Hip or back pain? I'm not sure.

Discussion in 'Training, Fitness and Health' started by jsaipe, 19 Feb 2018.

  1. jsaipe

    jsaipe Active Member

    London, UK
    Hi, if anyone can help, I’ll be eternally grateful.

    Since summertime last year, following a hip flexor muscle injury, I’ve had almost chronic pain where the top of the glutes join the lower back. If I stop cycling for a week, the pain subsides. The minute I’m back on the bike, it comes back. And if I stand or walk a lot during the day, there's no pain. It just returns when cycling or lifting/bending over e.g. gardening.

    The pain isn’t acute, probably 2 out of 10, just a chronic dull ache, which can move around from the top of my glutes all the way to my hip. It's a bit random.

    I also have a strange numb patch on the outside of my left thigh, and when I do lunges to stretch the hip flexors, I feel a shooting pain down the side of the same left leg.

    I’ve tried adjusting (lowering) the seat, but the pain is still there when cycling. In fact, I have two road bikes, and the bike with the more aggressive setup actually feels a tad better (maybe it’s because it’s lighter ?).

    I went to an osteopath who ‘cracked’ me a couple of times, but it only offered temporary relief. I then went to a private physio who gave my lunges to do. Again, temporary relief of hip stiffness, but no long term solution.

    The latest NHS physio, who I saw 2 weeks ago, said it’s because my core muscles and glutes need strengthening, which will take the load off the hip flexors and back. Since then I’ve been religiously doing all manner of strengthening exercises. It may be my imagination but things do feel slightly better 2 weeks later.

    Has anyone had anything similar? And what was the diagnosis or solution?

    (FYI I’m 48, I cycle commute on a road bike nearly every weekday, and I run around 10k most weekends, I'm 6'1 and weigh 79kg).
  2. yes, a proper bike fit helped me
  3. vickster

    vickster Legendary Member

    There are a couple of physios in SW London specialised in cycling who offer good value bike assessments / fits. Phil at Wimbledon Physio and Nicole at Peleton physio. Both know what they are doing and fully understand musculoskeletal problems (unlike the Retul fitter I saw previously)
  4. kingrollo

    kingrollo Über Member

    Bike Fit, yoga, brooks saddle.
  5. pclay

    pclay Über Member

    A couple of years ago, I had what I believe was a muscle injury. I had groin pain, abdominal pain and testicular pain. I had all sorts of tests and scans but the hospital could not find anything. As it was bad, (and I was limping for 2 days), 4 weeks rest was the cure.

    Nowadays, occasionally, I feel a twinge of the same injury coming back. Yoga works wonders. It keeps me flexible, and has so far stopped the twinges dead in their tracks. Just Youtube yoga, o need to go to classes. I only do it about once a week, if that, and the best move is stretching my thighs by sitting on my heels with a straight back.
  6. OP

    jsaipe Active Member

    London, UK
    Really good to know. I may well call them. Thanks.

    I am also doing lots of yoga, but maybe if the bike fit isn't good, the yoga is rendered ineffective.
  7. vickster

    vickster Legendary Member

    Might not be one or the other

    I can’t do yoga as I can’t kneel due to arthritis and bone damage. Let alone sit on my heels!
  8. PaulSB

    PaulSB Guru

    @jsaipe I can’t comment on the specific injury but will on general stretching and it’s results.

    Long story short last July I started to limp heavily on my left side while having constant low level aches from my neck across my shoulder, chest, back and arm. All left side. I saw a podiatrist who fixed the limp and referred me for NHS physio in early November. My problem was shortened and tight muscles in my left side neck.

    Like you I began to get relief after two weeks and by religiously following the programme the problem is now fixed. It took about ten weeks.

    I had a bike fit with a private physio who is a triathlete and cyclist meaning he’s a good understanding of both the body and the bike fit. This has worked well.

    I’ve continued with the neck physio exercises and these will remain part of my daily routine. On the advice of the bike fit physio I’ve added a series of general body stretches.

    I feel the results are good so my advice would be to get an appropriate stretching routine, let it cure your problem and then make this and other stretching part of your life.

    A poor bike fit won’t render the stretching or yoga ineffective - you will still get the benefit. A poor bike fit will though make your cycling less efficient and potentially lead to injuries/aches etc.
    Last edited: 22 Feb 2018
    screenman likes this.
  9. screenman

    screenman Legendary Member

    Next time I come down your way I am bringing a bike with me for a visit to one of those two, we do not seem to have a bike related physio in Lincolnshire that I can find.
  10. vickster

    vickster Legendary Member

    You might need to book fairly far in advance as cycling season approaches
  11. screenman

    screenman Legendary Member

    I will, it will also be late into the year, maybe December as the family are visiting us for the first time in 30 years, well so they say. Thanks for the tip.
  12. vickster

    vickster Legendary Member

    Wimbledon physio usually have a post Christmas sale, with 30% off. However, only one chap does the fitting and he may not be around immediately after Christmas of course

    You can book the fits with him online, a month or two in advance
    screenman likes this.
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