Jan 11th, 2014
sandy asked The Guru for the following Physiotherapy Advice:
I have been having very localized / pinpointed pain right where hamstring joins the glutus. Little to the right of middle of the right buttocks. some times it radiates to back of knee also.
what could be causing this?is it just week muscles or something related to lower back.
I had a car accident last year nothing serious, only visible injury was my right knee got bruised/scraped after hitting in to the dash board , I was driving.
Jan 11th, 2014
This is a real hotch potch of an area to feel pain in. There are quite
a few differential tests to guide you to tell you what’s hurting and
This pain can either be where your hamstring inserts into your ischial
bone (part of your pelvis), scaitic nerve pain or a bursa (fluid
filled sac that sits between the bone, hamstring and nerve).
If it painful on compression (poking) then it may be hamstring or
bursa, if it’s painful bending over then hamstring or nerve and if it
painful sitting (compression again) then it may be nerve or bursa…..
If you can change the sensation by moving something else i.e. bending
over and putting your chin on your chest or looking up to the ceiling
then nerve may be implicated.
If there was no traumatic recent injury then I’d start with your back
(if there was no conclusive evidence to say what to treat), and if
there was no change after 3 sessions I’d be having a conversation that
may include injecting the bursa (if you have an irritated nerve it’ll
tell the bursa who’ll irritate the hamstring, and vica versa) or a
prolonged treatment program of sometimes upto 12 weeks rehab, control
and stability based exercise.
Your pain referring down to the back of your knee does it make it
sound much more spinally/nervey related, and the car crash may be of
David Tieppo has given me very good physiotherapy. He has also been very helpful in…
Couldn't better the treatment that I received. Clear diagnosis,good communications & clear treatment pathway
So relieved to be able to see a physio during lockdown, especially as it was…
Both Matt and Rachel have been extremely helpful and pleasant at the same time!!
Very happy with all the process with Six Physio, from appointment booking via email that…
High quality, effective physio delivered within the framework of an efficient & friendly admin team…
Very thorough and constructive discussion on my injury and potential next steps.
Highly recommend Neil Gallagher the Physiotherapist at Six Physio, Neil was recommended to me by…
I had a great experience with Jenny and and the staff at the reception. Jenny…
It’s so easy at SixPhysio. So easy and relaxed, welcoming and warm. Camilla is amazing.
Diagnosed and fixed my issue in one session!! I couldn’t walk the day before!
Highly recommend Six Physio and especially the Pilates. They always manage to sort me out…
Great overall! Quick to get an appointment with your women’s health specialist who was so…
I would fully recommend Six Physio for the simple reason that my treatment worked. I…
SixPhysio has helped through so many injuries over the years and the team is always…
I like very much my Physio, Alex. He is good as a professional and very…