Femoral head muscle pain

In life, people should not maintain a sitting posture for a long time, because when exercising, the buttocks are mainly used. Sitting for a long time will affect the normal function of the buttocks. Some women even have enlarged buttocks due to long-term sitting. There is also muscle pain around the femoral head in the buttocks. People who have experienced bone muscle pain should read the following article.

Sciatica is a syndrome characterized by pain along the sciatic nerve pathway and distribution area. The vast majority of sciatica cases are secondary to lesions in the local sciatic nerve and surrounding structures that cause stimulation, compression and damage to the sciatic nerve, which is called secondary sciatica; a few are primary, namely sciatica. Etiology The causes are varied. The sciatica in the vast majority of patients is secondary to the stimulation, compression and damage to the sciatic nerve caused by lesions in the local sciatic nerve and surrounding structures, which is called secondary sciatica; a few are primary, namely sciatica.

examine

1. Imaging examinations play an important role, including X-rays of the lumbar spine and sacroiliac joints, spinal MRI, and myelography plus CT. In addition to clinical pelvic physical diagnosis, pelvic CT or MRI can be performed.

2. Electrophysiological examination

① EMG of the paraspinal muscles can help differentiate radicular sciatica from distal lesions.

② EMG of the short head of the biceps femoris can help differentiate between lateral sciatic nerve and common peroneal neuropathy.

③ Patients with pelvic or femoral fractures are difficult to undergo routine physical examinations, and EMG can assist in evaluating neurological function.

④ The motor nerve conduction velocity and F wave of the femoral nerve and common peroneal nerve may be abnormal, and the sciatic nerve conduction velocity is difficult to stimulate the proximal end of the lesion.

3. Other applications: Corticosteroids or local anesthetics are injected into the piriformis muscle. If the pain is relieved, it will help diagnose piriformis syndrome.

Differential Diagnosis

Care should be taken to differentiate it from diseases that cause pain in the buttocks and posterior thigh, such as lumbar muscle strain and gluteal fibrositis. These are all local pains, without neurological signs such as sensory impairment, muscle weakness, and decreased heel reflex.

treat

First of all, the cause should be treated, and attention should be paid to symptomatic treatment. All sciatica patients should rest in bed on a hard bed. Use vitamin B drugs and pain relief treatment, and do not use physical treatment until the cause is determined.