Tight hip flexors and meralgia paresthetica treatment,sleeping on back while pregnant 3rd trimester,muscle that connects hip to leg - PDF 2016

admin | Constant Hip Pain | 30.05.2016
Lee Simmons has 10 years of reporting experience covering a variety of issues for publications in South Carolina, California, and Texas. Meralgia paresthetica is a condition marked by pain, tingling or numbness in the front and outer thigh. Reducing hip tightness is one way to alleviate the symptoms of meralgia paresthetica by improving flexibility and building strength. The quadriceps muscles are located next to the sensory nerve involved in meralgia paresthetica. More advanced outer thigh exercises can incorporate resistance bands to improve flexibility and strength. While exercises are important to recovery, the most immediate response to meralgia paresthetica should be rest.
Meralgia paresthetica is a condition characterized by tingling, numbness and burning pain in the outer part of your thigh. In most cases, meralgia paresthetica can be relieved with conservative measures, such as wearing looser clothing and hands on treatment. Physiotherapy treatment for patients with this condition is vital to hasten the healing process, ensure an optimal outcome and decrease the likelihood of injury recurrence. PLEASE NOTE: It is highly unlikely that I will be able to answer your question about your personal medical issue. A related form of thigh pain is called Meralgia Paresthetica, which is basically a chronic form of irritation of the same nerve that’s affected in the above condition.
Restless Legs Syndrome (RLS) is a condition that has grown in recognition a lot over the past decade. So far, this is what we have: (1) An irresistible urge to move the legs, often with an uncomfortable tingling, crawling, itching, or burning sensation. This kind of pain tends to respond very well to topical herbs, such as the Imbue Patch and a good liniment, like Muscle Melt. Another common cause of pain of the back of the thigh is a strain or tightness (myofascial trigger points) in the muscles of the buttock. The piriformis is a muscular band that runs from the edge of the sacrum (the triangular bone at the base of the spine) outward to the top of the thigh bone (the greater trochanter of the femur). Gluteus minimus is a small portion of the large gluteus group of muscles that form the bulk of the buttock. Other less common muscular sources of pain at the back of the thigh include the gastrocnemius muscle of the calf, which can occasionally send pain upwards, and the internal muscles of the pelvis. Pain in this region is usually caused by “trigger points” (irritated, shorted regions in the muscle tissue) in the many muscles that run through this area.
This muscle (part of the quadriceps or “quad”) can be seen as the bulge at the inner thigh just above the knee.
The gracilis muscle is like a long thin strap that runs from the underside of the pelvis at its upper end to the inside of the knee at its lower end. Adductor longus and brevis These muscles run from the bottom of the pelvis to the upper, rear surface of the thigh bone. Adductor magnus This very large muscle runs from the base of the pelvis to the back of the thigh bone (femur). The X’s at the middle of the inside thigh show trigger points that can produce a broad region of pain along the inner thigh and into the groin (see red shaded area).
Vastus intermediusPart of the quadriceps, this muscle runs from the upper end of the thigh bone to just below the knee. Sartorius The longest muscle in the body, sartorius runs from the prominent frontal portion of the hip bone, across the thigh, to attach just below the inside of the knee. Rectus femorisThis is another of the four muscles that make up the quadriceps, the large and powerful muscle of the front of the thigh. You can access this muscle most easily if you lie on your back with your knees bent and resting together on one side (see picture). Next, you can follow the psoas downward and outward to its lower attachment inside the pelvis.
Rectus abdominis These central muscles of the abdomen, which give it the “six pack” look when well toned, can produce pain all over the abdomen, into the back, and down into the groin, genitals, and upper, inside thigh. These muscles are less likely to be the cause of frontal or inner thigh pain than some of those covered above, but they’re worth checking, especially if you haven’t gotten positive results from checking the muscles in the thigh and abdomen. Quadratus lumborusThis powerful muscle covers most of the lower back and runs from the lowest rib to the top of the pelvis.
Searching for the origin of hip and outer thigh pain is usually a simpler process than with pain in other areas of the body.
