Hip Pain, Strain Of The Rectus Femoris , anatomy - Everything You Need To Know - Dr. Nabil Ebraheim
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- čas přidán 5. 09. 2024
- Dr. Ebraheim’s educational animated video illustrates the condition of Rectus Femoris pain / strain and its associated anatomy.
This animated video explains the anatomy of the Rectus Femoris muscle and hip pain that is caused by strain of the rectus femoris muscle. This condition usually occurs in active individuals and runners. The action of the rectus femoris muscle is explained. Palpation of the rectus femoris muscle and contraction test of the rectus femoris muscle is explained. Injection of the rectus femoris is mentioned. Palpation of the rectus femoris is outlined. The treatment of rectus femoris tear is outlined, stretching exercise and active release technique.
Hip Pain is strain of the rectus femoris and its anatomy.
One of the causes of hip pain that is usually forgotten is a strain of the rectus femoris muscle and tendon.
It causes groin pain or anterior hip pain in some athletes.
Who are these athletes that gets problems from rectus femoris strain?
- Runners.
- Baseball playoffs.
- Hocky players.
- Soccer players.
It will be sudden like kicking the ball in soccer or sprinting from a standing position.
It’s an overuse problem with repeated tearing and repeated stress and stretching of the tendon.
There will be some scarring, adhesion, or tightness.
Strain of the rectus femoris is similar to a tennis elbow type of problem or Achilles tendonitis.
It is important to know that there is a lot of causes of hip pain, especially the anterior hip pain, it can be something inside the joint:
• Loose body.
• liberal tear
• Avascular necrosis of the femoral head.
• Arthritis.
Or something outside the joint:
• The illiopsoas bursitis.
When you work the patient up for hip pain, make sure to include the rectus femoris muscle strain, which occur from tearing of the muscle fibers due to stretching of this muscle.
The rectus femoris is the anterior muscle of the quadriceps femoris.
The quadriceps femoris is a group of four muscles on the anterior thigh.
The rectus femoris has two heads, originating from the pelvis:
1- The straight head arises from the anterior inferior iliac spine.
2- The reflected head arises from the groove superior to the acetabulum.
The rectus femoris muscle is inserted to the superior border if the patella through the common quadriceps tendon.
This muscle flexes the thigh at the hip and it extends the knee.
The innervation comes from the femoral nerve: L2, L3, and L4.
When the muscle crosses the hip anteriorly, it flexes the hip.
Tears or strains of the rectus femoris muscle can be an acute process from forcible acentric contraction of the muscle.
These injuries are usually more distal on the thigh or near the knee.
Patient with a strain will have pain in the groin area or anterior part of the hip, most commonly you will find that the pain is more distal.
The chronic overuse injury will give you anterior hip pain, usually near the anterior inferior iliac spine.
In adolescents, you will have avulsion of the anterior inferior iliac spine.
And the treatment is no surgery, just some rest and crutches.
Palpate the site of the pain.
Go around the hip region and palpate the anterior superior iliac spine.
The ASIS is where the Sartorius is attached too.
Immidiatly distal to that you find the soft spot or soft groove followed by the anterior inferior iliac spine, you try to palpate carefully because It maybe the area of the rectus femoris sprain if this area is painful.
Also you want to palpate the tensor fascia Lata and the iliotibial band around the hip area.
Try to palpate the rectus femoris muscle through its entire length because you may find pain in the mid-thigh or distally (common).
Then you will do the provocative test: resisted hip flexion will produce pain.
This situation is different then pulled groin which would be abductor muscle strain and the patient would have pain and decreased strength with resisted leg abduction, and it's called compression contraction test.
So we finish the exam for the rectus femoris muscle strain then we will probably not need any x-rays, but in adolescents we may get an x-ray to make sure that there is no avulsion fracture of the anterior inferior iliac spine.
If you get an X-ray probably it will be normal.
Get an MRI I tough cases that are not getting better with treatment.
Treatment is done by:
- Ice
- Rest
- NSAIDS
- Physical therapy: stretching and strengthening, active release techniques.
- Injection
Surgery is really done.
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this man is hands down the most clear a precise ortho ever. the guys I'm going to see just want to guess. this guy knows his stuff.
Very good
interesting points ,if anyone else wants to uncover aching hip flexorsbest workout for hips try Trefendous Pain Relief Tips (Have a quick look on google cant remember the place now ) ? Ive heard some super things about it and my neighbor got great results with it.
I’ve had groin/hip/knee problems for 3 years now and it seems like this is the reason
@@joegobowen773 bro u had rectus femoris tear?
I have had 2 years ago and i think i overused the muscle and my hip has probably inflammed and it hurts....
