About a blow to the groin and other “mean” self-defense techniques. Causes of pain in the leg from the groin to the knee along the inner and outer sides of the thigh Causes of pain from the knee to the foot

Most men have fought at least once in their lives: as boys or in their youth, in a sports club during training or when they got involved in a conflict. Some women have this experience too. Depending on who a woman is fighting and where, there are parts of the body that she hits more often.

Hit me in the groin!

It must be admitted that a modern girl cannot do without self-defense lessons. She may never need them, but it’s better to be prepared for anything. And one of the first rules of such lessons is that if a man attacks, then he must be hit in those places that are guaranteed to incapacitate him for some time. For example, in the groin.

It is difficult for the average woman to maintain an equal fight with an aggressor in the form of a man superior in size to her. Therefore, she tries to hit as cruelly and effectively as possible:

knee to the groin;
a fist to the throat;
toe into the kneecap;
at the base of the nose;
fist or fingers in the eyes.

The unspoken ban on “low blows”, which many men try not to violate in fights with each other (otherwise they might get hit back), is rarely observed by women. And this is understandable - it’s easier to hit once so that the enemy bends over in pain and run away than to randomly hit anywhere.

Therefore, there are even legends about the cruelty of women: supposedly once they organized mixed competitions with fights between men and women, but they had to be stopped due to the fact that women chose the most painful of two blows, for example, they preferred not to cut the eyebrow, but to hit the eye.

Do women hit you in the face?

They beat, but less often than men. A broken nose doesn't make you look any more attractive. Perhaps this is why this technique is not popular in female fighting, because if you break another woman’s nose, she can respond in kind.

Sometimes rivals hit each other in the chest - such a blow is very painful for a woman, although less than a blow to the groin for a man. However, they also hit the groin - doctors believe that the negative consequences from this can be even stronger than from a blow to the groin of a man. In a state of passion, a woman may try to scratch out her eyes - not so much by hitting her in the eye, but rather by grabbing her nails.

It is often believed that for a woman, a fight is a last resort, when the conflict has reached its climax and emotions are literally boiling. Then loud accusations, painful hair pulling, pushing with an outstretched palm, and even biting and pinching are more appropriate than punches. This type of female fight even formed the basis for a specific fight with a hint of illegality - a catfight.

Many women are not interested in fighting as a process, as a desire to prove their superiority. “Let’s go out” is also almost never practiced among them. In childhood, boys are often scolded a little for fighting, but they are secretly (or even openly) encouraged, while girls are told for a long time that fighting is not their business. And they have less knowledge of exactly how and where to hit than men.

Where do female boxers punch?

Society is conservative, even women’s boxing was included in the Olympic program only in 2012, and the first World Championship took place a little earlier, in 1995.

For female athletes during a fight, the same rules exist as for men: blows below the belt are prohibited; in amateur fights, a protective helmet can be used. Due to the nature of female anatomy, boxers must always use protective pads on the chest, so most punches are delivered to the head and body. Therefore, among the injuries in women's boxing, the leading ones are broken noses, scars, bruises, dislocations, and broken fingers.

Otherwise, women's martial arts differ little from men's: women are given strikes in the same way, their trainers are often men, and in various sections of oriental martial arts, male representatives become sparring partners.

Discomfort in the legs occurs for various reasons - from banal overwork to serious illnesses. If you have pain from the hip to the knee, you should consult a doctor and undergo an examination to refute or confirm the development of dangerous pathologies.

What you should pay attention to

Painful sensations are not always localized in the damaged area. If the muscles from the groin to the knee begin to pull or contract, it is important to remember what caused the complaints. The main causes of pain include:

  • Damage to soft tissues on the leg (tears of tendons and muscles, sprained ligaments, recent bruises and abrasions).
  • Bone fractures. Many injuries of this kind make themselves felt even after recovery, when it seems that the problem has already been completely resolved.
  • Inflammatory processes: abscesses and lymphadenitis, panniculitis.
  • Tumors: leukemia, sarcoma or metastases, which are best treated in the early stages of development.
  • Disturbed functioning of the nervous system due to intervertebral hernias, osteochondrosis, neuritis, spinal injuries, clamping between nerve endings.
  • Skin diseases.

The leg from the groin to the knee can hurt due to overwork, old injuries, weather sensitivity, pregnancy, muscle weakness, and also after surgery on the back or lower extremities.

Associated symptoms of leg pain


To correctly determine the diagnosis and begin proper treatment, you need to tell your doctor about the symptoms that accompany leg pain:

  1. Increased body temperature. It occurs in many diseases, but at the same time excludes the presence of pathologies associated with the nervous system.
  2. External swelling. It can form anywhere on the upper leg, including the kneecap. Its presence indicates a disruption in the normal functioning of blood vessels, an inflammatory process in the body, or internal damage after injury.
  3. Feeling the seal. It is necessary to conduct an examination to confirm or refute oncology. If a lump is felt on the back of the leg, the patient most likely has a Baker's cyst.
  4. Numbness of the skin and a sensation of “pins and needles” on the outer thigh. Talks about damage to the nervous system. Unpleasant sensations and decreased sensitivity can spread throughout the leg.
  5. Pain and redness of the skin. They signal problems with blood vessels and large veins. Another reason is inflammation of soft tissues.

Pain in the leg from the groin to the knee on the inside can occur after active sports, physical overexertion, or covering long distances. It is important to give the body a rest. If the discomfort goes away or decreases over the next day, there is no cause for concern.

People with a lot of weight, as well as those with sedentary work and a sedentary lifestyle, are prone to discomfort. To avoid complications, it is recommended to lose extra pounds, start doing exercises in the morning, and walk more.

Relationship between the disease and the nature of pain

Depending on the original cause, pain in the leg from the knee to the groin differs in nature and severity. This makes it much easier for the doctor to conduct an examination and determine the correct diagnosis.

Acute pain is not common and may indicate the presence of diseases:

  • Suppuration in the thigh, pelvis or knee area. Associated symptoms: high body temperature, swelling of the skin and a gradual increase in discomfort.
  • Injury after a fall or blow. Pain may not appear immediately, especially if there is no external damage.
  • Intervertebral hernia. Acute unbearable pain occurs in the lower extremities due to the fact that the hernia grows and gradually changes its location. Pain can sometimes radiate to the legs, even if you do not make sudden movements.
  • Thrombophlebitis. The pain intensifies during movement, although discomfort is often felt in a calm, stationary state.