Rather than hunting down the trigger points shown in the following diagrams, we recommend you simply feel the entire area of the lower back and buttock, including over the sacrum itself and the whole region from the crest of the pelvis (iliac crest) down to the crease at the bottom of the buttock, all the way out to the side. Feeling this area is best done with the help of a friend or the use of a Thera Cane or a ball. This is the largest of the muscles covering the buttocks and its trigger points tend to occur right along the edges of bones: the outer edge of the sacrum (see the red and yellow X’s) and against the ischial tuberosity (see the blue X). There are two muscles of the outer thigh that are commonly involved in hip and outer thigh pain: tensor fascia latae (TFL for short) and vastus lateralis. The TFL originates at the front and top portion of the pelvis (iliac crest) and runs downward to merge with a thick, fibrous tendon called the iliotibial tract (or IT band) which continues all the way down the side of the thigh.
Vastus lateralisVastus lateralisThe quadriceps is a massive muscle with four parts (or “heads”) which forms the front, outside, and lower portion of the inside of the thigh.
Rather than hunting for the X’s in these diagrams, it’s always more effective to just thoroughly examine the whole region. Arthritis of the hip joint is somewhat common later in life, and occasionally occurs earlier when there has been considerable stress to the joint or when the socket is especially shallow.
The top of the thigh bone, the femur, narrows and angles inward in what is called the femoral “neck” and then is capped with a round femoral “head” that sits in the socket (acetabulum) of the pelvis.
It sounds like you strained one of your adductors (without seeing you, that’s my first guess). I have a stinging type pain on my right butt cheek that has also radiated to my left butt cheek for the last 3 months. Although we tend to think of itching, burning, and numb types of pain as nerve pain, myofascial trigger points are definitely able to able to produce these forms of pain in certain locations (and it may be partly because of how nerves are irritated by the presence of the trigger point, but the key is that the lynchpin is a muscular [really myofascial] phenomenon, and this is a good thing). Five years ago I began having pain in my lower back, especially when lifting or carrying extra weight. What a data of un-ambiguity and preserveness of valuable knowledge regarding unexpected emotions. I am 49 yr old female with burning surface pain along the top and inner area of my right thigh-the skin is not visibly irritated but very sensitive to touch.
Meralgia paresthetica is a condition characterized by tingling, numbness and burning pain in the outer part of thigh. Popularly known as Skinny pants syndrome – in reference to a rise in teenagers wearing skin-tight pants.
The Lateral Femoral Cutaneous nerve most often becomes injured by entrapment or compression where it passes between the upper front hip bone i.e ilium and the inguinal ligament near the attachment at the anterior superior iliac spine . Tight clothing, obesity or weight gain, and pregnancy are common causes of meralgia paresthetica. These symptoms commonly occur only on one side of body and may intensify after walking or standing. In most cases, meralgia paresthetica can be relieved with conservative measures, such as wearing looser clothing,control of diadetes etc. Compression of the the Lateral Femoral Cutaneous Nerve can cause a tricky problem called meralgia paresthetica ( called paraesthetica in the UK). Because it's uncommon it is often overlooked or confused with femoral or sciatic pain or other nerve root impingements. The problem arises in the groin where the nerve passes close underneath the inguinal ligament. Lie on your back close to the edge of a bed or firm surface- hug both knees tightly to your chest and then firmly keeping hold of one leg , let the other gently drop. This is not specific advice and it may not be suitable for you so make sure you have talked your treatment over with your own health care provider before trying any of these stretches.
The general information on this web site is designed to support, not replace, specific medical advice or the relationship between you and your health care provider. Bridging consists of lying flat on the floor and lifting your bottom up while tightening your gluteal muscles.
These start by standing upright and stepping forward with one foot, lowering the body until the opposite knee touches the ground at a right angle.
A resistance band is looped around the ankle and tied at the other end to a solid, immovable object. Athletes might try cross-training as a way to maintain fitness without aggravating the condition.
Please use newer version of your browser or visit Internet Explorer 6 countdown page for more information. The cause of meralgia paresthetica is compression of the lateral femoral cutaneous nerve which is part of the lumbar plexus nerve network. In severe cases, treatment may include medications to relieve discomfort, occasionally injections are used but surgery is rare.
