9 months injured going up the walls
Physio in Blackheath wrote (see)
Have a look at a condition called Femero-acetabular impingment (FAI).
From scanning through this thread I'm not sure whether a correct diagnosis has actually been made? At the very least my recommendation would be to get a referral to an orthopaedic surgeon. I was diagnosed with FAI after a series of physio appointments and scans including x-ray and MRI which didn't show anything. No amount of resting or exercises is going to change an underlying condition which essentially involves lumpy bone rubbing against and inflaming cartilage; not that this is necessarily what is going on, but unless it's ruled out you may not make much progress.
Might also want to get a scan of your lower spine - there is a possibility that all of the pain you experience is in fact referred pain and that you may have a compressed disc which is causing a squeeze on the nerves - something I suffered with just after I fractured the neck of my right femur in 2009 (which was misdiagnosed by two physios, my GP and a specialist who only took an x-ray image) that presented very similar symptoms. MRi scan showed both injuries. Hip fixed with a dynamic hip screw and compressed disc managed by means of mega back and piriformus type stretches has allowed me to get back on the road and since then completed 9 half-marathons and 5 marathons/ultras. Really good stretch for the back highlighted on this site at the moment.
Read this, Many groin strains are misdiagnosed by underskilled people. You may have a sports hernia, sometimes undetectable by MRI and doesnt show a bulge but remains unhealed because of specific tears in a specific muscle area and cannot heal properly remianing weak and painful..
Thanks for posting Neas
To all following this thread I was eventually diagnosed with femoroacetabular impingement with labral tear and had an operation at xmas 2012 to fix it. There is a specific thread for this condition on this website and I have been posting regularly on there.
Currently rehabbing, but it seems I have similar condition on my other hip too which will require an op at some point.
Neas - your are not wrong I certainly felt I was treated initially by underskilled professionals - especially my first physio who was pathetic really. My 2nd physio is excellent.
I fail to see how anyone with a groin injury can be immediately assumed to have some sort of slight groin strain. Groin pain can be from a number of causes, and if it lingers then hip issues have to be considered. Here I am nearly 2 years after first getting symptoms still quite some way from activity, with probably a further op to look forward to!!!
Good to see your getting sorted Parklife. I've put up with many mis diagnosed injuries over the years beggars belief how some of these people get employed.I know you can't take a sledgehammer to crack but I find the best people are those who have been in sport at some time and not just reading books.
Mine has existed for over 7 months and its not getting better or worse for that fact. More like a pendicitis dull ache that just makes the whole area feel weak. Strong core is so important and the surrounding muscles that hold the hip flexors need to be strong not just abs and back. Great advice from an ex Briitsh cycling physio. No ultrasound, no massage, just biomechanics and regular strength work.
Keep us updated with progress mate
Hi all,I got injured during a rugby match in early October 2012. No snapping or sudden pain, I just finished the game and it started to tighten up. I continued to try playing through it for a few weeks, which was a bad idea. I have adductor longus pain, and also pain when i lift my knee: I'm told tight hip flexors are not helping this. It seems to rear its ugly head when I run/jog/sprint, or for example burpees (rapid knee raising in the lower part of the exercise).
I've been to 3 physios now, giving me a variety of stretches and exercises to do, as well as recommending ibuprofen, and massage roller. I've continued with swimming and biking as these seem to give little in the way of aggravation. The doctor pretty much refuses to give me a scan, or injections or anything, and has referred me to a 'sports doctor' - why he didn't do that some time ago i'm not sure.
I also have a sportsmans hernia (I had it about 5 years ago, it eventually went away but the symptoms are recognisable.) But this is the least of my worries.
I'm putting on bad weight because I don't enjoy swimming and cycling as much as running, and thus am less positive about doing them. Also, I can't lift heavily at the gym or do any real leg work, which is frustrating. The rugby season begins again in september 2013 (9 weeks), and I'm seriously doubting if i'll make it. I'm 27, and I just want to play again...
Could anyone recommend a course of action? Even if i rest it and it feels better, it's back to square one after one jog at 30% speed. Banging my head on the wall here
i have also been suffering with the symptoms described. After a frustrating 9 months, including rest (didn't help) MRI (didn't show anything obvious) Cortisone injection (didn't help at all) I was just going to reside to the fact that it's unrepairable. Even my consultant said you may just have to deal with it as there is not much he can do for me. My X-ray did show up issues with my hips but he advised me not to go down that route. I have played football all my life and only took up running 9 months ago as my groin pulled every time I changed direction on the pitch. I try to mange my runs but it really aches for 2 to 3 days after but I can't just sit around and rest doesn't help. I'm 40 this year and without the release of running I will be doing no exercise which will drive me crazy. It's been a while since the last post so I wondered how you were all getting on as I'm desperate for a way forward. Thanks Justin
Anyone looked at osteitis pubis ?
If your consultant is noticing hip problems but saying just ignore then he is burying the head in the sand.
He may be thinking you have Femoroacetabular impingement which an Xray ultimately diagnoses as it is a bony protusion which rubs against the hip socket cartilage/labrum.
There is a wealth of knowledge and experience on the Femoroacetabular impingement thread...if this is what your consultant suspects but you need to confirm it from him first.
In 3 days time on Tuesday I will undergo my second direct inguinal operation as a result of running 4 marathons within 18 months. The first time I felt a sharp pain that slowed me down to stagger through the last stages of a HM in 2012. A year later I felt a sharp burning pain during a gut busting long run that slowed me down. I went on to run two marathon last year with hernia.
I have no idea when I will return back to gut busting marathon training. I hope this operation puts an end to my guts literally busting and resulting in painful hernias.
Getting an accurate diagnosis is really important, but only the start. Once you know what the 'condition' is, in order to resolve it, you need to ask what is the root cause of that condition. Remember the body doesn't 'break down' for no reason.
The hip is an incredibly powerful and resilent joint when it is working correctly. Powerful supporting ligaments, strong cartilage, a deep ball and socket joint, tough labral tissue and a strong joint capsule. Added to that are incredibly powerful surrounding muscles which help stabilise the joint.
So what is going on? Why hip degeneration, arithitis, femoroacetabular impingement, muscle pain etc.?
Basically the joint, and surrounding structures are not working properly, which means the head of the femur (thigh) bone is not smoothly moving in the ball socket of the pelvis. There are so many reasons why...perhaps one side of your pelvis is not moving correctly, so the thigh bones keeps grinding into it. Perhaps the muscles around the hip joint are unbalanced and so are not giving it the correct stabilisation it needs, so over the years it literally takes a beating. Perhaps the surrounding musculature is unbalanced, so other nearby muscles have to work overtime to help them out and eventually they show signs of pain. The list could go on.
The root cause often is something biomechanically is not working as it should, and the root cause of this is that the muscular system is out of balance. Remember, muscles position your joints. And the root cause of this is we don't use our bodies the way they were designed too. We sit for long periods and move less than anytime in history. If you correct the imbalances in your body the pain should go away.
So whoever you go see, its great if they give you a diagnosis but make sure to ask them why the condition showed up in the first place. Normal wear and tear, or old age is NOT a good enough answer as there are 90 year olds running marathons, so don't accept that answer from anyone. And always look for a permanent solution. Don't settle for temporary 'fixes' like straps, supports and stretching.
Take care and feel free to ask me any questions.
Postural Alignment Specialist
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