Often patients complain that the leg hurts from the groin to the knee in front, the sensitivity of the outer skin decreases and periodically bothers them with pulling sensations.
Based on these indicators, we can make an assumption about the presence of diseases:

  1. Osteochondrosis, which also causes discomfort in the lumbar region, numbness of the inner or front side of the thigh.
  2. Varicose pathology. Without the intervention of specialists, unpleasant aching sensations “grow” over the entire surface of the legs and it becomes very difficult to walk.
  3. Osteoarthritis or meniscus injuries, which, if not treated promptly, can lead to chronic pathologies. They are much more difficult to treat, and it is rarely possible to achieve a complete recovery. Serious problems with the joints arise, inflammatory processes develop, and fluid accumulates in the joint capsule. The pain is localized in the back of the leg, but can also move around. The right joint suffers from pathologies much more often.
  4. Muscle strain. It passes quite quickly and without outside help. Traditional medicine helps improve the condition.
  5. Fascial tunnel syndrome. The muscle responsible for stretching the connective tissue plate on the outside of the thigh is constantly tense. As a result, compression of the nerves occurs, and interruptions in the blood supply begin.

If your right or left leg hurts from the groin to the knee very strongly or for a long time, you should contact a therapist who will give you a referral to a specialist: an orthopedic traumatologist, a surgeon or a vascular surgeon.

The lower limbs of the human body are subject to constant stress. Against their background, even in the strongest muscular and musculoskeletal structures of this segment of the musculoskeletal system, breakdowns occur. One common manifestation is pain from the hip to the knee or in any other segment of the limb. This article is devoted to a description of this symptom and its correct interpretation.

What could be the cause of pain?

The localization of pain in the space between the hip and knee does not always correspond to the same area of ​​pathological changes. This phenomenon is due to the presence of multiple anatomical formations in the femoral and knee areas, as well as above and below lying areas. Pain impulses can come from:

  • skin and subcutaneous fat;
  • muscle-fascial complexes;
  • tendons and ligaments;
  • bones and joints (femur, knee and hip joints);
  • large arterial vessels;
  • superficial and deep veins;
  • peripheral nerve trunks on the thigh;
  • nerve structures in the lumbosacral spine (nerve roots, spinal cord and its membranes).

Important to remember! Pain in the upper segment of the lower extremity (hip to knee) is a nonspecific symptom. There are so many reasons for its occurrence that only a specialist can correctly determine the most likely one!

Causes of pain

Possible causes and conditions in which the lower limb hurts in the upper parts are given in the table.

Group of reasons Diseases accompanied by pain
Soft tissue injuries
  • bruises and abrasions;
  • sprains and tears of the muscles and tendons of the thigh;
  • sprains and tears of the ligaments of the knee and hip joints.
Bone injuries
  • bruise and subperiosteal hematoma;
  • complete and incomplete hip fracture;
  • femoral neck fractures.
Soft tissue inflammation
  • purulent-infectious processes in the skin and subcutaneous tissue (lymphadenitis, phlegmon, fasciitis, abscess);
  • myositis (inflamed muscle);
  • Tenosynovitis.
Inflammatory and other types of bone lesions
  • osteomyelitis (acute and chronic form);
  • bone tuberculosis;
  • aseptic necrosis of the femoral head;
  • osteoporosis.
Tumor lesions of the bones and soft tissues of the thigh
  • leukemia;
  • osteosarcoma;
  • myosarcoma;
  • angiofibrosarcoma;
  • metastases of malignant tumors in the femur.
Damage to the hip and knee joints
  • intra-articular fractures;
  • deforming arthrosis;
  • arthritis of various origins.
Diseases of the superficial and deep veins
  • dilated veins due to varicose veins;
  • thrombophlebitis;
  • phlebothrombosis;
  • venous and lymphovenous insufficiency.
Arterial pathology
  • narrowing of the lumen of the aorta and large arteries of the lower extremities due to atherosclerosis;
  • thrombosis and embolism of the main arteries;
  • Leriche syndrome.
Irritation of nervous system structures
  • neuritis;
  • herniated intervertebral discs;
  • osteochondrosis;
  • tumors and spinal injuries.
Other reasons
  • physical fatigue of the legs;
  • weather sensitivity;
  • previous injuries and operations on the legs;
  • muscle weakness;
  • periods of growth in children;
  • pregnancy.

Important to remember! Leg pain can have different characteristics. It can be either local, involving a small area, or widespread in the form of a strip, both acute and dull, both sudden and prolonged, both with and without additional symptoms. Detailing the pain syndrome is the first step towards determining the cause of its occurrence!

Symptoms associated with pain are very important

To determine the cause of leg pain localized in the segment from the hip to the knee, the symptoms that accompany the pain are important. Another significant point in their assessment is determining the connection between the pain syndrome and the existing accompanying symptoms. This means that they can be either a manifestation of the same disease or a consequence of different pathological processes. Only an experienced specialist can carry out such a differential diagnosis.

Among the main symptoms that most often accompany hip pain are:

  1. Edema. It can be local in nature, located in a small area corresponding to the area of ​​pathologically altered tissues. This can be the front, side, back surface of the thigh, knee joint, hip area, etc. The presence of edema indicates the inflammatory origin of pain, vascular disorders or traumatic tissue damage. Long-lasting swelling indicates a traumatic or osteomyelitic lesion of the femur.
  2. Numbness of the skin with a crawling sensation. It is almost always localized along the outer surface of the thigh and is evidence of irritation of the peripheral nerves of the femoral region or their roots at the point of exit from the spine.
  3. Redness of the skin. It may be limited in nature in the form of a reddened stripe or a rounded lesion. The first option is most typical for acute thrombophlebitis of the superficial veins of the thigh (great saphenous and its tributaries), the second is a sign of inflammatory and suppurative processes of soft tissues in the thigh area. If the redness is widespread, almost circular from the knee to the thigh, this may indicate erysipelas and fasciitis.
  4. Increased body temperature. A nonspecific symptom that can accompany any disease manifested by pain in the femoral segment of the lower limb. Not typical for diseases of the nervous system structures.
  5. The presence of a dense tumor-like formation. If pain in the hip is combined with the presence of a limited additional formation in the form of a tumor, this most often indicates an oncological process. The location of the tumor in the posterior popliteal region may indicate a Baker's cyst.

