Bumping.Still having the same problems: medial hamstring tight all the time, and weakness/soreness quickly spreads to medial calf and hamstrings after a mile or two, typically. When it's really bad, my shin and quads start to go too, and my foot splays out in front of me with my femur externally rotated, and my foot pronating strongly (likely as a result of the leg rotation). I also have groin pain on the opposite side, that seems to scale according to how bad my lack of coordination is. I pulled my adductor on that side two years ago, and my PT thinks that it's flaring up because the left side has to compensate for my lack of coordination on my right side. I was switched to a new PT regimen after it was pretty clear that the hamstring strength stuff wasn't making a big difference. This new regimen is mostly SI joint mobilization stuff. It seemed like it was getting better after I'd started that, although I'd taken several days off after my coordination problems flared up a few weeks ago. I also got an MR-Arthrogram and a local injection of lidocane (short acting numbing agent, like they'd use at the dentist's office). I was told to run after the procedure and see how it went, which I did. I ran 7.5mi with several "bursts" of fast running in the middle, and even some sprinting. I felt somewhat better: even though it was the furthest and fastest I'd ran since I started having problems in the spring, I didn't have any coordination problems or weakness. There was still some tightness in my medial hamstring near the back of the knee, but I did not get the characteristic "locking up" feeling in my calf and hamstring. I had run the night before the injection too, so I was expecting problems if it didn't do anything. Most days this summer, if I ran two days in a row, I'd start having issues. Three in a row was a virtual guarantee of problems. Took the day after the injection off so I could do a "fresh" test of what I'd done on the injection day. Ran two days after, same course and with surges, etc. Felt decent, but a bit off-balance compared with the day I had the lidocane. Ran the next day, felt worse: some tightness spreading into calf and hamstrings in general. Took a day off, then ran three miles, and problems were just as bad as ever: calf, hamstring, and even thigh a bit. During this, I was doing my new PT stuff the whole time. So that's obviously not helping. I'm not 100% convinced the injection helped, because I might've just gotten lucky and had a "good" day on the day I had the injection. But I got a call about the MRI today and the radiologist saw a tear in the labrum. The hip doc hasn't taken a look at it, so I don't know much about where, how bad, etc. Remember, this is the doctor that indicated that many people have asymptomatic labral tears, but I'm hoping that, seeing as he has seen a LOT of hip labrum tears in his time, he'll be able to tell whether this is a "normal" tear or whether it could be responsible for my issues. I've done some research, and most studies on the presence of labral tears in asymptomatic people either use plain MRIs on athletes from sports like hockey, which have a LOT more hip twisting than running does (not to mention that plain MRIs can't reliably detect labral tears), or use dissections with cadavers (which are often 70, 80, or 90 years old, and have all sorts of cartilage issues). So needless to say, I'm suspicious that a 22-year old would have an asymptomatic labral tear. So anyways, I'd like an update on anyone who's gone down the labral tear road. It sounds like only one or two posters have actually gone ahead with the surgery, and mostly haven't updated the thread about their progress and whether their symptoms have been resolved. I'll hopefully meet with the doc and look over the MRI in the next week or so. From what I've read, it sounds like my two options now are 1) cortisone injection and/or 2) surgery. I guess I'd like to give the cortisone a shot (bad pun...) to see if I get longer-lasting relief. Like I said, the lidocane wears off in ~8 hours, so I only got one chance to get out and run on it. If I get a cortisone shot and can do 2 or 3 days in a row without issues, then the labral tear is 100% the cause. But I'm suspicious because I don't have ANY of the classic symptoms: no referred pain in the groin, no pain on internal rotation or hip flexion, no painful clicking (though my right hip does "pop" a lot, like a knuckle would, if I get up/rotate my hip after having sat down for a while). I did some reading tonight on iliac and popliteal artery entrapment, and it sounds like that might be a possibility too, albeit a far-fetched one (although at this point, everything is far-fetched: a labral tear with no hip pain?). I also found one medical source that DID mention a loss of coordination associated with labral tears (in all of my reading this is the only thing I've found regarding loss of coordination associated with labral tears).http://nucre.com/Artigos%20-%20Quadril/Labral%20Tears,%20Extra-articular%20Injuries.pdf
The thickness of the labrum and its morphology may slightly vary, but it is from 2 to 3 mm thick, and extends 2 to 3 mm past the acetabular socket. Neuroreceptors have been identified and may provide propioception to the hip joint [4]. This may explain the decrease in propioception and pain with labral tears.
Could this be the answer? Maybe, but some of the artery entrapment stuff I was reading sounded convincing too. Weakness, lack of power, etc. But it was mostly in cyclists, and was usually (though not always) centered around the quads, not mostly the calves and hamstrings.
Thoughts? Updates? There are a lot of threads on labral tears here on letsrun, but most of those people had the "classic" symptoms: referred groin pain, clicking, grinding, etc. Every so often I get a vague "pinch" or tightness in my TFL just sitting around, but that's maybe once a week or so. Other than that, NOTHING near the hip joint.