll customize the treatment to your specific needs. This is why our physiotherapists are the best at diagnosing thigh pain.
The Process of Diagnosis:
There is a misconception that medical practitioners are able to know exactly that’s the problem the moment we see our patients. They tend to point to their thigh and say “treat it”. As if we already know what’s the problem by just looking at it. Sorry to disappoint, but unfortunately this is not how it works. Let me explain:
Diagnosis is a process of exclusion, not inclusion. Medical professionals are taught a process of elimination and deduction to identify the most possible diagnosis’s for your thigh pain. The better you can describe & elaborate on your pain, the better picture you’ll give your Physio to understanding what’s happened as well as, what you’re feeling.
The practitioner uses their skills to eliminate diagnosis’s it’s not, and zoom in on your problem. This elimination brings us to only a few possibilities to what could be causing your thigh pain. Then we test & assess all our possibilities to get to the root cause of your pain. In many cases your main problem is not at the site of your pain due to compensation, guarding or it’s just the last straw that breaks (in a chain of movements). We encourage you to be honest and open about what you’re feeling – to clarify, carry on or change your Physio’s approach.
Physiotherapist treatment
We have seen many patients with thigh pain and provide the best possible treatment for a faster recovery. Pain and stiffness after a thigh injury prevents you to move, or you might feel afraid to move and scared you’ll damage it even more. We know that you’re anxious about the unknown, so that is why we are here to guide you and give you all the answers.
Your thigh treatment will be tailored according to various factors, but just to give you a broad idea, our basic structure of our treatments are:
- Determine what is injured
- How bad is it injured?
- Protect it from further injury
- Help accelerate healing
- Re-evaluate to monitor progress
- Change and adapt as you get better
Well Health Pro Experts
Our team of experts can diagnose, test and treat any kind of thigh pain. We work together to get rid of your pain as fast as possible. We have the best tools, techniques and machines to make sure you get the best value for your money. Our Physios will test a lot of different possibilities why you’re feeling this thigh pain in order to explain what’s going on in your body. It all depends on the results of our tests to determine what needs to be done. All our physios are joint specialist that can determine the slightest problem coming from your thigh, hip or knee, so if you’re uncertain – we can help you.
Our experts determine multiple problems that can be involved, this means that we test movements to see if you may have a muscle imbalance, weakness, instability and much, much more. This is our expertise & what we’re best at. We take on many roles to achieve your goals: Teacher, counsellor, trainer and coach. As a teacher we explain the extent of damage & the intricate details of your problem. As a Counsellor & a pain expert, we’ll guide you every step of the way.
Our Physios complement each other in their approach to solve your problem.
Thigh pain Treatments we use
Treatment techniques will include:
- Acute injury treatment
- Ultrasound
- Medications
- Soft tissue massage
- Electrotherapy treatment
- Laser (Low Level Laser therapy)
- Acupuncture & Dry Needling
- Heat packs (Thermal therapy)
- Kinesiology Tape
- Rigid Strapping or taping
- Neurodynamics (Nerve tissue mobilizations)
- Dynamic Strapping
- Strengthening exercises
- Guided loading protocol
- Stretches (Static, dynamic and ballistic)
- Moon boot
- Brace
- Compression Bandage or
- Sleeve
- Supportive strapping and taping
- Biomechanical Analysis
- Gait Analysis
- TENS
Thigh Injuries
Thigh pain is extremely uncomfortable and disrupts the smallest task you have to get on with, so stop the madness. Get your thigh looked at, and get all the answers you need. Most thigh pain don’t start after a fall or injury, but usually develops over time. Yes, it’s more obvious in sports injuries, but you’re required to carry on with work even though you have agonizing thigh pain. We know what you’re going through.
If you’re suffering, rather get it checked. Please come visit our your physiotherapists if you are feeling any type of thigh pain. Rather do something about it than wait with your fingers crossed and hope it goes away. If you’re expecting tomorrow will be any different than today. Stop waiting and act.
