ST Docs Diagnose my running "injury" (yes, I've been to the ART guy...)

and he’s stumped. Will be going to a PT next, but wanted to know if any of the internnet docs could help :slight_smile:

Started about 3-4 weeks ago. After a run when I tighten up and then into the next day, I get pain on movement in an area in what feels like muscles/tendons/whatever going over my illiac crest, sometimes almost up into the abdominals and a bit around the side to the back. Isn’t a joint injury, and it presents when straightening the quad and I stretch the whole leg. No pain in quads or glutes. As I walk around and it loosens up, it tends to go away

Doesn’t hurt while running, and goes away in a couple days. A couple sessions of 5 or so days off running didn’t resolve it. The weirdest thing is it’s nearly equal on both sides (right side is slightly worse).

Didn’t really change anything in the last 6 weeks, have tried new shoes, time off, foam roller etc., and nothing seems to help.

Thoughts?

Your symptoms are too vague and difficult to diagnose on the internet, you need hands on orthopedic testing with a sports doc. I would suspect something wrong with the alignment of your pelvis involving the iliopsoas.

Go to a better ART guy. They are not all created equal.

you need arthroscopic hip surgery asap. Anthony

Sounds like your psoas is angry… look up stretching activities to help loosed that up / or see a massage therapist or PT who can help work on that with you.

I’m not a doc, but my wife has had 2 hip scopes this year (2nd one was to clean out scar tissue and some other issues in the hip socket)… In the first procedure, the doc opted to ‘release’ her psoas along with taking care of the torn labrum. The symptoms you’re describing sound familiar.

Psoas tendons run medial to the ASIS. Iliac crest is the top, rounded part of the hips - if someone grabbed your hips on the side. Is your pain on your sides, or anterior? I am guessing anterior and hip flexor issues?

Second vote for hip misalignment. Get the PT to check your alignment and your SI joint.

you need arthroscopic hip surgery asap. Anthony

Disagree. Dangerous post. Minute someone pops one of those bad boys in you, that’s damage right there.

2010, I raced ITU age group worlds in Budapest. 2 weeks before, my right hip started hurting. I had been training hard on the treadmill aiming for a 32 minute 10km pace. Didn’t happen. I almost had to walk. The medical consensus was that I might have a labral tear right hip and advised arthroscopy. I read up and was not convinced. I stopped running for several months but the hip pain continued. Then I started a Pilates class, daily at first. Within a week I could run. Now, 1 year on, no problem. I have no idea what fixed me, but fixed I am without surgery. Something to do with core/abdo weakness in my case I think

strengthening glute medius tends to help alleviate hip pain
.

inside joke to the OP, I guess I could have done a PM.

you need arthroscopic hip surgery asap. Anthony

Disagree. Dangerous post. Minute someone pops one of those bad boys in you, that’s damage right there.

2010, I raced ITU age group worlds in Budapest. 2 weeks before, my right hip started hurting. I had been training hard on the treadmill aiming for a 32 minute 10km pace. Didn’t happen. I almost had to walk. The medical consensus was that I might have a labral tear right hip and advised arthroscopy. I read up and was not convinced. I stopped running for several months but the hip pain continued. Then I started a Pilates class, daily at first. Within a week I could run. Now, 1 year on, no problem. I have no idea what fixed me, but fixed I am without surgery. Something to do with core/abdo weakness in my case I think

Don’t worry, Maggbo’s just being a smartass. He’s still pissed this slow clyde passed him on the run at Redondo Beach, anything to keep me down :slight_smile:

My ART guy was thinking glute weakness and core strength work needed

Psoas tendons run medial to the ASIS. Iliac crest is the top, rounded part of the hips - if someone grabbed your hips on the side. Is your pain on your sides, or anterior? I am guessing anterior and hip flexor issues?

Second vote for hip misalignment. Get the PT to check your alignment and your SI joint.

Yes, toward the front. If I put my hands flat, with the base of the palm at the impression just below the illiac crest on each side and push downward, I can recreate the pain, which seems to arise over the crest.

I was able to get an appt with my sports PT next Tuesday.

Chris, you were just one of many that day my friend. After my second hip surgery in Nov, don’t plan on it again next season @ Redondo. Anthony.