Severe and sharp pain

One of the important headings in detailing the pain syndrome localized in the segment of the lower limb from the hip to the knee is the nature of the pain. Acute severe pain always indicates a serious problem in the body. Its appearance may indicate the presence of:

  • Suppurative processes in the thigh area and adjacent areas. In this case, the pain syndrome is accompanied by swelling, slight redness, painful movements and walking, and increased body temperature. A history of gradual increase in pain is typical. For several days, the leg pain is moderate and intensifies to a critical level.
  • Traumatic injuries to bones, tendons, muscles, ligaments and joint structures of the hip, knee and thigh area. Pain does not always occur at the time of injury and may appear after some time. The accumulation of blood and fluid causes a feeling of fullness at the back of the knee. Therefore, the fact of injury and its objective signs in the form of bruises, abrasions, and hematomas must be taken into account.
  • Progressive intervertebral hernia. An increase in size or instability of an intervertebral hernia always causes sharp pain in the area of ​​the spine in which it is located. Very often, the leg is pulled or a sharp pain attack occurs along the nerve emanating from the corresponding segment of the spinal cord. Patients describe it as a lumbago along the outer surface of the thigh.
  • Acute thrombophlebitis. The inflammatory process in the great saphenous vein is accompanied by the formation of blood clots in its lumen; surrounding tissues are involved in the process. An inflammatory infiltrate forms along the vein from the groin to the knee, dense and sharply painful. The pain intensifies with any movement.

Aching and chronic pain

The most common type of pain in the leg from the hip to the knee is chronic pain that bothers a person over a certain period of time. It can be aching, stabbing, accompanied by numbness, occurs against the background of certain factors or spontaneously, is periodic, goes away on its own or as a result of certain actions, and is usually limited to a certain anatomical zone of the hip. Almost every person experiences similar pain in everyday life.

If a person’s leg aches, this may indicate:

  • physical fatigue and overstrain;
  • tunnel-fascial syndrome;
  • varicose veins of the venous system of the lower extremities;
  • spinal osteochondrosis;
  • chronic degenerative processes in joints.

Varicose disease of the venous system of the lower extremities

This disease is accompanied by periodic pain along the veins prone to varicose veins. Most often this is the inner thigh above the knee. Such pain is provoked by prolonged stay in an upright position and heavy physical exertion.

Osteocondritis of the spine

With prolonged existence, osteochondrosis causes irritation of the nerve roots innervating the thigh area. This is manifested by frequent or constant aching pain in the area where the irritated nerve branches from the buttock to the knee. As a rule, in parallel there is pain in the lower back, muscle weakness of the lower limb and numbness of the painful area.

Chronic degenerative processes in joints

Old injuries, damage to the meniscus, and osteoarthritis cause not only damage to the articular cartilage, but also to the tissues that support the joints in a stable position. Against this background, their overstretching, chronic inflammation, and possible accumulation of fluid in the inversions of the joint capsule occur. All these conditions are accompanied by compression of surrounding tissues, which is manifested by aching pain. As a rule, it is localized behind the knee near the affected joints and can spread to the areas above and below the outer surface of the thigh. The right leg is affected more often.

Physical fatigue and overstrain

Against their background, the muscles and periarticular tissues find themselves in a tense state, which is naturally manifested by irritation of pain receptors and a feeling of pain. If we are talking about excessive loads on unadapted muscles, then pain in the thigh is caused by the accumulation of under-oxidized substances (primarily lactic acid). With rest, such pain goes away on its own.

Fascial tunnel syndromes

A dense connective tissue plate, the fascia lata, runs along the outer surface of the thigh. Between it and the muscles, as well as through its thickness, peripheral nerves pass. If the muscle that pulls the fascia lata is under tension for a long time, this leads to compression of the nerves and disrupts their blood supply. The result is a nagging pain, accompanied by a crawling sensation and numbness of the outer thigh.

Important to remember! Pain in the femoral-knee segment of the lower extremities, being a nonspecific symptom, still has a certain specificity. It is important to know the possible variants of pain syndrome and be able to differentiate it correctly. You shouldn't do this yourself. Contacting a specialist is the only correct solution in such a situation.

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The hip bone hurts on the right or left: causes of pelvic pain

The hip bones not only perform a protective function for the internal organs, but also bear the entire main load of the entire body. For this reason, the bones in the pelvic area often hurt on the right or left.

To find out why the pain occurs and what causes it, you need to see a doctor.

Why does pain occur in the pelvic area?

Bones, as the most important part of the body, can fail due to various disturbances in the functioning of the whole organism.

Arthritis is considered a typical and common problem among older people. In this case, the lower limb hurts, the pain spreads to the groin area, which radiates to the front and side of the thigh and often reaches the knee.

When a person leans on the affected leg, the symptoms intensify. Shooting pains are also felt when trying to get up from a sitting position.

Deforming arthrosis occurs, as a rule, in middle-aged patients. The disease develops unnoticed, but the main symptoms can be identified at an early stage.

The patient feels pain in the right or left hip joint. At the second stage of the disease, discomfort is felt when standing up, turning the body, and starting to move.

The muscles in the affected area are constantly tense even at night, so the disease can manifest itself even during sleep.

  1. With bursitis of the trochanteric bursa, pain occurs in the outer part of the gluteal region. If the patient lies on the affected side, the pain increases. Inflammation can also affect the iliopectineal and sciatic bursa.
  2. Tendinitis, or inflammation of the tendons, occurs in people who regularly perform strenuous exercise. This disease is especially often diagnosed in athletes. In this case, pain occurs with active movements and increased load on the sore hip joint. If the load is light, pain is usually not felt.
  3. Pain in the pelvic region on the right or left can be caused by infectious and inflammatory diseases. The most serious disease is considered hematogenous osteomyelitis, which is accompanied by a purulent-inflammatory process in bone tissue. In case of osteomyelitis, the patient feels acute pain. Pain in the pelvic area also appears with syphilis and tuberculosis. Even with a common cold, the virus spreads throughout the body and causes bone pain.
  4. Hereditary diseases of the hip joints include Legg-Calvé-Perthes disease, which is detected in boys at an early age. With this pathology, pain is felt either in the right or left joint. Quite often this disease begins with the appearance of pain in the knee area.