It can be more intense, and the discomfort can spread from the outer thigh to the groin, buttocks, even up to the rib cage. Many people with RLS had a hard time explaining their problem and had no idea that others had the same issue until someone finally gave it a name. They produce pain (as shown by the red shading) at the back of the thigh and focused behind the knee. The two most likely culprits are a muscle called the piriformis and another called gluteus minimus. While it usually produces pain in the hip and buttock area (see red shading in the diagram), its pain can also spread down the back of the thigh.
The diagram shows the usual locations of trigger points in this muscle, (at the red and blue X’s). The muscles inside the pelvis are generally inaccessible from the outside, but some massage therapists, acupuncturists, and chiropractors are specially trained to work on them. The diagram shows (as X’s) two common locations where trigger points arise when the gracilis is irritated, but trigger points may actually arise anywhere along its length. We use this muscle to “adduct” the thigh, meaning, to bring it inward toward the other thigh. They can be found just slightly behind the midline of the inner thigh (slightly behind adductor longus and brevis above).
Its main trigger point occurs at the front of the thigh, about a quarter of the way from the groin to the knee. Trigger points can occur anywhere along it, and each one can produce pain (sometimes with a burning or numb quality) in the surrounding few inches. All four of these come together in one tendon that encloses the kneecap and attaches to the lower leg. These are rectus abdominis, the central “six pack” muscle, and the psoas, a deeper muscle which runs from the front of the lower spine through to the inside of the hip. It connects the lower spine to inside of the hip and then (through its associated muscle, iliacus) to the top of the thigh bone. From where the pelvic bone sticks up the most (the anterior superior iliac spine or ASIS), you’ll be feeling just slightly closer to the midline.


While this muscle is not the most likely cause of thigh pain, it’s still worth checking, especially if this pain pattern sounds like what you have been experiencing. Its trigger points tend to send pain downward to the hip and buttock area, though it may also spread to the upper frontal thigh. There are not many muscles involved, most of them are quite close to where the pain occurs, and even when hip pain is caused by something other than muscular tightness – arthritis of the joint itself, for instance – pain here will almost always respond positively to natural interventions such as acupuncture, deep tissue massage, and certain herbal patches and liniments.In cases of true joint pain, I encourage you to read my series on arthritis.
If using a ball (tennis ball or lacrosse ball), lie on your back on the floor with your knees bent and feet flat. The yellow X indicates a trigger point that appears beside the very tip of the coccyx (the “tailbone” at the end of the spine).
Both muscles run lengthwise along the outer surface of the thigh from the pelvis to the knee. Trigger points in the TFL occur just below the upper, frontal edge of the pelvic bone, shown as X’s in this diagram. The largest of these four heads is called vastus lateralis, which covers the whole outside (or “lateral”) portion of the thigh.
Here, too, it may be helpful to enlist a friend’s help, or to use a Thera Cane or a ball (lacrosse or tennis). These forms of arthritis are due to wear that destroys the smooth cartilage that lines the joint. Because the joint itself is quite close to the groin, arthritis here tends to produce a deep pain that radiates into the groin, but may also show up at the side of the thigh or buttock, as shown by the red region in this front-view diagram. I’d try rolling on a firm ball (lacrosse is best) over your sacrum itself (that plate of bone at the base of your spine) and then all along the underside of the top edge of your pelvis and then deeper into the meat of the buttock. One that I’d want to rule out first is a combination of myofascial trigger points in the muscles of the lower back, buttocks, and possibly abdomen, since this is both the most likely and the easiest to treat. I was wondering if muscle pain causes a stinging type pain, or if that’s more a nerve thing? Did the orthopedist put you through a thorough physical exam to test for nerve involvement? Most of the time lately I can not get out of bed by myself because of the most excruciating & debilitating pain where my torso and legs meet on both sides I sit on the side of the bed until I can rise then when I do get to my feet horrible pain goes down to my calves drawing them as if I had a charlie horse on both legs. Its combined with an dull, occasionally throbbing ache in my right groin and joint pain in right hip.
The pain is at its worse when I lay down, I do have a pain in the top of my arm I can’t use very much but I would like some advise on this. The cause of meralgia paresthetica is compression or entrapment of the Lateral Femoral Cutaneous nerve that supplies sensation to the skin surface of later aspect of thigh. However, meralgia paresthetica can also be due to local trauma or a disease, such as diabetes or other neuropathy.
