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What Causes Severe Pain In Hamstrings At Night?

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Posted on Sun, 9 Mar 2014
Twitter Mon, 10 Mar 2014 Answered on
Twitter Sat, 29 Mar 2014 Last reviewed on
Question : I have been to pt twice now are we are zeroing in on ischialgluteal bursitis and/or possibly hamstring tears near the ischial tuberousity. But why does it hurt so much during the night? I wake up with pain that begins while sleeping. I stretch the hamstrings, piriformis and obdurator and I roll the hamstrings and priformis but the nighttime pain is not abating.even with flexeril and two alleve. Plus periodic heating pads during the day. How do I break the pain cycle at night?
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Answered by Dr. Vaibhav Gandhi (13 hours later)
Brief Answer: Neurotropic [methylcobalamine with pregabalin] Detailed Answer: Hello, Before you zero into the diagnosis of bursitis or hamstring tears, I advise you to consult an orthopedic surgeon for detailed clinical examination to confirm the diagnosis. I would order for MRI scans if it wasn't done yet before arriving at soft tissue abnormality. Night pain suggests there is vascular occlusion or neural irritation leading to pain. MRI and EMG-NCV study will help to confirm diagnosis. To break the pain cycle at night, I would start you on analgesic and neurotropic [methylcobalamine with pregabalin] medication. A local physician or pain medicine doctor can prescribe these drugs to you as you sort this concern with a competent surgeon. Until then, avoid lifting weights; sit with support to back. Physiotherapy like ultrasound and interferential therapy will give quick relief. I will advise to check your vit B12 and vit D3 level. If diagnosis of hamstring tear is confirmed and no relief with physiotherapy then surgical repair may help. Important part remains post operative rehabilitation You need to do proper physiotherapy protocol after surgery to strengthen your hamstring muscles. Post-operatively crutches are used to assist in walking for the first few weeks. A brace or protective device also may be used to protect the hamstring. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.
Above answer was peer-reviewed by : Dr. Prasad
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Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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What Causes Severe Pain In Hamstrings At Night?

Brief Answer: Neurotropic [methylcobalamine with pregabalin] Detailed Answer: Hello, Before you zero into the diagnosis of bursitis or hamstring tears, I advise you to consult an orthopedic surgeon for detailed clinical examination to confirm the diagnosis. I would order for MRI scans if it wasn't done yet before arriving at soft tissue abnormality. Night pain suggests there is vascular occlusion or neural irritation leading to pain. MRI and EMG-NCV study will help to confirm diagnosis. To break the pain cycle at night, I would start you on analgesic and neurotropic [methylcobalamine with pregabalin] medication. A local physician or pain medicine doctor can prescribe these drugs to you as you sort this concern with a competent surgeon. Until then, avoid lifting weights; sit with support to back. Physiotherapy like ultrasound and interferential therapy will give quick relief. I will advise to check your vit B12 and vit D3 level. If diagnosis of hamstring tear is confirmed and no relief with physiotherapy then surgical repair may help. Important part remains post operative rehabilitation You need to do proper physiotherapy protocol after surgery to strengthen your hamstring muscles. Post-operatively crutches are used to assist in walking for the first few weeks. A brace or protective device also may be used to protect the hamstring. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.