I have an avulsion fracture up top. This guys knows what he is talking about
I'm a massage therapist and have had a least 4 client with pain in the groin. Some that are older that need hip surgery. Others clients are younger and are athletic. I've had all sort of people my PCP, the chiro that I work with and a physical therapist...but I think your explanation appears to be the one I'm looking for. Don't know if you'll see this post but I appreciate your easy explanation and close up's of the muscles, and both your speaking and written text!! Thank you!!
Thank you so much for your very clear, concise descriptions. I always learn a lot, and I have been a practicing medical massage therapist for 25 years.
This is what a truly informative video is. NOT looking at a doctors face who talks too much. Thank you so much
Beautiful and professional explanation... Thanks Dr. Ebraheim
I'm out of words dr. Nabil. I think you are a great doctor. I really appreciate all of videos. you make patient understand their problems, then patient can describe precisely their problems to their doctors. Thank you so much
Wish I had your videos 20 years ago
Great teacher thank you
Thank you for your clearly explained video on a topic that is hard to find!
YES, ABSOLUTELY 1000% VEEEERRRRYYYY HELPFUL. I HAVE AND LIVE WITH THIS PAIN FOR YEARS. WELL EXPLAINED, AND DETAILED. WAY BETTER THAN MY DR. THANKS
Sergio. How did you treat your pain>>
Bro what did u do????????????
Thank you so much for your video. Extremely informative and now I feel confident I know what I have. Rest, Ice, stretching, strengthening!
Hello did u have a rectus femoris tear and cuz of that u have problem in hip??
Im like that....
@@ashuraya2779, I have no idea. I just did the following - rest, ice, stretching, and strengthening. I'm 'healed'.
@@gerardomora7574 how long did that take for you?
@@justus4423 Actually, I can't recall now. Not too long. It always depends on your severity.
Thank you so much for your dedication. Please keep the videos going.
Thank you for your thorough explanation…I now know what is wrong and how to make it better! ☺️the pain and discomfort have been very limiting
I follow his lectures and T&O is like a story I love it this guy makes T&O as appealing as I could never feel it before thank you 🙏
Thank you🙏
Crystal clear explanation, thanks a lot
Thank you this video is exactly what I have been looking for
One of the wonderful videos from your channel.
clear, orecise, directly to the essential, very informative, thank you.
Wow. Thank you for sharing this, really helpful for us on how to take care of our hips , to care our body. health and wellness
Very good and helpful video. Thank You.
Thank you very much Doctor!!💕💕
Excellent clear and thorough explanation and walk-through.
very informative video
thanks Doc
Thank you for your detailed and informative video doctor.
from all the amature sportsmen - WE THANK YOU
Thank you this is an amazing video
Really this is a helpful video. Thanks..
Brilliant ! So ckear and precise, I know now exactly what the problem is. Thank you.
You were very helpful. Thanks a million
Too good. Thank you...
Very helpful.
This was an excellent Diagnosis
of pain symptoms very detailed
information on the symptoms of
this structural injury findings !
Hello did u have a rectus femoris tear and cuz of that u have problem in hip??
Im like that....
I have been having this go on for about six months and couldnt figure out why i was having so much pain or even possibly why , thank you so much for the great information. Hard to find information.
thank you that was great talk
thank you
VERY HELPFUL!!
THANK YOUUU!!
Thank you Dr. Nabil Enraheim!!
Very detailed, clear, concise and helped me dx my rectus femoris tendonitis until I can get in to see the Dr. one question: when you mention active release as a tx, does this include myofascial release with foam roller and therapy balls? I don’t want to irritate the tension with too much therapy either. Thank you so much!!! 🙏🙏
Hello Did u get better???
Yes you are helpful
Thank you so much! Feeling this after soccer I believe
You were helpful 😀
Thanks!
very good
doc
I hvae had pain for months now and i cant handle resisting it hurts alot. Thank you so much you helped alot.
Please help me
did u have a rectus femoris tear and cuz of that u have problem in hip??
Im like that...
@@ashuraya2779 no i have hypermobility syndrome. I ended up in the chriopractor he said my bone didnt go back to its place when it moved out and my muscle where straning. Still trying to recover. Still rotates and stuff. Good luck
Thanks so much. This was really helpful and so clear and so precise. 👌
Thank you so much for this video. I am 54 years old and had hip replacement on my right side 10 years ago. I have had pain in my right leg, just above the knee cap ever since recovering from the surgery. I have been to physical therapy many times and told that I have permanent damage to the muscles surrounding my hip as a result of the surgery. I try to keep my pain at a manageable level by keeping my weight down and exercising. Even when doing this, my daily pain level is a 3-4 with spikes if I catch my foot. I have been falling more and more lately. I catch my foot on something and then the pain shoots through my leg and I fall. On my own, I recently have begun my own research and I the pain I feel is coming from the Rectus Femoris just above the knee or the Common Quad Tendon just below where it attaches to the Rectus Femoris. Any suggestion on how to continue reducing the pain would be appreciated. I am in otherwise great health, have great blood work, and take no medications.
