Muscle Pain: Causes and Solutions for Burning Sensations - Neurology

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Muscle pain


Hello, doctor.
Recently, I've been experiencing a burning tearing sensation in the front thigh muscles during certain movements.
This sensation disappears immediately after I stop the movement, and there is no pain when I press on it.
However, I noticed that when I press on the area while experiencing the burning tearing sensation, it does hurt.
Once I return to a resting position, it feels normal again.
Is there something wrong? Thank you!

Ba De TOP, 40~49 year old female. Ask Date: 2023/01/02

Dr. Jiang Junyi reply Neurology


Hello Mr.
TOP: You mentioned, "pressing when experiencing a burning tearing sensation causes pain." Your symptoms may suggest a peripheral nerve issue.
This could be due to muscle compression of nearby nerves and blood vessels in specific positions.
Symptoms of peripheral nerve compression include: 1.
Pain characterized by burning and tingling sensations.
2.
Symptoms that have a specific dermatomal distribution, which can be triggered by touch or pressure.
3.
Accompanied by muscle soreness and weakness.

Examinations for peripheral nerve issues typically involve electrophysiological tests to assist in diagnosis.
Nerve conduction studies: to assess the conduction velocity and waveform of large fiber nerves.
Electromyography (EMG): to evaluate muscle responses in the area of nerve distribution.

I recommend that you visit a neurology clinic for further evaluation.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Hospital, cares about you.

Reply Date: 2023/01/02

More Info


Hello! Thank you for your question regarding the burning sensation and tearing feeling in your thigh muscles during certain movements. Based on your description, it seems that you are experiencing a phenomenon that could be related to muscle strain or nerve involvement, particularly in the context of muscle exertion.

The sensation of burning or tearing in the muscle can often be attributed to several factors, including muscle fatigue, overuse, or even minor muscle injuries. When you exert yourself, especially if the muscle is not accustomed to the activity, it can lead to micro-tears in the muscle fibers. This is a common occurrence in activities that involve sudden or intense exertion, and it can result in a burning sensation due to the buildup of lactic acid and other metabolites in the muscle tissue.

Additionally, the fact that the pain subsides quickly after you stop the activity and that pressing on the area only causes pain during the burning sensation suggests that there may be a localized issue, such as a trigger point or a muscle knot. Trigger points are hyperirritable spots in skeletal muscle that can cause referred pain and discomfort. They can be activated by overuse, stress, or poor posture, and they often respond well to physical therapy techniques such as massage or stretching.

Another possibility is that the burning sensation could be related to nerve irritation or compression. If the muscle is pressing against a nerve or if there is some form of nerve entrapment, it could lead to sensations of burning or tingling. This is often seen in conditions like sciatica or meralgia paresthetica, where nerves are compressed due to muscle tightness or structural issues.

To address your symptoms, here are some recommendations:
1. Rest and Recovery: Allow your muscles time to recover, especially if you have recently increased your activity level or intensity. Avoid activities that exacerbate the burning sensation.

2. Stretching and Strengthening: Incorporate gentle stretching exercises for the thigh muscles. Strengthening exercises can also help improve muscle endurance and reduce the risk of future injuries.

3. Physical Therapy: Consider consulting a physical therapist who can assess your movement patterns and provide targeted treatment, including manual therapy, modalities like ultrasound or electrical stimulation, and specific exercises to address any muscle imbalances.

4. Heat and Ice Therapy: Applying heat before activity can help warm up the muscles, while ice can be beneficial after activity to reduce inflammation if you experience soreness.

5. Posture and Ergonomics: Evaluate your posture during activities, especially if you sit for long periods. Poor posture can lead to muscle imbalances and strain.

6. Consult a Specialist: If the symptoms persist or worsen, it may be beneficial to consult a sports medicine physician or a neurologist to rule out any underlying conditions that may be contributing to your symptoms.

In summary, while the burning sensation you are experiencing can be common and often benign, it is essential to listen to your body and take appropriate measures to prevent further discomfort. If you have any additional questions or if your symptoms change, please feel free to reach out for further guidance. Wishing you a speedy recovery and relief from your symptoms!

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