Hip Inujry
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11th Jan '04, 10:15pm
I am a young male, endurance runner recovering from an injry. Over 15mths ago i had an operation to remove a bursar from my right hip that has been causing me pain. However the pain in theright hip continues to persist even on short runs (10 mins). I have to admit that i have become rather frustrated with the lack of progress and my religious stretching for 9 mths has become less frequent although this seems to have no real effect on the severity of pain during exercise. I really am unsure as to what to do next! At the present stage i am doing what i can running wise, usually about 3 x 3 mile jogs per week and also try to cycle which causes no pain at all? Just wondered if anyone else has had any similar injuries and what advice thay would give me.
Thanks
Hip Inujry
15th Jan '04, 4:12pm
Hi. Sounds familiar. I too am a young endurance runner. I have had trochanteric bursitis in my right hip for about 3-4 years, and a back injury before that. My pain starts after a few minutes of running or about 30 mins of walking, and walking up steps or up hill - a very sharp shooting pain in the side of my hip and underneath it. I have seen physios, who just seem to treat the symptoms and not get to the bottom of the problem. The pain just comes back.
My orthopeadic consultant advised specific stretches which I also did religiously but didn't seem to help. He has noticed that my IT band is particularly tight on both sides, which seems to be causing 'snapping hip'.
I am only just now starting to see an improvement in the past few months from having soft tissue treatment. I have regular chiropractic treatment to correct misalignments, who also fitted me with specicially made orthotics, using a pressure pad, to correct my gait. This was at a clinic in Doncaster. I think if I had had this from the start then I would never have gotten the injury. After this though there was still damage in my muscles, especially piriformis and IT band - they are knotted and have adhesions all up them, they are painful to press. So for this I am having Massage Therapy, this is soft tissue treatment which is not gentle like it sounds! Once the muscles are cleared of adhesions then the stretching should start to take effect.
Be careful not to do too much stretching, and don't try and stretch too far, because if the muscles are shortened and unable to be stretched because of knots, then they could pull on the joint causing an injury.
Let me know if you want to know anything else.
Rich
Hip Inujry
15th Jan '04, 5:22pm
Cheers Rich, Sounds like your on the road to recovery then. My specialist never once recommended orthotics. He injected me with steroids and operated on the hip, im beginning to wonder if the diagnosis was correct after all. Could you give me a little more info about the orthotics and what difference thay have made. Cheers.
Hip Inujry
16th Jan '04, 12:27pm
I think that the diagnosis 'bursitis' doesn't show what is causing the problem. You can treat the symptoms but it will just come back. In my case I think that my gait has been causing problems from the feet up - my feet weren't striking properly, so that was causing imbalances in the rest of my body.
I have had a problem with my gait since I had my back injury, about 6 years ago. I was over-pronating then, and saw a podiatrist to get orthotics. However these caused another injury as they were poorly made - they used a cast of my foot. So the orthotic was solid which meant that when I was running or walking, it wasn't flexing with my foot.
I got the orthotics I have now from a chiropractor who specialises in feet. It involved a pressure pad which I walked over, one foot at a time. This was then fed into the computer and we were able to view my gait in motion and could see where I was putting too much pressure etc. Because of this, each orthotic is different. They control the movement of my feet when I am walking/running, and they have a certain amount of flexion to accommodate them. They cost about £200, but it's well worth it. He also made corrections to my feet as well.
Most of the chiropractic treatment can probably be paid for by insurance if you decide to have that. But I don't know how widely available is gait analysis, I was referred to the clinic in Doncaster by my initial chiropractor after about a month of treatment.
trochanteric bursitis
16th Jan '04, 7:23pm
As with most unilateral running injuries which do not improve with time and reatment, there is probably some biomechanical cause which has not been addressed.
If you run on two legs, ask yourself why only one is injured?!
The most usual cause of unfair stress at the site of the injury is a leg length difference..causing an abnormality of gait as described above....or it could be always running on the same camber of the road..or around the track bend with a long left leg.
Until the biomechanical cause is adjusted even daily walking can keep the injury going.
(For self diagnosis of leg length difference see Dr Gran's reply to Sacro-iliac problems.)
All the best, Dr Gran.
back injury
1st Jun '11, 12:38pm
I had a back pain when after finish in cycling and I got be able to cope up from my pain. After a few days I'm not worry to have a back pain again coz' their is a neighbor who are expert in chiropractic.
*edited by moderator for inclusion of link*