
What Causes Heavy Feeling In Glutes And Swelling Of Hamstring Muscles?

Question: Hello Dr
I have a question which might seem a bit confusing but I'll try my best to explain myself. Lately I been feeling a lot of mass in my lower body, mainly in my glutes. When I wake up every morning my lower half(glutes/hamstring) look normal but in the evening and especially at night you can clearly see that my lower half has enlarged. I notice this by looking in the mirror and how my pants feel. In the morning my pants fit me well but towards night time it starts feeling a lot tighter. I am a male 24 years of age. What do you think might be causing this and what can I do about it? Also I have developed a lot of fat in my lower body receiving 2 shots of corticosteroids on my knee from and injury
I have a question which might seem a bit confusing but I'll try my best to explain myself. Lately I been feeling a lot of mass in my lower body, mainly in my glutes. When I wake up every morning my lower half(glutes/hamstring) look normal but in the evening and especially at night you can clearly see that my lower half has enlarged. I notice this by looking in the mirror and how my pants feel. In the morning my pants fit me well but towards night time it starts feeling a lot tighter. I am a male 24 years of age. What do you think might be causing this and what can I do about it? Also I have developed a lot of fat in my lower body receiving 2 shots of corticosteroids on my knee from and injury
Brief Answer:
more details required
Detailed Answer:
Hello,
As u can understand you major complaints is of lower thigh mass that appears by evening and disappears by morning. There is a history of knee injury.
there is a possibility of vein dysfunction involved. however, before making any suggestions I would need to know if
1) is it associated with pain or shooting pain?
2) is it a swelling and not mass?
3) only on unilateral thigh?
4) since how long are you having this problem?
5) was knee injury associated with open bleeding?
kindly follow up with the above answers.
thank you.
Regards,
Dr Pankaj Borade
more details required
Detailed Answer:
Hello,
As u can understand you major complaints is of lower thigh mass that appears by evening and disappears by morning. There is a history of knee injury.
there is a possibility of vein dysfunction involved. however, before making any suggestions I would need to know if
1) is it associated with pain or shooting pain?
2) is it a swelling and not mass?
3) only on unilateral thigh?
4) since how long are you having this problem?
5) was knee injury associated with open bleeding?
kindly follow up with the above answers.
thank you.
Regards,
Dr Pankaj Borade
Above answer was peer-reviewed by :
Dr. Yogesh D


1) there is no pain involved
2) well its more like water weight. When i walk or run i can actually feel the weight on my glutes
3) its the glute area as well as both tighs
4) i been havinf this problem since i gained weight. The corticosteroids caused me to gain an excessive weight. This started around XXXXXXX when i had my corticosteroid shot. I had 2 shots(1 each week) followed by oral corticosteroids for a week which was a 7 day taper down regiment. I also had pituitary tumor removed about a month ago. I was diagnosed with Cushings Disease
5) i had knee bursitis
2) well its more like water weight. When i walk or run i can actually feel the weight on my glutes
3) its the glute area as well as both tighs
4) i been havinf this problem since i gained weight. The corticosteroids caused me to gain an excessive weight. This started around XXXXXXX when i had my corticosteroid shot. I had 2 shots(1 each week) followed by oral corticosteroids for a week which was a 7 day taper down regiment. I also had pituitary tumor removed about a month ago. I was diagnosed with Cushings Disease
5) i had knee bursitis
Brief Answer:
Steroid induced weight gain.
Detailed Answer:
Thanks for the reply.
Well, it appears from the information, that the increased mass you are reporting could be most probably a result of steroid induced weight gain around the thigh and button region. Steroid leads to deposition of weight in typical parts of body, such as abdomen belly, thighs and buttocks, chest, that are mainly axial distribution.
There is a history of cushing's disorder and steroid shots, that could have increased the body steroid levels, strongly suggest increased weight mass.
Absence of pain rules out an infective cause or abscess.
This conditions doesn't appears serious enough for consultation to doctor, provided that the underlying Cushing's condition is managed properly.
But if you still wish to confirm the cause, a sonography of the mass can help lot.
welcome for further consultation.
Hope to have satisfied your query.
Regards,
Dr Pankaj Borade
Steroid induced weight gain.
Detailed Answer:
Thanks for the reply.
Well, it appears from the information, that the increased mass you are reporting could be most probably a result of steroid induced weight gain around the thigh and button region. Steroid leads to deposition of weight in typical parts of body, such as abdomen belly, thighs and buttocks, chest, that are mainly axial distribution.
There is a history of cushing's disorder and steroid shots, that could have increased the body steroid levels, strongly suggest increased weight mass.
Absence of pain rules out an infective cause or abscess.
This conditions doesn't appears serious enough for consultation to doctor, provided that the underlying Cushing's condition is managed properly.
But if you still wish to confirm the cause, a sonography of the mass can help lot.
welcome for further consultation.
Hope to have satisfied your query.
Regards,
Dr Pankaj Borade
Above answer was peer-reviewed by :
Dr. Ashwin Bhandari


Ok thank you for the reply
I plan on starting weight training the first week of January. Y
1) Since I am on steroids(hydrocortisone). Wouldn't it be counterintuitive to train and build muscle since hydrocortisone is a catabolic steroid?
I plan on starting weight training the first week of January. Y
1) Since I am on steroids(hydrocortisone). Wouldn't it be counterintuitive to train and build muscle since hydrocortisone is a catabolic steroid?
Brief Answer:
It may be counter-intuitive, but regular exercise will help
Detailed Answer:
Exercise use will certainly help. Hydrocortisone is a steroid, but the increased tone and better metabolic profile you gain from regular exercise will help you in the long run. You will have to work with your doctor over the long term to balance the use of steroids in Cushings disease, but don't neglect exercise.
It may be counter-intuitive, but regular exercise will help
Detailed Answer:
Exercise use will certainly help. Hydrocortisone is a steroid, but the increased tone and better metabolic profile you gain from regular exercise will help you in the long run. You will have to work with your doctor over the long term to balance the use of steroids in Cushings disease, but don't neglect exercise.
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Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj

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