Excessive physical activity during sports training can cause pain in the hip joints on the right or left. This is usually observed in avid athletes who do not have time to fully rest, and in beginners who want to quickly gain sports experience. With constant pressure, the pelvic bones begin to ache regularly.

Also, pain can occur not only during training, but also at night. To eliminate discomfort, it is necessary to provide the body with proper rest and stop physical exercise for a while. Painkillers and warming ointments can also help.

The pelvis hurts when there is a dislocation, fracture, bruise or crack in the hip bone. Also, pain in the pelvis can appear due to injury to other parts of the lower extremities. In particular, when a person’s foot is fractured, their gait changes, which directly affects the position of the entire body. Because of this, increased pressure on the bones causes discomfort and pelvic pain.

The hip bones often hurt if a tumor develops in the pelvic area. Additionally, pain occurs when metastases from another area spread throughout the lower limb. Most often, the painful syndrome is observed with histiocytoma and fibrosarcoma. At first, pain appears at night or during intense physical work.

However, gradually the pain begins to occur more often and does not allow the patient to fully move. Additionally, the patient may have a fever, weight loss, and joint deformation.

When the bone marrow of the pelvic bone is damaged, constant pain occurs. In particular, myeloma is characterized by excruciating pain in the pelvis, ribs and spine. At the same time, the bones become fragile. With acute leukemia, the patient may feel pain in different parts of the body, and the patient also experiences fever and weakness.

During the examination, the doctor may detect an enlargement of the spleen and lymph nodes. Chronic myeloid leukemia presents with similar pain throughout the body, but it is accompanied by persistent infection.

Often, pelvic pain occurs when there is a metabolic disorder in the body, in particular, when there is a lack of calcium and other essential microelements. The source of hip pain may be a deficiency of vitamins D and B1, elevated levels of parathyroid hormone and thyroid hormones.

The cause may include taking hormonal drugs, congenital metabolic disorders, or being immobile for a long time.

Bone disorder in the pelvic area

As a rule, pain occurs with any type of damage to the pelvic bones. The doctor can first determine the nature of the disorder during the initial examination. So, if there is a rupture of the symphysis, the patient’s hips are strongly adducted. When the pubic bone is fractured, the patient assumes the “frog” position.

If the anterior semi-ring is damaged in the groin and scrotum area, swelling and hemorrhage occur. If the hematoma grows rapidly, the doctor may diagnose bone trauma or arterial damage.

If a pelvic fracture occurs, a person cannot fully move, and the so-called symptom of a stuck heel is observed.

Depending on the characteristics and location of pain, there are three main symptoms:

  • With Verney's symptom, the pain intensifies in the area of ​​damage if the left and right half of the pelvis are simultaneously compressed.
  • With Larrey's symptom, the pain becomes stronger if the wings of the ilium are spread apart.
  • With Studdart's symptom, pain is felt in the iliosacral joints during adduction and abduction of the iliac bones.

If pain is felt in the symphysis area, the doctor will diagnose a rupture. You can also detect a hematoma and protruding bone fragments. To confirm the diagnosis, a rectal and vaginal examination is performed.

If the fragments of the pubic bones have shifted, palpation is carried out through the vagina.

The appearance of pelvic pain in women

Women may have their own reasons for experiencing pain in the pelvic area.

  1. Pain may often be felt with varicose veins in the pelvic area. Unfortunately, this disease is quite difficult to detect due to the lack of visible gynecological pathology. Varicose veins, in turn, develop with congenital weakness of the vascular walls. The cause may also be a previous inflammation of the ovaries.
  2. With diseases of the genitals, a woman may complain of pain in the pelvic area. Most often, a gynecologist identifies an ovarian cyst or endometriosis. In this case, treatment is aimed at eliminating the disease.
  3. With an ectopic pregnancy, a woman may feel pain on the right or left. It is necessary to immediately consult a doctor to stop the critical situation.
  4. Throbbing pain in the pelvic area is felt at different stages of the menstrual cycle.
  5. With inflammation of the pelvic organs, the process often spreads to the fallopian tubes or uterus. This leads to the formation of scars, which cause pain.

If no gynecological abnormalities are detected, the problem may be a disease of the gastrointestinal tract or psychosomatic pathology.

With kidney stones, the pain is acute. This disease needs to be treated immediately.

How to get rid of pain

The first step is to find out the exact cause of the pain and begin the necessary treatment. Self-medication is not recommended, as this can significantly worsen the patient’s already serious condition.

At the first suspicious symptoms, you should consult a doctor and undergo a full examination. Since the cause can be very serious, timely seeking medical help will avoid complications and heal faster.

Depending on what disease caused the pain syndrome, the doctor prescribes medication. Additionally, the patient undergoes physical procedures, performs physical therapy if necessary, and uses traditional methods of treatment. Such complex treatment will give the necessary therapeutic effect and lead to a quick recovery.

  1. If the disease is in its early stages, compresses, lotions, ointments and gels will help. For severe pain, non-steroidal anti-inflammatory drugs, hormonal drugs, and muscle relaxants are prescribed. For severe inflammation in the pelvic area, Ortofen, Diclak, and Ibuprofen are used to get rid of swelling.
  2. For arthrosis, chondroprotectors such as Dona, Chondroitin sulfate, Glucosamine, Rumalon, and preparations containing chondroitin are used. These drugs impregnate cartilage tissue and restore their previous structure.
  3. To improve blood circulation in the pelvic area, use Trental, Nicotinate, Cinarizine. Such drugs dilate blood vessels and slow down the degenerative process at the site of the lesion.
  4. Intense pain can be quickly relieved by muscle relaxants, which effectively affect the affected area. Hormonal drugs help get rid of the inflammatory process in the pelvic bones.
  5. Effectively relieve pain with the help of therapeutic massage, laser therapy, cryotherapy. Special therapeutic exercises also help to alleviate the patient’s condition.
  6. In severe cases, when destruction of the hip joint has occurred, the doctor prescribes surgical treatment in the form of partial or complete replacement of the damaged joint.

Who to contact for pelvic pain

If there is pain in the hip area, you cannot ignore it. The choice of doctor depends on the causes of discomfort. If the pelvic bones are injured, a traumatologist or surgeon can help. If visual damage is not visible, you should consult a therapist, who in turn will refer the patient to:

  • Rheumatologist;
  • Hematologist;
  • Oncologist.

