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-   -   Chronic hip pain (http://www.catalystathletics.com/forum/showthread.php?t=4233)

Warren Rupaprt 04-25-2009 09:26 PM

Chronic hip pain
Hello, folks!

I'm new to this forum, but it looks like a good place to seek advice on a chronic issue I'm experiencing in my training.

About 9 months ago while doing a CF WOD involving back squats, I somehow managed to mess up...or at least bring to the surface... something in my right hip. At first (like the night after the WOD) I had very sharp pain in the front of my hip (feels like right in the hip joint or just in front of it) when trying to walk up stairs. This subsided somewhat in the following days, but never went away completely. As different CF WODs would come up, it would occasionally flare up again, causing me pain while squating, running, etc..

Since the first of the year, I've tried to focus on improving my leg strength through squating/deadlifting etc. Initially, I was hoping to work past this chronic issue by strengthening everything in my lower body. However, all I managed to do was keep aggravating it intermittently. Further, it *seems* like favoring this side has led to a lower back problem on my left side (I'm assuming from compensation). All of this has left me very frustrated, as I've strained my lower back and re-aggravated my hip several times over the last four months, leaving me very little actual progress to show for my efforts.

I've tried chiropractic assistance, but essentially all I've been told is "stop doing what's hurting it". While that may ultimately be the answer I have to accept, I'm hoping there's something else I can do to fix this problem. Heck, at the moment I'd settle for just knowing exactly what the problem is.

(As point of reference, my physical parameters are: M/36/6'8"/240#. My max back squat is about 265#, and my max DL is about 335#. Not exactly setting any records here...)

As a current example of this issue, while doing stiff-legged deadlifts as part of today's CA WOD, my hip hurt like crazy (sharp pain) when trying to bend my waist below about knee level with the bar. Again, it hurts on/in the front side of the hip joint (as near as I can pin-point it).

Any assistance, advice, diagnosis, etc. would be greatly appreciated. Thanks!

Steven Low 04-26-2009 05:39 PM

I would get an MRI. It's clear that most stuff didn't work.

Although if you want you can try pure rest + massage/foam rolling/etc. to loosen up everything and see if that helps.

It SOUNDS like a labrum tear from the "in the joint" pain, which can pretty much be only fixed by surgery. That's why figuring this out is a good idea especially if you wanna lift weights and so you don't get any further imbalances.

What you SHOULD have done is RESTED and done rehab work right after the injury. If it didn't clear up within 2 weeks then see a doctor. I can't believe you let it go for 9 months without seeing a doc... that's just foolish man.

Warren Rupaprt 04-26-2009 06:36 PM

Steve--thanks for the input. Sounds like I need to start the long process of going to my doctor and getting a referral to see a specialist, etc. Intentionally a "fun" process with my HMO...

Labrum tear sounds kinda bad. I'll make sure to mention that as a possibility to my general practitioner, as he may be less educated about all of this than I am... Would this have chronic symptoms, or could it be intermittent?

Is it possible it's Iliopsoas Syndrome? I've been trying to educate myself more on all of the muscles/tendons in the hip region (and what can happen to them). This seems to be a possibility, especially given the on-again/off-again nature of this little beast of a problem. From what I understand, these two muscles cross in the region where I'm feeling pain, and are responsible in part for maintaining proper lower back curvature (something that's challenged during deep squats).

For what it's worth, I went to a chiropractor within a week of the original incident, and received back adjustments for about a month to supposedly help. At the time, the chiro believed it to be a hip joint rotation issue that adjustments would solve. I didn't do any further heavy back squats for that month, and after that month took a two-week "vacation" where all I did was hike in the mountains. After this, my symptoms had mostly disappeared, so I resumed doing the CF daily WODs. During the following months (this was starting in November), symptoms would sometimes re-appear, then mostly go away again after a few days.

Thanks for the input, Steve. And the little reality check. After doing CF for about a year and a half now, I guess maybe I've gotten a little lost in trying to always keep up with the WODs and make progress, forgetting that my body doesn't have to agree with my aspirations for it.

Steven Low 04-26-2009 10:43 PM

Do some PNF on your hip flexors + the foam rolling + massaging any tight muscles.

But if that doesn't clear it up....

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