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XC runner girl
Mystery hip flexor/groin/quad pain- please help! 6/11/2012 11:22PM Reply | Return to Index | Report Post
I apologize in advance for the length of this post. I'm just trying to give as much information as I can.
I've been out for about a month now with some sort of groin or hip flexor injury. The pain has never been that bad, although it does vary in intesity, but the thing is that it just won't seem to go away. And the weird thing is it popped up at a time when I wasn't doing much running at all, during a 2 week "break" after the end of my track season in which I was only running about 4 times a week, 3-6 easy miles per run. As soon as it started to affect my form I took a couple days off, but when I tried to run again it was worse anyway.
I have no idea what triggered it or what I did to aggravate it. Since then, I've alternated between taking time off and attempting to run again because it feels like it's nearly gone, only to have it get worse again after a few runs. Now I've pretty much resigned myself to the idea that I'll have to go purely without any running until it is completely gone without any trace of problems. This is frustrating because like I said the pain isn't that bad, often to the point where I hesitate to even really describe it as pain, but it definitely affects my gait and I won't be able to train effectively until it's gone.
The pain is hard to describe. It's on the inside of my thigh/groin area, but also sometimes feels like it hurts in the very upper part of the quad. Left side only. Sometimes it's more of a feeling of weakness or tightness than pain per se, almost like it feels like it may give out (but it never does). The way it throws off my form is more detrimental than the actual pain; even when it's not bad, I definitely limp when running. It used to also hurt when walking and when lifting my knee up, and at some points caused me to limp when walking as well, but it's been a week since my last run and now I'm fine when walking. I visited a chiropractor and found that my pelvis was torqued/twisted, so apparently that's the cause, but I don't think he was sure what the actual condition was. I had something very similar to this, but more severe, a couple years ago, but it was brought on by a sudden and obvious pull that time, whereas this time it seemingly popped out of nowhere.
I can train on the elliptical just fine without any pain, so it seems that weight-bearing movements are the problem, but it feels like a muscle/soft tissue thing to me.
All that to say, if anyone here has had a similar experience, has an idea what this may be or what caused it, or has advice on what I can do to rehab it, please share! I miss running a lot and want to get back to training full time really bad:)
Medici
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 4:49AM - in reply to XC runner girl Reply | Return to Index | Report Post
I have. what fixed it for me was almost a year off. during that time i got into cycling and did a few long rides with friends. also inline speed skating. fortunately i was not a school athlete.

another thing was psychotherapy. honestly i think my break-up with my ex had a lot to do with the injury.
hasay?
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 5:01AM - in reply to XC runner girl Reply | Return to Index | Report Post
get an MRI could potentially be a femoral neck stress fracture. as the bone can no longer withstand weight, the muscles, ligaments and tendons over compensate which causes them to become sore. due to the amount of tissue and fat layers around the hip and femoral neck an xray is not guaranteed to show a sf.
nyloco
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 6:33AM - in reply to XC runner girl Reply | Return to Index | Report Post
It sounds like your iliopsoas. I injured mine stupidly playing a pick-up volleyball game after a tempo run. In my case, the pain seems to rotate from the outside where the IT Band connects to the hip flexor to the groin. They call this the "Great Pretender" because it's sometimes hard to identify.

The strengthening and stretching exercises in the link below have been a big help, but it does sometimes bother me during the first two minutes of a run. I've also found that going to a massage therapist who knows how to loosen up the psoas (under your rib cage).


http://www.jyfit.com/4/post/2010/12/stretch-the-notoriously-tight-iliopsoas.html
asdfsfdsdfa
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 8:42AM - in reply to XC runner girl Reply | Return to Index | Report Post
I agree that the iliopsoas might be a place to start. I had similar problems as you, and mine turned out to be a labral tear in the hip.
vox cursor
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 8:52AM - in reply to XC runner girl Reply | Return to Index | Report Post
This sounds like the bursitis I used to have in my hip. It lasted for weeks and would cause tightness in the area you describe. The pain would cause me to alter my form to try and relieve the pressure, which probably just made it worse. I went to a physical therapist and had ultrasound therapy, which relieved the symptoms, but not the cause. It finally went away when I started doing lunge stretches. Never came back.
XC runner girl
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 9:00AM - in reply to vox cursor Reply | Return to Index | Report Post
Thanks guys, I will look into/research all of these when I can. Good to know there are others who have experienced similar problems, as my symptoms seem kind of weird and I haven't found anyone else who's really dealt with something like this before or understands it.

The only thing is, to those of you who suggested stretching, in the past stretching has seemed to not be of help and possibly even aggravate it further, but I'll look into it more and may just try to stretch it lightly without overdoing it.
Yeeaawwe!!!!!
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 9:09AM - in reply to XC runner girl Reply | Return to Index | Report Post
Had a similar problem and had to take 11 months off. Stop walking. It made it worse for me.
young filmmaker
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 9:13AM - in reply to Yeeaawwe!!!!! Reply | Return to Index | Report Post
Potential tear of the hip labrum. Try to get in to see an orthopedic specialist.

I'm a young man, and I have something similar.

Glute and hamstring strengthening (and lengthening) helps.
Hereweare
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 9:16AM - in reply to young filmmaker Reply | Return to Index | Report Post
Labral tear
agip
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 9:22AM - in reply to XC runner girl Reply | Return to Index | Report Post
I have something similar - male, groin and top of right quad.

Sitting = death for me - if I can refrain from sitting much for a day I am much better.

I can manage the injury and don't want to be told to stop running, so I am dealing with it, waiting for it to heal.
Mine sounds less serious than yours. But try not sitting for a day, or at least standing up every 15 minutes if you have to sit.
Stress Fractures = Misery
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 9:23AM - in reply to XC runner girl Reply | Return to Index | Report Post
Can you hop on the injured leg?