In severe cases, treatment may include medications (like NSAIDS) to relieve discomfort or, rarely, surgery.
During my career I have been referred patients with a diagnosis of sciatica or femoral nerve irritation and its turned out to be this – not hundreds but still a significant number. If the restriction is severe then the nerve can develop a loss of function and can give rise to symptoms of pain and numbness in the thigh, usually in a very clearly defined oval patch. By losing weight and getting more comfortable clothing you can sometimes reduce the symptoms. Go and see your doctor and mention this conditions if you think it may be what is causing your leg numbness, the doctor can check to see if it’s the right diagnosis for you and arrange the proper treatment.
Tight clothing, restrictive seat belts, pregnancy and direct trauma to the thigh or hip are among meralgia paresthetica's many potential causes. Hip extensions involve lying on your belly and lifting your leg up while tightening the gluteals.
A traditional quad stretch involves pulling the heel of your foot back toward your buttocks while standing, stretching the length of the upper thigh. The exercise then can either be reversed or proceed forward by stepping with the opposite leg.
A variety of exercises can then be accomplished, including extending the hip backward, outward and forward.
Weight loss, wearing loosely fitting clothes, and in some cases getting a corticosteroid injection will also help relieve symptoms. It provides sensation to the antero-lateral aspect of the thigh and has some overlap in sensation with the femoral nerve. It runs across the front of the pelvis and is susceptible to being compressed by – among other things – very tight jeans. In some people this nerve is more prone to being compressed or damaged because of anatomical variations, being overweight, wearing a tight belt or seat belt for a long time, or being diabetic.
I often prescribe a dissolvable form, such as Natural Calm Plus Calcium, though I have had a number of patients simply take oyster shell calcium (specifically this form) and notice a dramatic improvement in their leg sensations.
Both bands originate at the base of the pelvis (the ischial tuberosity or “sitz bone”) near the center of the crease where the buttock meets the thigh. At the very least, lie face-down on a carpeted floor have a friend kneel on the backs of your thighs while supporting themselves by placing their hands on the floor beside your shoulders.
Also, by squeezing the sciatic nerve, it can cause intense nervy pain all the way down the leg.
Trigger points at the red X’s produce the pain pattern indicated by the red shading, and those at the blue X’s produce pain in the region of the blue shading. Besides causing pain inside the pelvis, spasms and strains of these muscles can lead to pain with intercourse, urinary and bowel problems, and pain of the thigh. In each one, the X indicates the most common area where trigger points can form in each muscle, and the red shading shows the region where pain from this trigger point can occur. The red shading shows its pain pattern, which is felt as a sharp or dull pain near the groin that may spread to the inner and frontal thigh area. Search roughly where the frontal surface and inner surface of the thigh meet, starting just above the upper-inside corner of the kneecap and following about halfway up the thigh. The pain of each trigger point occurs in the few surrounding inches, rather than being referred elsewhere. The X’s in this diagram show the general location of trigger points that form when this muscle is irritated. If you were to squeeze a ball between your knees, adductor magnus would be one of the main muscles involved in this motion. While seated on a bed or chair, you can open the inner thigh by resting one ankle on the opposite knee or you can sit on the edge of a bed with the bent leg on the bed and the other leg hanging down with the foot on the floor. Both of these trigger points have roughly the same pain pattern, which tends to be more focused on the knee than the thigh, but they are still worth examining, since they may refer pain to the area above the kneecap. Use all your fingertips together to press deeply at the uppermost X first (you may want to trim your fingernails for this). The trigger point at the blue X in this diagram corresponds with the pain pattern indicated by the blue shading, and the red X produces the pain pattern shown by the red shading. At the center, in yellow, is the sacrum, a plate of bone (actually five fused vertebrae) at the base of the spine. Trigger points at the red and blue locations are more likely to be involved in hip area pain. Its pain pattern, indicated by the red shading, is primarily over the side of the hip joint and spreading down the side of the thigh. It can form trigger points in five different regions, each of which has their own pain pattern. Trigger points at the red X’s produce a pain zone slightly forward of the midline of the side of the thigh (see red shading). Hip arthritis may also develop as part of broader inflammatory conditions, such as rheumatoid arthritis, lupus, and ankylosing spondylitis. For hip joint pain, consider seeing an acupuncturist, getting deep tissue massage, applying an herbal patch or liniment, and be sure to read my article on joint pain. I highly recommend you see a competent acupuncturist who specializes in orthopedic issues, an expert massage therapist, an perhaps an old school osteopathic physician who does bone manipulation. But, honestly, if you can get in to see an acupuncturist who specializes in pain, I’d highly recommend it.
