Deafness as a symptom | Pain in the front thigh

Deafness as a symptom

Numbness is a sign that nerves are involved. This is caused, for example, by over-tensing of the muscles and fascia, which then impairs surrounding nerves and their function. This can be the case, for example, after sporting overexertion or incorrect strain.

Furthermore, a psoas hematoma (bruise on the psoas muscle) can irritate the femoral nerve, which runs along the muscle. This can also lead to numbness in the front thigh. A spinal problem at the level of the lumbar spine can also cause numbness in the front thigh.

Bruise (Hematoma)

A bruise (hematoma) on the front thigh can be caused by trauma or an accident and is accompanied by pain. A simple thrust is sufficient for the formation of an effusion. The impact is often not memorable and the bruise is then usually only noticeable when touched by pain. A torn muscle fibre is also often accompanied by the formation of a haematoma.In addition to the sudden strong pain, there is often a palpable dent in the muscle. The dent is located where the hematoma is or in its vicinity.

What symptoms indicate a thrombosis in the thigh?

A thrombosis is a vascular occlusion of a deep leg vein in the thigh. This can occur, for example, after immobilising the legs for a longer period of time – for example after a long flight. In addition to dull pain, typical signs include a blue-livid discoloration (cyanosis) and swelling of the affected leg.

In addition, overheating and an increased vein pattern on the skin can occur. The affected leg can also feel very heavy. Since clinical signs can also only occur individually and are sometimes very unspecific, it is important to consult a doctor if thrombosis is suspected. Deep leg vein thrombosis and thrombosis prophylaxis Deep leg vein thrombosis and thrombosis prophylaxis

Treatment

Muscle injuries should be treated immediately according to the PECH rule. For pain relief, tablets (for example, diclofenac or ibuprofen) and ointments can be used. Strains and torn muscle fibers usually heal without further intervention.

However, one should urgently take care not to strain the muscle beyond the pain threshold. Otherwise there is a risk of the injury getting worse. In the case of a torn muscle fibre, it can take several weeks before the leg can be fully loaded again.

Sometimes massages and specific physiotherapeutic applications help. Good results have been shown with complete immobilization for several days and subsequent slow training over six weeks. If a muscle bundle or even an entire muscle is torn, further therapeutic options are used: The thigh can be opened during surgery.

On the one hand, the hematoma (bruise), which occurs with larger injuries, is removed so that it cannot become encapsulated and interfere with the recovery of the muscle. On the other hand, the muscle bundles can be sutured together. Since the tear in the large front thigh is often located directly at the tendon attachment to the patella, surgery is often indicated here.

It is also possible to operate on older injuries that have not completely healed on their own. After the operation, the leg is initially spared and slowly regained its strength in physiotherapy. If the pain in the front thigh is not caused by a muscular problem, a different approach is chosen.

If a herniated disc in the lumbar spine radiates into the thigh, conservative therapy is initially applied. This includes the administration of painkillers and physiotherapy. Shock therapy with the administration of cortisone helps in acute attacks and relieves the accompanying inflammation of the nerve root.

Some patients also benefit from physical therapy in the form of cold treatments. If these measures do not lead to an alleviation of the problem, an attempt can be made to try a therapy with direct application of local anesthetic with cortisone to the nerve roots (infiltration). This therapeutic measure is called periradicular therapy.

Periradicular therapy involves the targeted injection under CT or MRI control of Cortion to the nerve root affected by the herniated disc. If this does not lead to an improvement or if there are pronounced neurological symptoms, for example paralysis, the surgical therapy remains. In this case, the interfering parts of the disc are removed, sometimes even using keyhole technology (minimally invasive surgery).

If the cause of the pain does not come from the intervertebral discs but from an entrapment of the femoral nerve in its course below the inguinal ligament, no improvement can be achieved with painkillers to try to eliminate the cause of the entrapment. This may be adhesions after surgery or other spatial demands in the pelvis.

  • This means that the sport is stopped (pause) and
  • The muscle is cooled (ice).
  • To avoid larger swellings, the application of an elastic bandage (compression) and
  • It is useful to put the leg upright (elevation).