Thigh is the area between the hip and the knee. There is only single bone in the thigh called fumar, but there are a few groups of muscles in the thigh. Anterior group include pectineus, satorius and quadriceps (rectus femoris, vastus medialis, vastus intermedius and vastus lateralis. Posterior group includes hamstring muscles (semimembranosus, semitendinosus and beceps femoris. Medial group include adductor magnus, adductor longus and adductor brevis and gracilis. The lateral is tensor fasciae which continues with iliotibial tract. The iliotibial tract, also known as the iliotibial band, is a thick strip of connective tissue connecting several muscles in the lateral thigh. It arises at its proximal end from the tendons of the tensor fasciae latae and gluteus maximus muscles and then travels along the lateral side of the thigh and across the knee joint, inserting on the lateral epicondyle of the tibia
Thigh pain is a very common complaint. It presents constant aching, or throbbing pain sometimes cramping in the thighs or it could be on and off, but the pain does not go away. It could be one thigh or both thighs. This pain could radiate down to the knees, legs and feet or up to the hips. The pain can be felt when sitting and lying down. It could cause trouble walking long distance. Thigh pain comes up or becomes worse after running.
The pain on the outside of your hip, upper thigh, outer buttock or outside of knee is usually caused by problems with muscles, ligaments, tendons and other soft tissues. The iliotibial band inflammation is one of the common causes of thigh pain. Iliotibial band provides stability to the knee and hip and helps prevent dislocation of those joints. The band may tighten and rub across the hipbone or the outer part of the knee. Each time the knee is bent or the hip flexed, the band rubs against bone. This is particularly common in runners, cyclists, and people who participate in other aerobic activities. Also the inflammation stimulates muscle contracting and this contributing to the pain. Acupuncture is very effective to reduce the inflammation and relax the muscles to release the pain.
Iliotibial band syndrome
Iliotibial band is one of the most common overused among the runners causing Iliotibial Band Syndrome (ITBS). ITBS is caused by inflamed of IT band. When it happens, knee pain is the most common symptom and can be mild to severe. Also the lateral thigh pain is associated. Pain is most severe with the heel strike of walking or running and may radiate from the knee up the leg to the hip. Pain may also be felt with knee flexing, especially going up or down steps. Swelling on the outside of the knee can be seen in some cases. Tightness of IT band is very common. MRI can show a partial thickening of the IT band, which results from inflammation. When the IT comes near the knee, it becomes narrow, and rubbing can occur between the band and the bone. This causes inflammation. ITBS is more common in women, possibly because some women's hips tilt in a way that causes their knees to turn in. Tenderness over the site of the iliotibial band insertion at the knee joint, and specific tender points may be found over the lateral femoral condyle.
Acupuncture is effective to treat acute and chronic ITBS. It releases the pain and inflammation; reduces tightness of IT band.
Hamstring muscle strain
The hamstring muscle group is made up of three separate muscles: the semitendinosus, semimembranosus and biceps femoris. They originate from the lower part of the pelvis, lie on the back of the thigh and insert into the back of the shin bone. They mainly bend the knee and extend (straighten) the hip joint when contracting. Hamstring strain is a very common condition. When the muscles are pulled, a sudden sharp pain at the back of the thigh can be felt. This pain is sudden onset often after certain activity. The muscle will often feel tight and tender and go into cramp. Walking may be painful. In severe case, there could be swelling and bruising. It is likely to get hamstring strain, if the activities involved in hamstring such as running, jumping or sudden stopping and starting; if you don’t warm up before exercising, if the muscles in front of the thigh are tight since they pull the pelvis forward and tighten the hamstring, if glutes are weak, Glutes and hamstring work together weak glutes can make hamstring overloaded and become strained. Acupuncture can reduce the pain and help hamstring recovery.
Meralgia paresthetica (MP) or lateral femoral cutaneous neuropath is a condition that also causes thigh pain and numbness. It is caused by injury or entrapment to the nerve that innervates to the thigh called the lateral femoral cutaneous nerve. This causes numbness or pain in the outer thigh. Pain is constant burning or lightening on the outer side of the thigh which is also extending to the outer side of the knee or spreading to the buttocks. It could be accompanied with numbness or tingling in the same area.