Buttock pain can come from the muscles of the buttocks, the muscles of the lower back, the hamstrings, and possibly the lower abdomen.
Sometimes I just want to rip open my leg and release some nerve or something that feels like it got stuck somewhere!
It could be coming from your spine (like via a spasm of paraspinal muscles or possibly a herniated disc) or somewhere in the buttock area (the piriformis, for instance, can clamp down on the sciatic nerve; and gluteus minimus can refer pain down the leg). I have no agenda but to help you get relief, and with that, I advise you to go see an acupuncturist who specializes in pain.
Anyway, before pursuing any expensive testing or invasive therapy, I’d pursue a soft tissue diagnosis. It could be a spinal issue, with something pressing on a nerve in your lower back, or (more likely) it could be a simple muscular problem. Standing hip abduction requires standing upright while slowly lifting each leg to one side, keeping the knee straight.
The Willis in Willis-Ekbom is Sir Thomas Willis, a doctor who described this condition in 1672. Occasionally, very high doses of folic acid can be of benefit, as can 400 to 800 units of vitamin E a day (though it may take several months to really become noticeable). The outer hamstring, called biceps femoris, runs downward to attach at the outside of the knee. They, too, produce pain at the back of the thigh that tends to be focused near the lower buttock. The two primary trigger point regions of the piriformis are just against the outside edge of the sacrum (see inner X in diagram) and just inside the back of the hip joint (outer X), though it is worth examining the whole area inside the box. The red pain pattern tends to be more along the outer surface of the thigh (and even down the lower leg). If your search for relief hasn’t led to any answers, you might consider seeing a therapist who works on the intrapelvic muscles. Even if you find the muscle that you think is the culprit, we encourage you to do some more investigation – feel the whole thigh methodically. Feel just below the crease of the groin, roughly halfway between the front and back surfaces of the thigh. Gracilis pain is often a burning or stinging feeling right under the skin, and possibly a broader achiness.
Feel the whole length of the muscle, keeping in mind that the most common trigger point locations are near or just above the halfway point between the groin and the knee. This diagram shows the upper portion of the muscle on the straight (right) leg and then the lowest portion on the inside of the other leg. Start an inch or two to the outside of your navel, and search a few inches in all directions. If you encounter a very tender point that produces the pain you have been experiencing in your groin or pelvis, do some gentle massage.
Just press methodically all throughout the region between your navel and the top of your pubic bone (slightly above the genitals), and a few inches to either side.
These points are found near the outer edge of this thick muscle, usually about 3 inches out from the spine (less for smaller framed people and more for larger folks). It is held in place by the ilium on each – the largest bone of the pelvis, which forms most of the butterfly shape.


The trigger point at the blue X produces pain just above the hip socket and also over the sacrum and the lower portion of the buttock. When feeling for these trigger points, it’s a good idea to cover the whole side of the hip region. All five trigger point regions produce pain in the outer thigh, though only the upper three are likely to produce pain at the hip (see diagram with blue, yellow, and red zones). Trigger points at the yellow X’s produce pain in a zone that overlaps somewhat with the red and blue zones produced by upper trigger points (see previous diagram). I stopped doing the treadmill (speed walking 3-4 miles 5 times a week) thinking it would heal, but it hasn’t. The Othropedic doctor did X-rays, and didn’t see anything, and the MRI was of the pelvis, and not the back. Once in a while it affects my groin, around my inner thigh crease, and sometimes it jumps from the outer side of my foot to the inner ankle.