After a thorough examination by highly specialized doctors, the patient may be referred to a gynecologist or nephrologist, depending on the type of pain. Learn more about the nature of the origin of pelvic pain in the video in this article.

  • Seven causes of pain in the hip joint that radiates to the leg
  • Types of pain radiating to the leg
  • Characteristic and accompanying symptoms
  • Three main pathologies that cause pain and their treatment
  • 1. Arthritis of the hip joint
  • Treatment
  • 2. Coxarthrosis – arthrosis of the hip joint
  • Treatment
  • 3. Bursitis
  • Treatment
  • Conclusion

Pain in the hip joint that radiates to the leg occurs due to injuries, inflammation of tendons and joints, infections, and also as a local manifestation of general diseases of the body.

At the initial stages of pathologies, when only intra-articular structures are destroyed or injured, pain sensations are localized in the joint itself. When the structures surrounding the joint (ligaments, muscles, nerve bundles) are involved in the pathological process, the pain spreads beyond the joint - this is how irradiation (“recoil”) appears in the leg.

The greatest danger of pathologies that cause such discomfort lies in their complications. In most cases, pain radiating to the leg occurs against the background of the following four changes:

These are dangerous conditions. Ignoring pain, which indicates pathology of the hip joint (abbreviated HJ), leads to disruption of its function or to its complete immobilization.

The good news: timely consultation with a doctor can stop the progression of the disease and eliminate (or greatly alleviate) discomfort in the joint and leg. Treatment of such pain (and its causes) is carried out by rheumatologists, traumatologists, orthopedists and neurologists - depending on the pathology - the cause of the problem.

Seven causes of pain in the hip joint with kickback to the leg

Types of pain radiating to the leg

Pain in the hip joint radiating to the leg can occur suddenly and be pronounced or increase slowly and gradually. Depending on this, the doctor assumes what kind of disease we are talking about.

(if the table is not completely visible, scroll to the right)

Characteristic and accompanying symptoms

Joint pain radiating to the leg is always accompanied by symptoms that indicate the nature of the pathology that caused it. Examples:

  • Inflammation of other joints accompanied by elevated temperature is a sign of rheumatoid arthritis.
  • Pain of an indeterminate nature, radiating not only to the leg, but also to the buttock, lower back and knee, is a signal of avascular necrosis (a very serious disease).
  • If the discomfort increases gradually, covers the entire leg, intensifies during movement or when forced to sit still, and changes the gait, these are signs of arthrosis.
  • The combination of pain radiating to the leg with lumbar pain indicates the development of radiculitis of the lumbosacral region.

Three main pathologies that cause pain and their treatment

1. Arthritis of the hip joint

The disease is more common in old age.

A characteristic symptom is severe aching pain in the hip joint.

When only joint structures are involved in inflammation, the discomfort is localized within the joint itself.

If discomfort begins to spread along the front surface of the thigh up to the knee, this indicates the transition of inflammation to the periarticular structures. In this case, when walking and moving the leg, sharp acute pain attacks occur with shooting pain in the front of the thigh. Gradually, stiffness of movements joins the pain syndrome.

Treatment

Main methods of therapy:

2. Coxarthrosis – arthrosis of the hip joint

Typically, this pathology is diagnosed in people aged 40–60 years. It is characterized by an imperceptible onset, with vague pain sensations on only one side (in the right or left hip joint). The pain symptom practically subsides during rest and appears only in the joint during loading.

As the intra-articular cartilage tissue is destroyed, the severity of the pain increases, it becomes constant, and it radiates into the leg due to compression and pinching of the ligaments and nerve bundles. By this time, they can become unbearable when trying to perform any movement, which results in shooting in the groin and knee.

Treatment

Conservative treatment is effective only at stages 1 and 2 of the disease. To do this, the rheumatologist selects a course of therapy, which includes: chondroprotectors, NSAIDs, painkillers, exercise therapy and massage.

In later stages, joint replacement surgery is indicated.

3. Bursitis

Hip bursitis is an inflammation of the joint capsules.

There are two possible courses of the disease:

Bursitis is characterized by cramping pain deep in the tissues. The patient cannot lie on the affected side, as the discomfort immediately increases. With this pathology, the pain is never limited to just the joint - it always radiates to the leg.

Treatment

A course of injection therapy with NSAIDs together with corticosteroids and restriction of mobility is effective.

Conclusion

The occurrence of even vague, mild discomfort in the hip joint, which spreads to the leg, is a signal to consult a doctor. If you don’t know which specialist to go to, contact a therapist. And he will already give you a referral to a doctor of the required profile.

    • Hip joint pain: reasons, what to do?
    • Pain in the joints of the fingers - is there any salvation from this scourge?
    • Review of modern ointments for joint pain: truth and fiction
    • Shoulder pain: symptoms, diagnosis and treatment
    • Shoulder joint hurts - what to do, how to treat?
  • A knee dislocation is a damage to the joint in which its surfaces are, due to displacement, in an abnormal position. No cracks or other damage to integrity are observed. It becomes very painful. Movement is limited, or even impossible to walk. In addition to traumatic, there is also a congenital dislocation.

    Anatomy

    In order not to drown in unnecessary anatomical details (they are clearly visible in the diagram), it is worth limiting ourselves to listing the main elements:

    • bones and cartilaginous meniscus between them;
    • muscles and cruciate ligaments;
    • nerves;
    • blood vessels.

    Causes

    Of all types of dislocation, damage to the knee joint has the most painful manifestations, although it itself is very rare.

    In the International Classification of Diseases (ICD-10), such a case is characterized as dislocation of the tibiofibular joint.

    1. Direct sharp blow to the patella;
    2. A sharp contraction of the thigh muscle while walking or running;
    3. Fall to knee;
    4. Improper straightening or extension of the legs;
    5. Movement of the leg with excessive twisting of the joint;
    6. Injury in a road traffic or other accident during sports.

    There is also the already mentioned congenital dislocation of the knee joint. Occurs in 1 in 100,000 live births. In children, such a dislocation is often observed against the background of a disorder of the musculoskeletal system or its individual elements. This birth defect differs for boys and girls. In the first case, these are dislocations of the kneecap, in the second - the lower leg.

    There is also the so-called habitual dislocation of the patella, caused by the congenital anatomy of the knee.

    In any case, this is a severe type of injury due to the displacement of the bones in any direction, so the consequences can be very different.

