and Managing Post-Thigh Muscle Pain After Long Flights - Rehabilitation

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Posterior thigh muscle soreness?


In June of this year, I took a round trip to the United States, which involved approximately 30 hours of flying.
After returning, I noticed that if I sit on the sofa for too long (about 2 hours) or when I get up in the morning, I experience soreness in the muscles of both my hamstrings.
However, after practicing Tai Chi (for about 1.5 hours), the soreness goes away.
But after resting on the sofa for a while in the afternoon, when I stand up again, the soreness returns.
I am unsure what the issue might be.
Please advise on how to address this.
Thank you!

chicken, 60~69 year old female. Ask Date: 2011/10/18

Dr. Chen Wayda reply Rehabilitation


Sitting on the sofa for an extended period (approximately 30 hours) may lead to the development of venous thrombosis or tendonitis.
It is advisable to seek medical evaluation at a hospital.

Reply Date: 2011/10/18

More Info


Experiencing post-thigh muscle pain after long flights is a common issue that can arise from several factors, including prolonged immobility, muscle strain, or even the development of conditions such as deep vein thrombosis (DVT). In your case, the symptoms seem to be exacerbated by prolonged sitting, particularly on a sofa, and are alleviated by physical activity, such as practicing Tai Chi.

Understanding the Causes
1. Prolonged Immobility: Long flights often require passengers to remain seated for extended periods, which can lead to muscle stiffness and discomfort. When you sit for too long, blood circulation can be compromised, leading to muscle fatigue and soreness. This is particularly true for the thigh muscles, which may not be engaged adequately during long periods of inactivity.

2. Muscle Strain: Engaging in physical activities after a long period of inactivity can also lead to muscle strain. If you have not been active for a while, jumping back into exercise, even gentle forms like Tai Chi, can cause temporary soreness as your muscles adapt to the activity.

3. Deep Vein Thrombosis (DVT): While less common, DVT is a serious condition that can occur after long flights. It involves the formation of a blood clot in a deep vein, usually in the legs. Symptoms can include swelling, pain, and tenderness in the affected leg. If you experience any swelling or severe pain, it is crucial to seek medical attention immediately.


Management Strategies
1. Regular Movement: To mitigate the effects of prolonged sitting, it is essential to incorporate regular movement into your routine. During long flights, try to stand up, stretch, and walk around the cabin every hour if possible. Once you are back home, take breaks from sitting every 30 to 60 minutes to walk around or perform light stretches.

2. Stretching and Strengthening Exercises: Incorporating stretching and strengthening exercises into your daily routine can help alleviate muscle tightness and improve overall muscle function. Focus on stretches that target the hip flexors, quadriceps, hamstrings, and lower back. Strengthening exercises for the legs can also help support the muscles and prevent future soreness.

3. Hydration: Staying hydrated is crucial, especially during long flights. Dehydration can exacerbate muscle cramps and soreness. Make sure to drink plenty of water before, during, and after your flight.

4. Heat and Cold Therapy: Applying heat to sore muscles can help relax and soothe them, while cold therapy can reduce inflammation. Consider using a heating pad or taking a warm bath to relieve muscle tension. Conversely, if you experience swelling, applying ice can help reduce inflammation.

5. Consult a Healthcare Professional: If your symptoms persist or worsen, it is advisable to consult a healthcare professional. They can perform a thorough evaluation to rule out any underlying conditions, such as DVT or other musculoskeletal issues. They may also recommend physical therapy or specific exercises tailored to your needs.


Conclusion
In summary, post-thigh muscle pain after long flights can be attributed to prolonged immobility, muscle strain, or other underlying conditions. Implementing regular movement, stretching, hydration, and appropriate therapies can help manage and alleviate your symptoms. However, if your discomfort continues or if you notice any alarming symptoms, seeking medical advice is essential to ensure proper diagnosis and treatment.

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