I suggest an MRI if weight bearing is a problem. I am recovering from a stress frature of the lesser trochanter which displays similar symptoms to a SF of the femoral neck.
like I saide
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 10:23AM - in reply to Stress Fractures = Misery Reply | Return to Index | Report Post
LABRAL TEAR...MRI arthrogram is needed
Ace in the Troll
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 10:43AM - in reply to like I saide Reply | Return to Index | Report Post
I used to be fast. Last 5 years have been battling hip impingement with labral tears. I had my second hip surgery a week ago. I feel for you, but get ready to have your world rocked if it is a labral tear.



like I saide wrote:

LABRAL TEAR...MRI arthrogram is needed
asdafsdsdfa
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 10:48AM - in reply to Ace in the Troll Reply | Return to Index | Report Post
I can only speak for myself, but I was diagnosed with a labral tear via MRI arthrogram and I didn't have surgery. Believe it or not, the pain has been almost 100% gone for two years or so.
Ace in the Troll
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 10:56AM - in reply to agip Reply | Return to Index | Report Post
You have without a doubt the symptoms for FAI with a labral tear. You can run through it and I did for a year, but it is annoying and will only get much worse. My Dr. said he has a patient who ran ultras through the pain and had bone on bone at 40.... Game over.


agip wrote:

I have something similar - male, groin and top of right quad.

Sitting = death for me - if I can refrain from sitting much for a day I am much better.

I can manage the injury and don't want to be told to stop running, so I am dealing with it, waiting for it to heal.
Mine sounds less serious than yours. But try not sitting for a day, or at least standing up every 15 minutes if you have to sit.
agip
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 11:32AM - in reply to Ace in the Troll Reply | Return to Index | Report Post
Thanks Ace - I have not faced up to this at all - maybe I'll get an MRI. Bone on bone sounds bad. But I can run without much problem, and I don't have much faith in surgery. But I don't want to degenerate. I want to be running at 90.

Here's a good old thread about FAI

http://www.letsrun.com/forum/flat_read.php?thread=2012208&page=0




Ace in the Troll wrote:

You have without a doubt the symptoms for FAI with a labral tear. You can run through it and I did for a year, but it is annoying and will only get much worse. My Dr. said he has a patient who ran ultras through the pain and had bone on bone at 40.... Game over.


agip wrote:

I have something similar - male, groin and top of right quad.

Sitting = death for me - if I can refrain from sitting much for a day I am much better.

I can manage the injury and don't want to be told to stop running, so I am dealing with it, waiting for it to heal.
Mine sounds less serious than yours. But try not sitting for a day, or at least standing up every 15 minutes if you have to sit.

orbitboy
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 11:39AM - in reply to XC runner girl Reply | Return to Index | Report Post
Sounds like FAI to me, but an orthopedist would have to confirm. A Physical Therapist would not be able to diagnose this issue.
Ace in the Troll
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 11:51AM - in reply to agip Reply | Return to Index | Report Post
I hope you're not trying to be sarcastic, I'm just trying to be helpful and realistic. It took me 2 years of battling to become realistic. I will never be fast again and I'm only 31. I've had both sides done and need the left side performed AGAIN. And you shouldn't have much faith in surgery because it is no guarantee, but ask any knowledgeable ortho Dr. and they will tell you that it is the only long term option that may yield ANY positive results. And don't even ask a chiro about it, they will tell you without a doubt that they CAN fix it, yet they don't know what it is. If you don't believe me ask Dan Browne and Antonio Vega. I am upset and it doesn't even end/ruin my professional running career like it has theirs. But like I said, you can run with it, I did. Eventually your back will start to hurt, and your glutes will burn like the fires of hell, and running is a lot less fun when you reach that point. But good luck! We are in the same position, and I wouldn't wish this on my worst enemy. But our bodies are not perfect and NOT meant to run sub 5-6 minute miles over and over without damage. This has happened to MANY individuals and athletes. Luckily, this surgery has become a reality within the last 10 years and we are lucky it is an option for our generation. Previous generations had no chance of relief. But I will tell you that after my left was performed in 2007, I felt 100% and was able to run "higher" mileage again until my R started up.



agip wrote:

Thanks Ace - I have not faced up to this at all - maybe I'll get an MRI. Bone on bone sounds bad. But I can run without much problem, and I don't have much faith in surgery. But I don't want to degenerate. I want to be running at 90.

Here's a good old thread about FAI

http://www.letsrun.com/forum/flat_read.php?thread=2012208&page=0




Ace in the Troll wrote:

You have without a doubt the symptoms for FAI with a labral tear. You can run through it and I did for a year, but it is annoying and will only get much worse. My Dr. said he has a patient who ran ultras through the pain and had bone on bone at 40.... Game over.


agip wrote:

I have something similar - male, groin and top of right quad.

Sitting = death for me - if I can refrain from sitting much for a day I am much better.

I can manage the injury and don't want to be told to stop running, so I am dealing with it, waiting for it to heal.
Mine sounds less serious than yours. But try not sitting for a day, or at least standing up every 15 minutes if you have to sit.


mr labrum
RE: Mystery hip flexor/groin/quad pain- please help! 6/12/2012 11:55AM - in reply to Ace in the Troll Reply | Return to Index | Report Post
PT's, chiros, and other parapractitioners are absolutely useless for this.

Even if you approached them and said "I think it might be a labral tear," first, they'd barely know what you meant, and if they DID try to figure it out, they'd tell you it was something else and NOT your hip labrum. Trust me on this, they have no idea what FAI is about.
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