Understanding Thigh Pain: What Causes It and How to Find Relief

a medical provider works on a patient's leg, thigh, knee
Share

The top of my left thigh is often painful and tight, with knots at times. This also happens on the outer side of my thigh. I do quad stretches while lying down, which helps temporarily, but the pain always returns. A couple of years ago, I slid while getting out of the tub and experienced a lot of pain in my hip and groin. While that pain went away, the thigh pain lingered off and on. I read that hip flexor pain can mimic quad pain, but exercising sometimes makes it worse. The pain can be severe enough that it causes me to limp.

Disclaimer: Please note, this reply is for informational purposes only. It’s not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician, physical therapist, or other qualified health provider with a medical condition.

Things to Know

  • Thigh pain can stem from the quads, hip joint, or even your low back.
  • Past injuries, even without a fall, can lead to lingering discomfort.
  • Physical therapy can help with proper diagnosis and personalized rehab.

Potential causes of thigh pain

There are several common reasons you might be experiencing pain in the thigh area, including:

  • Quadriceps strain or tendon injury
  • Hip joint irritation or injury
  • Pain referring from the low back

It’s also true — as you mentioned — that the hip flexors and quads can cause similar symptoms. Of the four quadriceps muscles in the front of your thigh, one of them (the rectus femoris) also functions as a hip flexor.

How thigh pain presents

Quadriceps and hip flexor injuries often become more noticeable during activities like walking up or down stairs or hills. The pain may show up in the middle of your thigh or higher up in the groin and can feel like a dull ache or sharp pain, especially after activity. This discomfort may ease with time and rest but tends to return if the underlying cause isn’t addressed.

If the issue is stemming from the hip joint, it’s common to feel pain deep in the groin. This pain often occurs when getting up after prolonged sitting, such as after riding in a car. It may start off sharp and brief but can turn into a more persistent ache if the condition worsens.

Pain related to the low back often feels achier and may occur even when resting. It can also flare up with activity and tends to last longer than pain related to the hip joint or muscle strain.

Why stretching may not be enough

Stretching can offer temporary relief, but if a muscle is inflamed or injured, certain movements — especially strengthening or repetitive use — may aggravate the issue. That’s likely why your symptoms improve briefly and then return.

How physical therapy can help

When pain has been ongoing for months or years, it often requires more than general stretching to fully resolve. A physical therapist can:

  • Perform a thorough assessment to determine the root cause of your symptoms
  • Guide you through a customized rehab plan based on your level of irritation and healing
  • Provide hands-on treatments and targeted exercises to promote long-term recovery

We recommend scheduling an appointment with a physical therapist in your area for a more detailed evaluation. The right treatment approach can make a significant difference in reducing pain and restoring comfortable movement.

headshot of two people who represent physical therapists at Therapeutic Associates PT

Start your physical therapy journey today.

As physical therapists, we know the importance of movement for overall health and well-being. From injury recovery to achieving optimal performance, our passion is to help every patient reach their goals and live an active, pain-free life. Get started with PT today!

Other Q&A You May Be Interested In

A woman examines her quilting project
Struggling with hip arthritis pain while sitting? Learn how the right chair cushion, proper posture, and movement breaks can help you enjoy your craft comfortably.
man and woman do dynamic warm up outdoors
Learn how hypermobility impacts hip pain and how physical therapists tailor exams, exercises, and treatments to support joint health.
young mom sits in relaxed state with baby daughter on her lap
Nine months postpartum and still feeling pelvic heaviness or back pain? Learn how pelvic floor physical therapy can help you recover and return to activity.

How can we help you today?

Quick Links:

Ask Our Experts