Brief Answer: Neurotropic [methylcobalamine with pregabalin] Detailed Answer: Hello, Before you zero into the diagnosis of bursitis or hamstring tears, I advise you to consult an orthopedic surgeon for detailed clinical examination to confirm the diagnosis. I would order for MRI scans if it wasn't done yet before arriving at soft tissue abnormality. Night pain suggests there is vascular occlusion or neural irritation leading to pain. MRI and EMG-NCV study will help to confirm diagnosis. To break the pain cycle at night, I would start you on analgesic and neurotropic [methylcobalamine with pregabalin] medication. A local physician or pain medicine doctor can prescribe these drugs to you as you sort this concern with a competent surgeon. Until then, avoid lifting weights; sit with support to back. Physiotherapy like ultrasound and interferential therapy will give quick relief. I will advise to check your vit B12 and vit D3 level. If diagnosis of hamstring tear is confirmed and no relief with physiotherapy then surgical repair may help. Important part remains post operative rehabilitation You need to do proper physiotherapy protocol after surgery to strengthen your hamstring muscles. Post-operatively crutches are used to assist in walking for the first few weeks. A brace or protective device also may be used to protect the hamstring. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.

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