I get in a reclining chair (but in a sitting position) take a pain pill and get on a heating pad and within 30 minutes to an hour I ususally am able to get up and begin my day. It’s totally possible that this is caused by numerous myofascial trigger points in several muscles, most likely the psoas being central, but possibly involving your paraspinal muscles, perhaps quadratus lumborum, perhaps piriformis, and perhaps parts of your glutes. The psoas, for instance, could cause this kind of referral, and it would tend to hurt more when you lie down or straighten your leg (when it’s in spasm, it feels better for your thigh to be bend toward your body). The lateral femoral cutaneous  is a sensory nerve, which means it delivers messages about sensation or how something feels to the brain. The risk for nerve compression is increased by wearing high heels with tight jeans, since it makes a woman’s pelvis push forward. Most of the time, wearing looser clothing, no belt, and losing weight makes a big difference.
Nonetheless, it was over 300 years before doctors really started paying attention and coming up with criteria for diagnosis.
The inner hamstring, made up of two muscles – semitendinosus and semimembranosus – runs down the leg to attach at the inside of the knee. By shifting their weight more to their knees, they can deliver more pressure if you can handle it (or they can lean more onto their hands to reduce the pressure).
If you find a painful spot here that produces (or alleviates) the pain in the back of your thigh, do some massage here and consider using an herbal patch or liniment.
The blue pain pattern (more likely to produce pain at the back of the thigh) comes from points just beneath the crest of the pelvis (iliac crest) at the top of the buttock.
If you find significant tenderness in this area, especially if pressing here produces the pain you have been experiencing, do some massage here, but keep it gentle. Gracilis lies on top of the other inner thigh muscles, and because it’s so thin may not be able to feel it individually. The presence of this trigger point also may make climbing stairs and straightening the knee difficult. Feel along the full length of this muscle, do some massage, and consider using an herbal patch or liniment if you find any especially tender spots. If you find a significantly tender point that produces spreading pain down the thigh, do some massage here and consider applying an herbal patch or liniment. In this diagram, the uppermost X shows the common location of the (right side) upper psoas trigger point. You may apply an herbal patch or liniment here (being careful to stay away from the genital region). If you find an area of significant tenderness, do some massage here, and if possible (if the skin in the area is not too sensitive or hairy), you can apply the Imbue Pain Patch.
If you press diagonally inward and downward here, you should feel the bony wings (transverse processes) of the lower spinal bones under the muscle. If you find an area of significant pain, do some massage here and apply an herbal patch or liniment, such as Imbue or Muscle Melt. The trigger point at the red X produces pain at the back of the hip joint and just below it.
While it’s easy to touch this area, it’s not always easy to press firmly enough to tell where the problem is coming from or to do self massage. Of the three upper regions, the yellow X indicates the uppermost trigger point – slightly below the hip joint, near the midline of the side of the thigh. It could possibly be coming from some nerve irritation in the lower back, due to tight muscles, a herniated disc, or some spinal disorder. It would be good to know if the spine is involved, because treatment would be different than if it’s coming from the piriformis, for instance.
During the night I usually get up 3 – 5 times and each time the pain is at different levels but always hard pain. If possible, I’d have it checked out by a good acupuncturist or seasoned massage therapist. The nice part about this form of thigh pain is that it’s almost always reversible by wearing looser clothing, although recovery may sometimes take days or weeks. Also, some people find that taking a supplement called alpha lipoic acid can help (the dose used in studies was 600 milligrams twice a day, although lower doses often work fine – ask your doctor). Problems with the piriformis often respond very well to deep, strong self-massage by rolling on a lacrosse ball here.
This area is usually to sensitive to use an herbal patch or liniment, unless you’re very careful! If you sit with your ankle crossed over your knee, and imagine a line that divides the inside surface of your thigh in half lengthwise (see dotted line in lower diagram), you will feel adductor longus and brevis near the upper end of this line. If present, it usually occurs about an inch or two to each side of the navel and sometimes slightly below it. Keep in mind that you need to feel outside and underneath these muscles to get to the psoas.