Very informative, thank you
Thanks
This information was very helpful . Thank you
thank you so much this really helped me out🥰🥰🥰
Very helpful 💗
Excellent, Thank You.
OMG this is great, Thank you Doc. The rain is so bad that I have tom use a lacrosse ball for 45 mins a day and rub and rub and muscles are so loose. sad
Great vid
Sir i want to know the tritment or tier of rectus femoris
Thank you very much sir
Very helpful...thank you.
god bless you when i had this pain i went crazy i thought that i the bone were broken but soon i realized that it is small problem
Hello did u have a rectus femoris tear and cuz of that u have problem in hip??
Im like that....
Please answer
very good, thanks ...
Thank you very much just what I wanted when visiting doctor gives no better solution thank you CZcams too
I love your channel! Wonderful videos
Give some exercises to reflect the muscles
Am in pain please help🥺🤕
I’ve had hip impingement surgery and hip avulsion fracture surgery back in 2021, I did some physical therapy but my rectus femoris still seems to be weak. I’ve tried laser therapy, cupping and scrapping but it only gives me a temporary relief. It hurts when I sprint and squat. Left leg feels 100% and my right leg feels 70%.
Thanks you so much sir😀
Great informations
Got this issue 1 year ago on right leg probably due to high volume Squat. Can't recall how long it takes to recovery(Probabaly 1 month or more), it just disappear one day... Unfortunately Got this issue again on left leg 2 weeks ago...probably due to Squat(again) and high frequency Cycling(Everyday ...) ...I won't call it pain but some weird soreness, have to stop squat n cycling for a while again. Light weight Ecc-foucus Leg extension and foam roller/Lax ball massage help a lot I think.
did stopping squatting for a while help the issue go away?
I'm having tendon inflammation Rectus and Sartorius.
1.5 Months in rehab. Not healed yet.
Cause - overuse of the muscle. Sprint and Jumping.
Would I need to see a doctor about this, it really hurts
Is this the muscle affected when I try to rise ( with difficulty and pain) from a low seat or chair? So weak and painful too.
Do most tears eventually heal on their own or would they need surgery to repair correct any damage?
nice video
After long adductor tendon resection surgery, does it affect soles of the foot doctor? Thank you
Im mid 50's 3 weeks ago while playing ice hockey felt "pop" and had alot of pain in hip. about 60 percent better now , hurts most in morning , some radiating pain down my thigh. how can i tell if strain or labral tear?
Can it cause back pain?
Great video Dr Nabil, I just have one question: will the avulsion fracture re-attach and heal on its own? Does the patient need to be in a cast, do any exercise? thanks very much
Hello bro did u get answer for ur question????? PLEASE HELP me for god's sake
Extremely interesting !
My son is 18, football (Soccer) player, it’s been almost 6 months that he’s suffering from the ASIS area, 2 doctors said after MRI he has everything is ok but he’s still feeling it and can not join his team, he’s very 😞
Please any advice ?
I have a question. Can this cause a clicking when going from flexed hip with flexed knee to extended knee and hip in the air?
Is it possible to get this strain by having a heavy hit to this area? Or is more likely a bad bruise?
I did a pelvic MR neurography and the medical report says "There is a nearly complete gluteus medius tendon rupture at the myotendinous junction" but my symptoms are pain at the coccyx part when sitting and doing physical activity. Could this be related, can this be the cause of pain. 9 months ago I removed my coccyx though (full cocygectomy) and no improvement at all
I came here because i believe I strained my rectus femoris. It's an overuse injury for me I think from intensely training with Leg Extensions and Leg Press, and other leg exercises for bodybuilding purposes.
I believe since it's more on the lateral anterior side of the upper leg (with emphasis on the anterior side) more near the hips, it's the rectus femoris, the culprit I think is extreme bouts of leg extensions after heavy leg presses.
I used to have similar pain on the lateral side of the upper leg (same leg) from squatting, stretches made it go away.
I seem to have the same issue due to the same causes. Did you do stretches even when you feel the pain?
@@oussamalbal229
It apears it was Hip Bursitis (Trochanteric Bursitis). And that radiated outwards to the front as well. Sometimes radiating pain even to the innertigh and lower back.