    Symptoms

    When a knee dislocation occurs, a person usually experiences the following symptoms:

    1. Acute joint pain, even at rest, and especially when trying to move.
    2. Due to severe swelling and loss of sensation in the foot, the mobility of the leg in the knee area is impaired (completely or partially).
    3. There is no pulse to the touch below the sore spot.

    Don't try to get up and walk around unless absolutely necessary.

    Many people, having received a knee injury and experiencing these symptoms, try to independently calculate the nature of the injury and distinguish a dislocation of the knee joint from a fracture. The difference lies in the fact that during a fracture, there is also a violation of the integrity of the bone tissue, and restoration means their treatment, and not just the normalization of the position of the joint.

    First aid

    None of us are immune from such damage. The accuracy of the prognosis and the duration of post-traumatic rehabilitation significantly depend on the general ability to urgently provide correct assistance.

    The first thing to do is to immobilize the leg using a splint or improvised means. It is strictly prohibited to adjust a dislocation on your own; this can only be done by a specialist in a hospital setting. It would be useful to apply cold to the site of injury; this can reduce pain and relieve swelling a little, narrow the blood vessels and reduce the risk of blood getting into the cavity of the knee joint.

    It is not for nothing that hip dislocation is considered one of the most difficult types of injuries. A person cannot walk for a long time, and the treatment and rehabilitation period are characterized by increased complexity. You can find out why this happens, how to identify the symptoms of this problem and what to do?

    Apply a pressure bandage, ideally an elastic bandage or a knee brace. It allows you to fix the joint and reduce pain. It is necessary that the leg is directed at an upward angle, so place any support under it; this will reduce the blood flow to the leg and reduce the severity of hemarthrosis. And, of course, pain relief. The victim needs to take one or two painkillers.

    Your home medicine cabinet should always include over-the-counter pain relievers.

    Diagnostics

    An experienced traumatologist will easily make an accurate diagnosis, but will definitely prescribe additional examinations - other possible injuries must be excluded.

    A special examination program is being carried out:

    1. examination by a specialist;
    2. ultrasound examination of the joint;
    3. X-ray;
    4. arteriography;
    5. Dopplerography of blood vessels;
    6. neurological examination;
    7. Pulsometry.

    Treatment

    If you dislocate your knee, you should only go to a medical institution and see a traumatologist, since only a specialist knows how to treat it correctly. Independent intervention can only harm the person who has received such a dislocation. So, when it comes to a dislocated knee, treatment at home is strictly not recommended.

    The main method of treatment involves returning the joint to its natural place and standard position. The damaged joint must be fixed with plaster or a special device. Attention is paid to the restoration of ligaments. In particularly acute cases, there is a need for surgical intervention. Torn ligaments and tendons cannot be left without the surgeon’s attention. Then subsequent rehabilitation occurs under the supervision of the attending physician.

    Complications

    With timely diagnosis and proper treatment, the victim is completely cured, and the diseased knee is fully restored. But if the treatment was carried out improperly, this is fraught with:

    1. formation of hematomas;
    2. chronic pain syndrome;
    3. destabilization of the kneecap;
    4. paralytic foot deformity.

    In particularly advanced cases, even gangrene, amputation and disability are possible.

    Rehabilitation period

    After treatment of such an injury to the knee joint, it is necessary to carry out rehabilitation measures:

    • physiotherapeutic procedures;
    • proper nutrition and a course of vitamin therapy;
    • the use of compresses from a decoction of medicinal herbs;
    • physical therapy (to get rid of the consequences of a dislocated knee, exercises are required);
    • wearing bandages.

    You can watch a set of exercises to strengthen joints in the video.

    Typically, the patient makes a full recovery after 3-4 months of treatment, and the knee joint begins to function as before the dislocation. The prognosis is favorable if all these recommendations are strictly followed during the treatment period:

    1. Don't stand on your feet for a long time.
    2. Do not engage in strenuous physical activity.
    3. Before physical activity, put an elastic bandage on your knee.
    4. If the knee swells, it should be lightly massaged using a special ointment.

    Let us once again emphasize the seriousness of a dislocated knee joint, which, if qualified assistance is not provided in a timely manner, can cause serious consequences. Therefore, if this trouble has already overtaken you, immediately contact a specialist and follow the recommendations, then everything will pass without consequences and even chronic pain will not remain as a memory.

    Prevention

    First of all, it is necessary to give the muscles of the body regular exercise so that they always have proper tone. People with weakened muscle support are much more likely to suffer dislocations, and the stronger the muscles that provide movement to the knee joint, the less likely they are to get injured:

    • Basic exercises on the lower extremities (walking, easy running, swimming, cycling) will help.
    • Before special sports activities, it is necessary to properly warm up and stretch the muscles.
    • Don't forget about good shoes for the arch of your feet, and also try to wear high heels less often.
    • You should eat nutritious foods with adequate amounts of calcium and vitamin D.
    • Try to do physical exercise every day, and the lifestyle itself should be moderately dynamic.

    Leg pain - pain from knee to foot

    Not every person, absorbed in the whirlwind of everyday life, attaches importance to heaviness and fatigue in the legs. The patient comes to see a doctor only at the moment when his legs begin to hurt so much that it becomes difficult to move. Legs may ache from the knee to the foot. Sometimes the pain is caused by uncomfortable shoes, overwork, or weather sensitivity. But severe pain below the knee can signal a variety of diseases.

      • Inflammation of the knee and ankle joint caused by arthritis or arthrosis
      • Varicose veins of the leg
      • Venous and arterial thrombosis of the lower extremities
      • Obliterating atherosclerosis
      • Polyneuropathy
      • Lack of vitamins and microelements
      • Traumatization
    • Diagnosis and treatment

    When it comes to the area of ​​the leg between the knee and foot, we mean the lower leg. The anatomical structure of the lower leg includes two tibia bones - large and small, as well as a group of muscles, blood vessels and nerves. Damage to one or more elements, as a rule, gives rise to pain.

    Causes of pain from knee to foot

    Legs below the knee may hurt due to the following provoking factors:

    Inflammation of the knee and ankle joint caused by arthritis or arthrosis

    Both diseases are characterized by damage to the joints, however, arthrosis causes degenerative disorders only in the joint structures. Arthritis, in addition to its destructive effect on joints, has a negative impact on the functioning of internal organs.

