Illiopsoas Syndrome?

Triathlon Forum
1

I ran a HM today. First 6 miles were very strong, then right around mile 7, I started to get a twinge in my right inner thigh which quickly manifested into a strong pain. stupidly I finished the race and now I’m sitting on the couch with an ice pack on my crotch because it hurts to walk.

From what I can tell, the pain is concentrated in the Illiopsoas region and somewhat into the adductors on my right leg. Lifting my leg straight up is difficult and causes a lot of pain in what I believe to be the Illiopsoas region (that muscle on the front of the thigh that contracts when you lift your leg upward). Walking is very difficult unless I sort of swing my leg forward (actively moving it forward is a no go), and lifting the leg to climb into a car is exceedingly painfull as well. Abduction isn’t all that painfull, but adduction is.

From everything I have read, it sounds like I REALLY pissed off my illiopsoas, but I’m wondering if this has been an ongoing issue. For the past few months I’ve been getting stiffness in this same region after long or hard runs, as well as lower back pain on that same side and some tendonitis in my right knee. When the proverbial shit hit the fan in the race today, I was experiencing some cramping in my right abs and lower back (which I attributed to nutrition), but I feel could be either a cause or effect of something leading to this epic failure.

So, any thoughts? Does this dx sound about right? Any strength exercises to fix it once I’m recovered?

2

wow, no one? bump for the daytime crowd

3

Probably not what you want to hear, but have you considered stress fracture of the hip as a possibility?

http://www.eorthopod.com/public/patient_education/6504/stress_fracture_of_the_hip.html

4

That sounds really bad. I am dealing with some pretty serious Hip flexor problems myself, but that has the sound of a tear in the labrum of the hip to me. Go see a sports medicine doc asap!

5

So this morning, things feel a lot better. I can feel it more in my quads in both legs now and much more in my right adductors. Lifting my leg still feels week, but I can actually walk normally now and it just feels a little stiff. The course was on concrete and was really slushy and wet, so I was constantly adjusting where I stepped. I think this overtaxed my adductors leading to much of the pain. I talked with someone else who ran the race and she was in roughly the same shape as me last night.

I didn’t think about stress fracture or labrum tear, but the pain is really not in the hip at all, but rather concentrated in the inner thigh area, radiating up towards the illiopsoas. It definately feels muscular in nature.