I did go to a physical therapist and the real culprit was not clear from the get go because of the radiating pain symptoms. It only got worse during therapy. Than I had an MRI scan that made it clear it was Trochanteric Bursitis and not something else.
Then physical therapy got adjusted for treatment of Trochanteric Bursitis and eventually the pain went away.
Make sure to go to a good knowledgable phsyical therapist though. I had one that was not that great and I was forced to switch to another physical therapist.
I've had right hip pain for 4 weeks now, nothing too painful but it's still there. i workout and try not to push it too much, but sometimes pain increase when i simply walk or lift my knee to my chest.. resting is enough to permanently fix the issue?
What kind of doctor is Nabil Ebraheim?
Sir I have some pain in just upper knee part and maybe it's lower rectus femoris. The pain actives when going down stairs in both legs...Can you please tell me specifically treatment for this
What can I do with the pain in the mid tie ( shown in minute 5)? When I stand it gets worse.
tell me this treatment exercises
what can do with the pain in the right mid tie now that it going in my lower tummy
Subscribed !
3:17 I have this 💯 ran 10 miles every day for weeks.....😢
i had two aiis avultion fractures then had a screw put in and taken out when i was younger recently same problems with that area i had an mri and the radiologist said it is a sprain and i have an oedema from the aiis along the rector femoris to the musculotendinous junction will it ever fully heal he told me to rest and start small exercises
I’m a runner and went snow boarding my leg got hurt after going on the ski lift a bunch of times and falling really hard once is it possible I have this? All my symptoms are the same
I have sacroiliitis and thoracic bone oedema of the spine
thers a bump about 5 finger above my left knee rectus femorus it is painful can you advice me what this is please.
I do have REACTIVE ARTHRITIS and a bursa in my right shoulder I also have ostioartharits.
Thank you
When I was running today playing football it hurt a lot and I nearly fell and now I cant dun at all
I believe I have snapping hip syndrome from this muscle but they insist it’s the IT band. But the severe pain and tightness is not on complete side it’s more partly side. Lateral but just a tad bit back from much research the pain and tightness is right smack the satorius.
Hi I play field hockey I'm 14 nearly 15 and i have lower back pain and in 4 weeks I've pulled both sides of lower back both groins and left side of my glute and ideas or couk it be this thanks
How to get out of this pain ?😑😑😑
Dealing with this right now. Have pain on both upper legs and around the knees. Feels exactly like shin splints.
Hello did u have a rectus femoris tear and cuz of that u have problem in hip??
Im like that....
Thank god he’s here i just pulled my shit playing ball today
Hi sir i have an injury to my right leg quard muscle by kikking soccer ball i have lot of pain now when i run or jump please tell me what i do for this mascle .my ractous femoris muscle is emtpy form both point a and b.?
I play baseball
I was training hard my agility but week later start this freakin' pain 😤 just when im getting faster
ماشالله
I am a semi pro soccer player and I have a complete tear to my proximal rectus femoris at the musculotendinous junction with 3-4 Cm gap, after 3 months since the injury would you think surgery is necessary being i still want to play at a high level
Brother what did u do??
Bro i also have had grade 2 or 3(complete) tear to my proximal rectus femoris. I was shooting like Ronaldo's free kicks.... maybe u also?Haha
Now it has been 2 years. i overused my legs and my hipflexor has been inflammed 6 monthes now....
Any advise?
@@ashuraya2779 I did my right by taking a free kick as well hahahah wow. my left one which is a complete tear was from a finishing session, I've been doing rehab for 7 months now which has been strengthening all the muscles around it and I've seen a sports therapist to to manual work. I would definitely go see a sports doctor if I were you.
Hi Doc, I have a question. If I tried therapy but didn't work due to me rupturing both quads playing soccer how can I strengthen my quads or the tendons?
Hello bro did u get answer for ur question??
I have had rectus femoris tear and i after some healing overused and my hip i hurning now..... what did u done please brother help
@@ashuraya2779 You need to stay still as much as possible. Wait about a month and half of the tear and start therapy. Small movements, start training the hip to walk and take small lunges. No soccer for a year until quad is firm enough to lunge and sprint. Do a alot of physical therapy and plenty of hours of daily rest. Try not to bend knee so much, keep leg straight as much as possible for now.
@@ashuraya2779 Also when showering, cold water as much as possible. After tendon starts to get hard again in 2 months, mix it up. Cold water then hot, then cold again. Repeat..I still do this for tendon swelling
@@Metalpazallteway brother i have had rectus femoris tear 2 years ago....
I can run 100% speed but my rectus femoris is tight and weaker. My second problem which became after overusing is hip.. maybe i have inflammtion
Should i restart the healing prcess should i wait a month for the hip to heal ?