Looking for some experiences here with this injury. Anybody around here competing with diagnosed labrum tear and no surgery, only conservative ongoing treatment.
Long story short, in prep for 2016 IMAZ had tightness and dull discomfort in left adductor from June to August. The pain moved to post run sharp pain in lower left abdomen. Treated by chiro for rectus abdominis strain. ART, Graston, dry needling brought a lot of relief. Never any discomfort in hip area, none.
During race, run at mile 16, sharp pain across low abdomen across the left hip and limping for 200y. Went away as I limped. Not good, I knew, but I finished the race accepting consequences.
In months after, sharp abdominal pain was subsiding with PT, no pain or any discomfort with hip. Sports surgeon did multilpe clinical test for FAI and labrum tear but it did nothing for me, he could jerk my leg in any direction, twisting, nothing.
Did X-ray, nothing abnormal. Ordered arthrogram and MRI. Found mutlifocal labrum tear, medium in size, no mention of FAI. I had no hip symptoms so let go out of the office with more PT and no mention of surgery. Told no crossing legs, no squating beyond 90 degrees…thats it. Told many athletes having it but asymptomatic.
Hip stays now a bit irritated by contrast injection, feeling pressure and tightness post procedure. MRI findings indicate no fragmentation, clean moderate size tear, no fragmentation, all spaces preserved, normal femoral head anatomy…
Has anybody here had this diagnosed, continued with no surgery and competed full on.
Thanks
A couple years ago, I had the same symptoms and diagnosed with the same thing. First doc told me without surgery I would never run again. I went to an expert who treated many professional sports teams in the D.C. area. He looked, saw the very small tear and told me many people have these tears and never even realize it. He gave me a shot of cortisone and sent me to P.T. I did P.T. religiously for two months. Three months later I did the half Ironman that I had already scheduled months prior with no problems, in fact I exceeded my efforts from when I was a much younger man.
Pain started on a run on December 1st and like you, I limped home. It continued until about May then all the sudden dissipated significantly, which coincidentally is around when I had it looked at. I haven’t had symptoms since. My PT did find that I had really tight iliopsoas muscle and he stretched that out for me and told me to do that religiously for the rest of my life, which I have.
Like you probably are, I was freaking out at that time thinking I would never engage in Tri again, but it turned out ok. I even looked into PRP therapy and seriously considered surgery, but it turns out it wasn’t needed. All I can say is make sure you go to someone very knowledgeable in the area and get a couple of opinions.
Turns out, actually, that the 6 months of rest I got while nursing the injury probably resulted in much needed rest for my body and best performances of my life that season. Good luck!
I had a similar diagnosis. 2011 after an intense uphill HIM I started to get significant pain in my left hip. After many months of Chiro/ART/PT I was getting no where, I could not run and my general IM fitness was going down the drain, finally my doctor recommended an MRI. They found bookend tears on both hips.The doctor said injuries may have happened many years ago and I just re aggravated them, regardless the injury was now real. My doctor recommended have both hips injected and see how they reacted. The doctor told me he would only recommend surgery as a last resort since my injury was more soft tissue and not a bone degeneration issue. Fast forward I had an injection April 2012 and again late September prior to IMH. For me the injections worked, it knocked down the inflammation and I went on to have the best IM marathon I have ever had. To be honest I stopped all the PT work right after the first injection it was just aggravating the soft tissue injury. Since then I have raced another 8 IM races without much issue. I will tell you occasionally my hips with get fussy and I just take a few days off. Good luck
When u say hip, refer where pain is?
I have acute pain glute medius & piriformus area that began after weeks of Oblique / Soas stiffness with the latter gone thanks to former. All is locked up in glutes and walking radiates pain.
7 weeks to Boston to say i am struggling is understatement.
So curious what this diagnosis refers too as hip pain?
Thank you so much.
Prior to arthrogram/ MRI I had no hip symptoms, none. It is now 10 days after that hip does not feel normal. It is as if that same feel of pressure of contrast being injected is lingering around.
In the early onset, months ago, I had adductor tightness/ strange dull feeling. After that, the sharp pain began in lower left abdomen, rectus abdominis. During the race, I likely aggravated it as I felt very sharp pain from lower abdomen spreading to the side across the hip.
I am not a doc. It is best you consult with expert. In my reading, I learned that area of symptoms that most patients show is the letter “C” grabbed around the hip. Further, there is a clinical test, done to all suspects. It involves pushing your leg into chest, pulling out, twisting to both sides in the hip socket…Most suspects leap off the table, I did nothing, felt nothing and it was done good 5 or 6 times.
I did come across that pain can be associated from the gluteus and periformis. It would not hurt to at least consult with an expert. The issue is finding one that has common sense that will not be advocating for knife and butchering right out of the gate.
I wish you really quick resolution to that. I know how it feels. I will be cheering in Boston for my wife, her third running. Cheer for you there too.
Thank you.