Before all of the cancellations/postponements, I was training for IM St George putting in a fairly heavy 15-20 hour schedule including 40-50 mile running weeks. Sometime in late Jan/early Feb I developed pain all around my groin and hip - very minor at first, but by the end of February it got progressively worse to the point I could hardly finish my runs.
After reading up on potential diagnoses including a femoral neck stress fracture, I managed to see my doctor and squeeze an MRI right before everything was shut down. Summary results are below (sorry for the medical speak - I dunno what most of it means either).
1. Nondisplaced tearing of the anterior and superior labrum. 4 mm anterior paralabral cyst. Anterior labral attenuation compatible with degeneration. Early hip osteoarthritis.
2. Small anterior femoral cam lesion. Elevated femoral neck anteversion.
3. Mild iliopsoas bursitis.
4. Mild osteitis pubis with scar thickening of the pubic plate. If an athletic pubalgia injury is clinically suspected, a dedicated noncontrast MRI of the bony pelvis with athletic pubalgia protocol could be performed.
5. Mild abductor insertional peritendinitis.
6. No stress fracture.
Since I am presumably not racing until at least July/August, if not 2021, I stopped running and have now only been biking indoors for the past 4 weeks. My doctor told me that I still could have done St George if absolutely necessary but some time off would be best, and I could use pain as my guide.
I currently have little to no pain in my actual hip after 4 weeks of rest, but I still have some nagging pain in my lower right abdomen/groin which is actually pretty significant when I cough. I suspect that I may have an "athletic pubalgia" injury and I am trying to reschedule a tele-appointment with my doc to confirm whether I need another MRI.
Anyone have any suggestions on recovery period and dealing with these injuries? I am reading up on the injury section here and trying to do some PT exercises on my own but any other insight would be appreciated.
Strava
After reading up on potential diagnoses including a femoral neck stress fracture, I managed to see my doctor and squeeze an MRI right before everything was shut down. Summary results are below (sorry for the medical speak - I dunno what most of it means either).
1. Nondisplaced tearing of the anterior and superior labrum. 4 mm anterior paralabral cyst. Anterior labral attenuation compatible with degeneration. Early hip osteoarthritis.
2. Small anterior femoral cam lesion. Elevated femoral neck anteversion.
3. Mild iliopsoas bursitis.
4. Mild osteitis pubis with scar thickening of the pubic plate. If an athletic pubalgia injury is clinically suspected, a dedicated noncontrast MRI of the bony pelvis with athletic pubalgia protocol could be performed.
5. Mild abductor insertional peritendinitis.
6. No stress fracture.
Since I am presumably not racing until at least July/August, if not 2021, I stopped running and have now only been biking indoors for the past 4 weeks. My doctor told me that I still could have done St George if absolutely necessary but some time off would be best, and I could use pain as my guide.
I currently have little to no pain in my actual hip after 4 weeks of rest, but I still have some nagging pain in my lower right abdomen/groin which is actually pretty significant when I cough. I suspect that I may have an "athletic pubalgia" injury and I am trying to reschedule a tele-appointment with my doc to confirm whether I need another MRI.
Anyone have any suggestions on recovery period and dealing with these injuries? I am reading up on the injury section here and trying to do some PT exercises on my own but any other insight would be appreciated.
Strava