There was a report that 10 patients with MP were treated with acupuncture. These patients were aged 30-70 years with MP. The causes of MP were not clear. One patient had diabetes and several were obese. Three patients had inflammatory joint disease. Four patients were receiving high doses of analgesics. Average period of symptoms was 3-4 years. All had tried conservative treatment, physiotherapy or injections and two patients had refused surgery. All patients had tender points especially at acupuncture point GB31 and upper lumba spine. This points were less tender after acupuncture treatment. An average 4-5 sessions of acupuncture was given to these patients. Electroacupuncture was applied from second session. The pain scores for all 10 patients improved by at least 50%, including that of a patient with a 20 year history. At 3-36 months follow-up, improvement was 100%. Most patients were able to stop their analgesics.
Aigner N et al Schmerz (1997) 11:113-5
Alexander RE Acupunct (2013) 31:435-9
Welcome to my blog
Acupuncture specialist for cosmetic acupuncture, vulvodynia, other pain relief, fertility,Fatigue, neurological condition.
Based at Harley Street and Kensington Central London.Qualified as a medical doctor in Western medicine in China with a Medical degree from Beijing, China and a PhD degree from the UK. Over 25 year research and clinical experiences
Doctor who is passionate about acupuncture
I love what I do, I am good at it and I am always there for my patients. If you come and see me, you will know why I am standing out.
This blog is to introduce latest development and research of acupuncture and offer a chance of awareness of more treatment options for your condition. The blog is for information purpose only.
- My specialised areas include vulvodynia, cosmetic acupuncture, acne, chronic pain relief for various pain conditions, fertility, chronic fatigue, neurological conditions, digestive problems, etc.
Practice contact for appointments and addresses
Kensington: for appointments at Anamaya center Kensington (Mondays, Tuesdays, Thursdays, Fridays, Saturdays) please call at 02030110355 or email at email@example.com
Address: 1 Adam and Eve Mews, Kensington, London W8 6UG
2 min walk from High Street Kensington underground stationHarley Street: for appointments at Harley Street (Wednesdays) please call ALO clinic at 02076368845 or email at firstname.lastname@example.orgAddressSuite 3 Harmont House20 Harley Street, London W1G 9PH5 min walk from Oxford Circus underground stationMy background: I became a qualified medical doctor 25 years ago in Western medicine in China and was well trained in Western medicine together with Chinese medicine in the best Medical University in Beijing, China. Particularly I was trained with Ji-sheng Han famous professor and neuroscientist in China and with Dr Zheren Xuan--famous orthopedics expert and founder of soft tissue surgery in China. Furthermore I had training in dermatology and oral and maxilofacial surgery in China. Also I had training in fertility and had research experiences in uterine smooth muscles and blood vessels in China and the UK. I am dedicated to treat patients with acupuncture and am recognised as one of the world leading acupuncture specialists.
I obtained a PhD degree in the University of Leeds in the UK.
I had post doctoral training and worked as a senior researcher in St George's hospital, London, UK.
I had frequently presented my research findings in the top international conferences in the field.
I have many publications including ebooks and articles.
I have many year clinical experiences. Over the years of practising, I have developed unique effective treatment approaches for cosmetic acupuncture, acne, pain relief, vulvodynia, bladder pain, neck pain, headache, migraine, shoulder pain, back pain, fatigue, fertility, hot flushes, nerve pain, chronic prostatitis, insomnia, Parkison's disease, MS, acid reflex, IBS etc to achieve best treatment results.My devotion and skills are highly praised by my patients.
Facial aging, Facial acupuncture for anti-aging
Know the ovary and acupuncture to get pregnant
Know fertility and acupuncture to get pregnant
Vulvodynia, is vulval pain in your mind
Energy fatigue and acupuncture
Headaches, Neck pain and shoulder pain