ncrunner said:I am curious if anyone can help me figure out what is going on. I am a
very competitive marathon runner and was supposed to run London last
weekend but could not because of this problem. I'll give the full
story---it started this winter when I would stand up or get out of the
car my first step on the right side would be incredibly painful right
on the top of the pelvis bone (iliac rest). I raced a 10k at the end
of February and the next week I had very sharp pain--again right on the
top of the hip--everytime I stepped on the right side. It felt like a
knife stabbing kind of pain. I ran through it and it eventually went
away for about a month. Infortunately this was two weeks before the
marathon. I could barely walk up stairs and it killed every step even
walking.I got a cortisone shot in the attachment of the gluteus med. muscle as
well as ultra sound. This helped with some of the hip pain but then I
had symptoms of bursitis as well as still had hip pain on the front and
top of the bone.
Did your doc try anything else first? That sounds radical to me to start
with those treatments, but I'm just a runner, not a doc.
Quoted message said:So I did not run the marathon and really did not run for 2 weeks until
today. I ran 4 miles--the sharp pain is gone but I can tell if I start
training again it is going to tighten up again. Just from the 4 miles I
feel a little bit of tightness on the top and front of the bone.
The PT has not helped--I know what I feel when I am running is my psoaz
muscle and I know there is some weakness in the hamstring.
For curiosity, did your PT include this stretch or something like it
http://www.row2k.com/physio/psoas.html
A very simple form is just to stand and lean backwards to stretch the
front of the hip.
Any chance there's a tear rather than just tightness = stretching is bad
idea.
Yours sounds a little like a more severe case of a niggling hip problem
(pain on top of hip) I've had that I had almost worked my way through
until I re-aggravated it lifting some boxes. Decided that maybe it would
be worth while visiting my PT since he worked wonders a couple years
ago. He gave me a couple stretches, including the one above, and the
pain was essentially gone in 2 days - and now I know how to keep it
away. Other issues that I have that probably contribute are tight, weak
hams and really tight ITB near hip, and have known that. I'm going to
start doing more massage (foam roller or maybe stick) for that since I
know it's an issue waiting to cause an injury. I'll probably also go to
a MT to help loosen some of those trigger points. My PT couldn't believe
how tight I was.
Mine didn't bother me too much to run, as long as I used small steps,
didn't do a lot of high-stepping, running steep hills, and was careful
snowshoe running, etc. Sitting was the thing that would usually
aggravate it.
Dot
--
"Dream Big, and dare to fail." --- Norman Vaughn
who was with Byrd in Antarctica and whose 99th birthday was Dec 19, 2004