Ischiogluteal bursitis happens when the bursa (a fluid filled-like sac or grease under your hamstrings) allows adjacent tissues slide over one other and cause irritation, inflammation, or damage to that region. This can occur when a traumatic injury (micro or macro trauma) happens like falling hard on a surface, this can damage the blood vessels within the ischilogluteal bursa causing regional bleeding. If not treated the bursa will be inflamed and swollen. This generally causes an ache in the buttocks and can have sharp pains down the outside of the thigh when moving the hip joints such as walking, running, and stair climbing. When these actions occur, you should see a sports physiotherapist to not prolong the injury.
When there is a previous contusion in muscles like quadriceps, Myositis ossificans may develop. It is usually happening following a direct trauma to the quadriceps muscle which is sitting in front of your thigh. This results as a crush injury to the quadriceps muscles and it compresses against the underlying bone. Myositis ossificans can develop when the contusion is replaced by calcium deposit during the recovery stages. You can feel ongoing pain, experiencing it throughout the day and night, as well as stiffness. This injury is slowly recovered but does not create any long-term complication if you see a sports physiotherapist.
Piriformis is a short muscle deep in the buttocks which arises from the sacral bone and is attached to the top of the femur at the hip. Piriformis syndrome happens when the muscle doesn’t recover from a trauma if not healed. Further damage can occur which can lead too much tightening to the muscle. Stretching the tight muscle will cause more pain when it is moved. Thigh rotation movement like switching directions whilst walking or running will aggravate your condition. There is no long-term damage and usually heals in a number of days to weeks, as long as you consult a sports physiotherapist for assistance.
Sacroiliac joint disorders
Sacroiliac joint disorders are found between the two pelvic bones in the back of the pelvis and sacrum. The joint disorder is most likely caused by excessive movement in the joint or direct trauma. When the ligaments are constantly stressed and overstretched, inflammation of the sacroiliac joint will be the outcome. This contradicts with the ligaments and soft tissue function as they support the joint. Sacroiliac joint disorders cause pain mostly in the very low part of the back and are mostly felt in one of the buttocks, however, some feel it in both. If there is any suspicion of this disorder, contact a sports physiotherapist and don’t do anything which can aggravate the pain.
Iliopsoas (hip flexor) strain
Iliopsoas strain is a muscle strain which occurs when the muscle is forcibly contracted. Sprinting and kicking a ball are good examples as the iliopsoas is tearing when in a stretched position or required to contract against a load. When this muscle is torn, you would feel sudden pain like something is tearing in the front of the hip and groin as there is damage to those muscle fibers. If not treated properly, this injury can easily worsen resulting in bleeding/swelling of the muscles; also, extreme pain prevents you to walk normally and you would end up to limp. You should not be involved in any activities which will increase the blood flow to your hip like hot showers, heat rubs, and excessive lower extremity exercises. You should see a sports physiotherapist for this injury as many iliopsoas strains can potentially result in long-term injuries.
Iliolumbar ligament sprain
Iliolumbar ligament sprain happens when the ligament is overstretched. This Occurs in the lower back when forcefully bent, arched, or twisted. The iliolumbar ligament is a ligament which goes from the pelvis bone to the lowest vertebra in the thoracic region. The pain occurs deep in the lower back, side of the spine and upper buttocks. Activities which involve any type of arching and twisting in the back will cause pain in the lower back. The iliolumbar ligament sprain will not cause long-term damage If diagnosed properly and doesn’t take more than a number of days to weeks to recover. It is advised to go see a sports physiotherapist if you have any suspicion of this injury.
Hip joint injury
Hip joint injuries most often happen when moving the hip joint too far from its normal limits or when there is a trauma; when you do this, it overstretches the structures supporting the joint. The surrounding structures of the hip joint capsule hold fluid within the joint; also, ligaments are to support the capsule. The pain can be felt usually in the lower hip joint, though It can be felt in the front of the thigh. If you have any suspicion of this injury, try to not twist or move your hips to cause any more damage. Make sure to consult a sports physiotherapist to prevent prolonged injury.
Hamstring origin tendinopathy
Hamstring origin tendinopathy is usually happening when there is an inflammation within the hamstring tendon. When performing an activity using the hamstring muscle and repeating that exercise, the tendon can lead to microscopic tears in it. For the body to repair the tendon, it begins an inflammatory response within the tendon calling it tendinopathy. When experiencing tendinopathy, the pain gradually increases as days go by. Typically signs of tendinopathy are ignored and recovers after a few days. But when you continue to do exercises and it gets worse, the pain will be present at all times and may interfere with your performance. This does not improve on its own and is highly recommended to see a sports physiotherapist. In the meantime, you should be icing the area as well as resting and stretching the hamstrings.