An accurate diagnosis is vital to manage your pain and treat it appropriately, because what works for one problem rarely works for another. Some conditions can take many months or even years to heal when the diagnosis is incorrect or treatment is neglected. You could end up spending a lot more time & money to fix your problem later on. So be warned…
How to Stop chronic, daily annoying thigh pain
Without Injections, Without taking Painkillers and
WITHOUT having to wear a Support or Brace…
If you’re living with thigh pain what just won’t go away, they’re painful or they ache – it’s very easy to think that it’s “just something that comes with age”, it’s a bit of “wear and tear”, or that it’s nothing and it’ll go away on its own.
You can’t quite point your finger on why you’re feeling pain in your thighs – but it doesn’t seem to be getting any better!
If that’s happening to you, you’re not alone – we hear this type of thing all the time. In fact, thigh pain is one of the most common problems that we see in our Physio practice. When it comes to living with thigh pain, everybody we see wants to know the answers to these questions:
Why am I still suffering with thigh pain that keeps getting worse
Most people think that when they get thigh pain, it’ll eventually “ease off” and go away on it’s own. That they’ll wake up one morning and like “magic”, your thigh pain will be a thing of the past… But 3 months later you’re still living with the annoying thigh pain, often even worse than it was at the start. Does that sound like you?
Another scenario we see all the time in our physiotherapy practice is when people go to their Doctors, and the well-meaning Doctor tells them to “rest”, “try these painkillers” and “come back in 6 weeks if it’s no better” – but then 6 weeks later, they end up going back to the same Doctor again because it hasn’t got any better, only to be given ANOTHER prescription of even stronger pills, and maybe a thigh guard/ support.
Has this ever happened to you?
Maybe you’re confused because you’ve been told different things, by different people. Maybe you think you have to rest because you’ve been told walking makes thigh pain worse, or that you should be doing ‘this exercise’ and ‘that exercise’ to make it better. It’s very confusing to know exactly what to do – and that’s just to avoid making your thigh pain worse, not to mention getting back to jogging and all the other things you love to do.
And because of this confusion – this often leads people to procrastinate, and put off making a decision about what to do to help fix their thigh pain. Worse, many people just end up accepting it as “part of life” – as if it’s normal, as if it “has” to be that way.
Is this how you feel?
We are here to tell you – this is NOT what you deserve. You are made for great things, your thigh pain is just a bump in the road. Make a decision to help yourself be better.
Why is your thigh pain lasting longer than it should?
If any of these have happened to you – we would love to help you. The fact that you’ve tried any or all of these things already is actually a Good thing, because when you know what doesn’t work – you are closer to finding the thing that does!
We invite you to come and see us. Why? Because we do things differently. We’ll do a thorough assessment and test all the possible causes. After we’ve diagnosed your problem, and explained what it’s going to need to heal, we’ll make sure you understand why this is happening. Its crucial that you you’re honest about how you feel, so that we can guide you. See our FAQ for more in depth information about what to expect from a physiotherapy session.
If you’re looking for solid advice on how to start solving your problem, click the link below to book a FREE phone call. The phone call is complimentary and there is no obligation to book any appointments with us after the call is over. This is an opportunity to get an expert’s advice about your situation. Our goal is to help you make the right decision about what to do next.
What your patients say:
Definitely worthwhile. Physios are well experienced, friendly and professional. Extremely knowledgeable and eager to guide you through recovery to reach optimal performance level.
L Milne
Expert and professional advice. It was my first experience and was very anxious on the impact of the injury to my running, but Renier was calm and offered professional advice. I definitely recommend them.
A Mostert
I have been referred from specialist to specialist and out of desperation landed up at Cilliers and Swart Physio. Yolanda was the first professional to look at my 12 year old holistically and the connection between nerves and muscle.
A Muir
My experience with the physio (Carli Van Dyk) was so great, after my appointment i felt so relief and within 2 days never experienced any further pains. Thank you for the excellent service, please keep it up.
A Ikhile
“The best in the business”
Truly professional care, I would recommend to anyone seeking a solution to their problem
A Niemand
Jaco is one epic physiotherapist, the best I’ve encountered. I would recommend him to anyone wanting excellent treatment, he really goes the extra mile to make sure your injury is treated well.
A Kotze