    Typical symptoms of arthritis and arthrosis:

    Inflammation causes the joint to increase in volume, which can cause it to become deformed. In the final stages of the disease, bone tissue degenerates, and joints that have accumulated fibrous deposits lose their usual shape.

    Varicose veins of the leg

    Varicose veins are an insidious disease. Many people mistakenly believe that only protruding leg veins indicate the onset of the disease. To avoid having to resort to surgery, you should pay attention to the condition of the lower extremities. Often varicose veins are observed on one of the legs. This is typical for the first stages of the disease. As the disease progresses, the following symptoms appear:

    Venous and arterial thrombosis of the lower extremities

    The disease appears quickly and therefore requires immediate medical attention. Severe redness is a sure sign of pathology.

    The first symptoms, in the case of venous thrombosis, appear 2-3 days after its onset. The patient begins to complain of heaviness in the legs and bursting pain when bending the knee joint. Redness develops on the swollen leg within a few days. Due to the increased temperature inside the leg, it becomes hot to the touch. Over time, redness is replaced by blueness. A person feels severe pain from the knee to the foot, which does not allow him to straighten his leg and step on the surface. In no case should gangrene develop, because in this case there is a risk of losing a leg.

    With arterial thrombosis, the symptomatic picture develops at an even faster pace. Just a few hours later, the skin below the knee becomes cold. Blood circulation is disrupted and the leg takes on a white tint. Without seeking qualified help within the next five hours, the patient will face tissue death. Self-medication will not bring any results, so at the slightest sign of thrombosis, you should go to the hospital.

    Obliterating atherosclerosis

    Another reason why your leg will ache from the knee to the foot may be obliterating atherosclerosis. Problems of the cardiovascular system cause not only swelling below the knee and postthrombophlebitis syndrome, but also obliterating pain. With this type of atherosclerosis, the main flow of blood through the vessels and arteries is disrupted. The narrowing of the internal lumen of the blood flow is caused by cholesterol plaques. These processes can cause intermittent claudication and severe pain from the knee to the foot. The pain syndrome intensifies with long walks.

    If left untreated, trophic ulcers may form on the legs in the future. The skin in the lower leg area will constantly dry out and peel. The diagnosis can be confirmed using a biochemical blood test, which will show the current cholesterol level. People with diabetes and high blood pressure are more susceptible to the disease than others; heredity plays a significant role. Without timely medical care, the patient risks being left without a limb due to complications such as gangrene and necrosis.

    Polyneuropathy

    One of the causes of pain in the lower leg and foot area is polyneuropathy. A similar disease occurs as a complication of type 2 diabetes mellitus. People who abuse alcohol also suffer from damage to peripheral nerve endings. Toxins formed during the breakdown of alcoholic products disrupt the nutrition of the tissues of the lower extremities. In this case, a whole group of symptoms is observed:

    Lack of vitamins and microelements

    An unbalanced diet and enthusiasm for various diets creates nutritional deficiencies in the body. There is a shortage of elements such as calcium, magnesium, potassium. For this reason, a person may experience pain in the legs and cramps in the calf muscles. Lack of calcium often leads to night cramps. In order for the shin to stop hurting, you need to massage the problem area and the spasm will subside.

    Traumatization

    It happens that after working out in the gym or jogging, your leg starts to hurt. Pain syndrome develops immediately after finishing classes or after 8-10 hours. Most likely, the cause of the pain is muscle strain. The pain affects the area below the knee, but can also be localized in the thigh. The damaged muscles tense slightly and increase in size; when palpated, patients indicate discomfort. The lower leg area swells.

    Muscle rupture looks much more dangerous. It is formed as a result of sprains or excessive contraction in the ankle joint area. Mostly, the rupture develops in the zone of transition of the tendon into the muscle. There are three degrees of muscle tear: mild, moderate, severe. With the latter degree, the muscle fibers are completely separated from the attachment site.

    Muscle rupture is characteristic of episodes when a limb suddenly bends in a direction different from the direction of the force. This can happen if you brake suddenly while running. At the same time, the leg suddenly begins to hurt at the site of the rupture, as if it had been hit directly. As the size of the hematoma and swelling increases, the pain will increase.

    Often, the legs begin to hurt due to professional working conditions, when a person remains in an unchanged position. Salespeople, machine operators, and hairdressers are forced to stand on straight legs the entire shift. By the end of the day, heaviness appears in the lower extremities, the legs swell and begin to ache. The same type of physical activity creates conditions for stagnant processes in the legs, especially below the knee, which makes the pain unbearable.

    Athletes often experience leg pain. During strength exercises and training, they experience enormous stress on all joints. The affected limb can hurt either momentarily or constantly.

    Diagnosis and treatment

    To identify the true cause of pain and choose the right tactics of therapeutic manipulations, modern diagnostic studies are needed. All of them are carried out after the patient has already been examined by a traumatologist and passed the necessary tests.

    Diagnostic methods include:

    The selection of therapeutic and restorative procedures directly depends on the reason for which the legs began to hurt. Depending on the nature of the pain and the severity of the disease, the doctor prescribes either an outpatient or inpatient regimen.

    Therapy for such diseases includes methods such as:

    • Drug treatment
    • Physiotherapy
    • Physiotherapy

    There are difficult cases when surgery is the only correct solution.

    A formation in the knee area is a symptom of many pathologies. It can be like a cyst, which is not so difficult to eliminate, or a very serious pathology that requires immediate surgery. Only a doctor can distinguish one from the other.

    Determining why pain and swelling appeared under the knee at the back is not so easy, since a considerable number of nerve endings and other important structural components are concentrated in the area of ​​the knee joint.

    People rarely pay attention to the inside of the leg, subjecting it to excessive stress while walking, carrying heavy objects, or incorrect sitting posture. In addition, most people often tuck their legs under them, thereby disrupting natural blood flow. Such factors can lead to many problems, including the development of a tumor in the knee joint area (behind, in front under the cup, above it, or to the side of it).

    So if there is pain behind the knee, then this is a sure sign of the onset of pathology in the knee joint area. It should be noted that the tumor often forms at the back, in the inner part of the knee joint, namely in the popliteal cavity. But in order to correctly diagnose the disease, you need to understand its causes and symptoms.

    Reasons for the phenomenon

    There are quite a few provoking factors that cause pain, swelling and swelling. These often include:

    In order to identify the exact cause of pain, swelling or swelling of the knee joint, you should undergo a full examination. A combination of different diagnostic methods will help to identify an accurate diagnosis. And based on it, the doctor will be able to prescribe the necessary treatment.