It is less likely that you will need to address the iliacus trigger point (indicated by the yellow X in the diagram above) if you work on these upper points. You can also use clippers on the hair in this region and then apply the Imbue Patch, as long as you stay away from the genital region. If you find an area of significant pain, do some massage here and apply the Imbue Pain Relief Patch. Much pain that people describe as being in the hip area originates in the muscular attachments just below this crest of bone. For this reason, it may be worth enlisting a friend’s help, or using a Thera Cane or a ball (lacrosse or tennis). In the past I have gone to a Rheumatologist and am now going to a Spine & Pain Clinic but they can not seem to be able to decrease the pain. If this is the case, you need someone who specializes in getting muscles to relax and re-lengthen, and I’m guessing your MD is not that person. Look in the ingredients for MSG, monosodium glutamate, anything else with glutamate in the name,  anything “hydrolyzed,” yeast extract, soy protein, and soy sauce. If you find a painful spot, do some massage and consider using an herbal patch or liniment here. If you raise your knee slightly toward your face while feeling your inner thigh, these muscles (adductor longus, in particular) should stand out.
The trigger point at the lower black X is found just inside the most prominent aspect of the hip bone. If the psoas is overly rigid, it will feel like a firm vertical band, roughly like a banana, and it will be tender. It sticks up most prominently in the back at the posterior superior iliac spine (PSIS), shown in green, which is part of the sacro-iliac joint, where the ilium and sacrum come together. If using a ball, you can either lie on your side on the floor and place the ball under this area (sometimes a bit difficult to balance on), or put the ball between your hip and a wall, and lean into the wall to apply pressure. Just below this, also along the midline of the side of the thigh, is a region several inches long, indicated by the red X’s.
If there’s some relief the next time you get up, keep working on these muscles on your own. I have had many epidurals, shots in faccetts, bursa shots and now they suggest Neurostimulation Therapy (I have some reluctance at this point). A good acupuncturist or seasoned massage therapist who specializes in this kind of work should be able to make a difference rather quickly, though it may take a while before you have total resolution. If you don’t get some relatively quick relief from it, it may be worth continuing to investigate with someone who could do an imaging study of your spine. There are other sources of MSG, too, so if you suspect you’re sensitive to it, look up a list of MSG-containing foods on the internet. The yellow X shows an iliacus trigger point which occurs on the inside upper thigh, just below the groin. If this is the case, do some self massage here (you will likely need to repeatedly work on it to encourage the muscle to really let go) and consider applying an herbal patch or liniment where it is most painful. If you find a significantly tender point that produces the pain you have been experiencing, you can do some massage here. Trigger points here produce pain locally, which can also spread upward and downward from the hip to the knee.
I’ve treated a lot of cases similar to yours with a combination of acupuncture and massage, and, while some people responded better than others, everyone experienced significant improvement. Tension at any of these three points can produce pain or numbness in the upper thigh (and also in the groin, genitals, and lower back). If you are feeling the psoas on the left and notice a strong pulsation in our abdomen, this is probably your descending aorta (a major artery) and you should move just slightly outward (toward your side) to find the psoas. Just above the center of the crease where each buttock meets the thigh is a bony prominence called the ischial tuberosity, shown in pink. The trigger point indicated by the blue X is slightly behind the midline of the side of the thigh, and its pain pattern is a vertical band, also slightly toward the back of the side surface of the thigh (also potentially behind the knee).
If these points are several inches away from the groin and your skin in this area is not too sensitive, you can consider using an herbal patch or liniment here.
Avoid sugar and flour products, eat mostly clean, cooked vegetables and lean meat with minimal dairy. If you are concerned about removal, you can try applying a thin layer of lotion or oil to the skin before putting a patch on. For the time being, it may also be worth taking a break from vegetables in the nightshade family (peppers, tomatoes, eggplant, and potatoes — sweet potatoes are ok though). From the greater trochanter, the bone extends upward and inward, in the narrow neck and wider head of the femur. Meanwhile, divide the number of pounds you weigh in half and whatever number you come up with, drink that many ounces of water a day. The head sits in a cup-like depression called the acetabulum, which together form the ball and socket of the hip joint. The orange semicircle on the right side of the diagram shows the key area surrounding the back of the joint where most hip pain is felt, and which is always important to examine.
If you do all these things for a month, I think you’ll notice a definite improvement. You may be able to reintroduce the nightshade vegetables eventually, but just try them one at a time and if your pain gets worse, stop eating it again.



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Comments »

  1. Vasmoylu_Kayfusha — 30.05.2016 at 10:22:41 Attempt to share in her professional the zipper on the little pouch parallel to the.
  2. babi_girl — 30.05.2016 at 13:49:43 Canine and the severity of the problem the band down.