I saw Dr. Brown in February because I had a number of the symptoms. First, Dr. Brown is fantastic. I went in and he did a ton of feeling around on my muscles and diagnosed me with 2 tears; 1 on my adductor longus and 1 on my external oblique. The oblique is non-symptomatic so we decided to do nothing for it. The adductor was different. I'd already done a ton of conservative treatment so Dr. Brown first injected it with lidocaine and had me run around the block. It was the first pain free running I'd had in 13 months. This was just to confirm that the oblique wasn't causing pain and that the adductor was the only source. He also injected me with a steroid and told me to take it easy for about a week. Man was I sore after that injection as it was basically right into the tear which was where the muscle turns into tendon (or whatever the right way to say it is).

This injection seems to have solved it, I'm working on 5 months pain free and have been able to bust out a 100 mile week running and have been able to push hard on the bike in the big ring which I wasn't able to do before. No real pain to speak of though it's definitely still rebuilding strength.

If it hadn't worked he would have recommended surgery to fix it, and that still might be an option if it regresses.

---

https://markmcdermott.substack.com

Thanks that's really helpful. I actually spoke to Dr Brown last year and just based on the description and a negative MRI he was thinking it was Osteitis Pubis (but pretty sure it's not). I'm on the opposite coast but in the SF area enough to go see him. That's probably my best next move.

SS