    Baker's cyst

    Flexion and extension of the knee joint in humans occurs with the help of ligaments, cartilage tissue and synovial fluid. It is the latter that prevents friction between joints. However, if fluid is produced in excess of normal, it begins to accumulate in the joint capsule. Thus, a tumor forms behind or in front of the knee joint, which is called a Baker's cyst.

    Symptoms of the pathology may be invisible, however, as a rule, there is discomfort in the inner part of the knee, swelling, and decreased mobility of the limb. In addition, a formation forms on the inside of the knee joint, in the popliteal cavity. This process is accompanied by pain not limited to the kneecap. They spread to the calf muscles, and sometimes there is numbness and tingling in the foot.

    If you notice similar symptoms or if an asymptomatic tumor just appears in the back or front of the knee, you should immediately contact a specialist. After all, while the formation is “fresh” it is very easy to treat. To do this, the cyst is punctured, NSAIDs are prescribed and an elastic bandage is applied to reduce the load on the joint. In the case where the knee cyst arose relatively long ago, then, alas, it is impossible to do without surgery to remove it.

    Hoff's disease

    The human knee joint is surrounded by adipose tissue, damage to which provokes Hoffa's disease. In this case, very competent treatment will be required, since the lack of therapy can lead to the disease becoming chronic. This clinical picture is characterized by chronic pain (as with arthrosis). Moreover, Hoffa's disease often appears due to hormonal changes or, again, due to arthrosis.

    With arthrosis, as a rule, destructive processes are observed in the area of ​​the knee joint, which are often accompanied by a tumor of the knee. However, pain and swelling with arthrosis are very easy to confuse with other pathologies. Perhaps the only distinctive symptom is that with arthrosis there is a characteristic crunching sound in the knee. However, a definitive diagnosis can only be made after examining the patient by a specialist and conducting a series of examinations, including x-rays (mandatory for arthrosis).

    Detection of damage to adipose tissue in Hoffa's disease is possible only in an acute form; its signs are swelling, pain in the knee and limited movement. The knee is surrounded by soft tissue, so swelling and pain underneath it, behind or in front, can also cause damage to the muscles, tendons and ligaments. Therefore, if the formation of a swelling or swelling was preceded by a knee injury (for example, a strong blow to the outer or inner part of the knee), then a sprain or rupture of the ligaments is very likely.

    Ligament damage is an equally serious pathology that should also not be ignored. After all, a ligament rupture, for which timely assistance was not provided, may result in the inability to restore the integrity of the ligaments.
    This means that in the future there will be difficulties in regaining the previous mobility of the limb (and as a result, atrophy is likely to appear). But even if the victim is sure that the injury to his own ligaments is not serious, it is better to consult a doctor to make sure of this.

    Returning to Hoffa's disease, it should be emphasized that the disease is distinguished from traumatic injuries by one important symptom - the presence of nagging pain in the inside of the knee. But if you press on the tumor behind the knee, it will feel very dense to the touch. Pathology therapy is also carried out with the help of NSAIDs, restriction of joint activity and the use of physiotherapeutic procedures.

    Other probable causes

    You can also identify several more pathologies and diseases that can lead to the formation of a tumor behind the knee joint.


    Since there are many options for the development of events, if a tumor appears under the knee, it is very important not to resort to self-medication and immediately contact a medical facility. At the same time, we should not forget that the diseased joint should be protected as much as possible from unnecessary loads.

    Every woman knows that an attacking man must be struck in the groin. This should make a guy curl up and cry.

    Every man who attacks a woman knows that this fool will now try to hit her in the balls. And this prospect, to put it mildly, does not make him happy.

    Conclusion: a woman’s attempt to kick a man in the balls most often leads to the opposite result: a blow to the groin does not reach its target, and the man’s degree of aggression increases many times over.

    No, well, really - he is with all his love, and she kicks what is most precious. Bitch.

    There is a widespread belief that this is a set of prohibited techniques and “tricks” (that is, very painful and not particularly humane self-defense techniques). Strikes to the groin, eyes, and throat have long been the hallmark of the Israeli hand-to-hand combat system.

    But it is not so.

    “Sneakers” make up about twenty percent of the total arsenal of Krav Maga. Just like Krav Maga itself – i.e. hand-to-hand combat is probably five, maybe ten percent of the total set of measures to ensure personal safety, or self-defense for short.

    Self-defense is situational readiness (), and, verbal de-escalation and personal safety tactics, weapons, special equipment and improvised items, and only last but not least - Krav Maga; but this is a topic for a separate article.

    A blow to the groin with a knee or toe is, of course, good. It's effective. But!

    If we are talking about a living opponent, and not a dummy, you need to be able to carry out this blow.

    For some reason, when it comes to “mean” self-defense techniques, it is believed that any person knows how to beat them “by default.” It's so simple - a finger in the eye, a knee in the groin. True, the people who say this have, as a rule, never done this.

    “Can you play the violin? “I don’t know, I haven’t tried.”

    The entire YouTube is filled with videos where “with a slight movement of the hand” the opponent is plunged into a state of acute pain from the realization of the meaninglessness of his existence. Push here, turn here, he will fall, self-defense is easy! “A slight effect on the nerve nodes is enough,” yeah, right now!

    I call this “self-defense homeopathy.”

    Homeopathy doesn't work.

    Without sparring skills, without a sense of distance and timing, without physical strength and endurance, without the habit of hitting and receiving blows - you can’t get by in a fight with just mean ones.

    Podlyankas are like salt and pepper. You can’t make dinner from them yourself, but even without them it’s somehow bland.

    But - oh horror! – we don’t have sneaky ones by themselves! They need to be trained too!

    But there is one problem. The two to the jaw and the back sweep can be practiced in full contact training until it is consolidated at the level of the reflex. But what about “deadly techniques” such as breaking fingers, necks, spines, gouging out eyes and biting off ears, against which our blow to the groin looks quite peaceful? This way, sparring partners will quickly end.

    Answer: special projectiles and protective equipment.

    “Despicable” self-defense techniques can and should be trained, even if you are a noble gentleman and intend to fight exclusively according to the rules of the Marquis of Queensberry. Because it is not a fact that your opponent will be as noble in his intentions.

    If you don’t know the dirty tricks, you won’t be able to protect yourself from them.