Is there a test to distinguish these? Not an MRI etc, but some kind of stretch/manipulation? Doc says adductor but I don't have full confidence in her and bet someone on this board knows more.
Is there a test to distinguish these? Not an MRI etc, but some kind of stretch/manipulation? Doc says adductor but I don't have full confidence in her and bet someone on this board knows more.
End range hip flexion; bring your knee up as far as you can toward your chest. If it is very painful, there's a good chance it could be FAI or labral tear. It depends on where the tear is.
physical therapist wrote:
End range hip flexion; bring your knee up as far as you can toward your chest. If it is very painful, there's a good chance it could be FAI or labral tear. It depends on where the tear is.
That seems OK. What's the "McCarthy test" and how do you do that?
hip flexion + internal rotation and adduction is often painful in labral tears. So is hip flexion + external rotation and abduction
Torn labrum here. The manipulation would have to grab where you tore it. Multiple docs couldn't diagnose me accurately until I got an MRI with contrast. The other telling factor is that the swelling just doesn't go away. If it is a strain, time off should fix it. A torn labrum won't heal.
For what it's worth, I got a cortisone shot to reduce the inflammation and that "fixed" it for me. I've been running for 15 months now without pain. Also did a lot of abductor/adductor PT work to make it strong.
Another way to tell of a potential labral tear is to do the traditional leg swings, standing at a fence and swinging your leg and feel a popping inside your lower abdomen or hip flexor. You can run with a labral tear, and many surgeons will tell you just to live with it until it gets too painful before it really needs to be worked on. The biggest mistake that I made was that I quit running when it started bothering me. I just run on it and manage the symptoms as best I can. Didn't get any worse during or after my marathon so there ya go.
My right hip had some big bone spurs on front, they were snapping my psoas like a guitar string. I did have those removed and my labrum reattached. I have the bone spurs in a plastic container next to treadmill.
Maybe a little twinge from that but no popping and other tests seem negative. But no way I can run on this and it's been 2+ weeks. If you can run with a labral tear this is something else. I hope just a slow healing strain.