Outside hip ache

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Steady

Über Member
Location
Derby
I'm writing this in desperation, as most do when they write here.

I've been to the doctor. Just had four weeks of physio, and the physio who seemed at a loss as I didn't fit inside a text-book or respond in pain to text-book moves. But she ruled out hip structural problems, arthiritis, etc. I'm 30 yrs old so thankful for that.

Physio put it down to some kind of "overuse" in a tendon which i already suspected. But her treatment has always been the same "hip tests" and not actually treated anything because I suspected textbook tests showed up nothing definitively.

I've had this going on a year now and tried to treat it myself, i cut back from cycling, but I'm not sure if that actually agrevated it, but walking certainly does so I'm walking less, doing less. Certain movements/lifting things brings it on, so I cut back from everything and ended up putting weight on.

I finally admitted I needed proffessional help when I couldn't do one of my yearly walks which is traditional.
Not because I couldn't do it but because I feared the ache that would come after the walk would be worse than it is after a five six, seven mile walk.

The trips to the physio were pointless and a waste of time.

My issue is an ache that comes on with exercise in my hip.

I'm a massive walker. I've done distance walks at 32miles in a day previously And now I can't walk more than three miles without an "ache" not a "pain". I'm at a massive loss and its all getting me down.

The ache doesn't stop me from walking, cycling etc. It's just I know I'll pay for it with an annoying ache afterwards. And sometimes it'll fade with rest within the same day and its always gone the next morning overnight rest .

When when I described this to people it never seems like such a big deal, but it is. It's certainly not normal.

There's no "ouch that hurts" feeling. It's all afterwards.

The ache is somewhere along outside hip, illiac crest height. So high hip.

I can trigger the pain in certain movements but the physio told me "they do use those movements to access pain". (which was odd because googling those movements do come up in connection with things).

Anybody had anything similar?

My options are to wait and go back to the doctor and the physio said Dr would probably refer me again but quite frankly I'd ask him not to because it was pointless.

First week terrorised my calf because that's the only area where "pain" was found on pressing. Second week the same. Third week my It band and despite doing the same tests the two prior visits told me I had one leg shorter than the other (which I'm not completely convinced about) same for the 4th. Now I'm dismissed back to the doctor.

I really am tempted just to build back up to my walking, cycling and just deal with the ache and if it gets really bad it may be easier to diagnose. But that doesnt seem sensible at all.

I don't mean to be over critical of the physio, I knew myself this would be hard to fix, but I was expecting a little more.

I foam roll. When it was at its worse last year I foam rolled my IT Band, but more my quads and I reduced the ache from "constant" to exercise only induced. But I can't shift it.

I think I've ranted enough but this has really gotten me down.
 
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mjr

Comfy armchair to one person & a plank to the next
My options are to wait and go back to the doctor and the physio said Dr would probably refer me again but quite frankly I'd ask him not to because it was pointless.
Options? Isn't that all one option?

I can't help with the specific problem because it's unlike any of mine, but can you get the doctor to refer you to a different physio? Maybe one with more walking/cycling specialism?

Generally, I'd suspect reducing exercise to make this sort of thing hurt more because then any supportive muscles will weaken, but you need to build up carefully and gradually because if supportive muscles get tired, then that'll hurt more too. Also need to try to avoid any trigger actions, if you know what they are... but I'm an idiot so I'd try to find another physio and advice from a charity that offers support for this kind of health problem.
 
OP
OP
Steady

Steady

Über Member
Location
Derby
[QUOTE 4742303, member: 9609"]Quite similar to how mine was, went on for a few years, pain between illiac crest and greater troncnter, always worse after hill walking or hard manual work. Everybody I seen had a different explanation. then one morning on waking the hip pain become so severe I called the doctor out to my home, who then called an ambulance for me, still no explanation at hospital until MRI showed a slipped disk - no pain in back. apparently that part of the hip is within the L4 dermatome and it was the L4 nerve that was crushed - the theory is that this nerve must have been contacted by bulging disc for quite some time before it ruptured, and when irritated in the spine would give referred pain in the hip..[/QUOTE]


That's interesting.

We're all avid Google searchers so I've actually come across and read something similar to that but dismissed it because I always assumed there must be more back pain or discomfort associated with that.

Hope you recovered well from that, I can imagine it was frightening to wake up like that.
 
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ColinJ

Puzzle game procrastinator!
My ex had/has something very similar (it still flares up from time to time). Search for 'psoas pain' and read what different people have to say about it.

You will see a lot of people suggesting massage/'release', and others warning you off that approach. I found THIS - it may be useful, or it may be nonsense, but is probably at least worth reading.
 
OP
OP
Steady

Steady

Über Member
Location
Derby
Options? Isn't that all one option?

I can't help with the specific problem because it's unlike any of mine, but can you get the doctor to refer you to a different physio? Maybe one with more walking/cycling specialism?

Generally, I'd suspect reducing exercise to make this sort of thing hurt more because then any supportive muscles will weaken, but you need to build up carefully and gradually because if supportive muscles get tired, then that'll hurt more too. Also need to try to avoid any trigger actions, if you know what they are... but I'm an idiot so I'd try to find another physio and advice from a charity that offers support for this kind of health problem.

It is kind of all one option, Hah yeah. I think my mind is playing around with the just ignoring it and going through it route as an option.

The physio was actually a proper business physio I was full of enthusiasm at first thinking they'd have a better approach then say.. Perhaps a hospital etc. I guess going back to the doctor and asking that is the way to know if they refer elsewhere and the smartest way forward. Fortunately the doctor I see is a runner so his outlook on this seems a little better than other doctors.

The physio had me walking ten minutes, which wasnt all that practical but I've tried to stick to it, something I've done myself over the past year but the return to gradual build up always comes back to the same ache.

But you're definitely right.
 
OP
OP
Steady

Steady

Über Member
Location
Derby
My ex had/has something very similar (it still flares up from time to time). Search for 'psoas pain' and read what different people have to say about it.

You will see a lot of people suggesting massage/'release', and others warning you off that approach. I found THIS - it may be useful, or it may be nonsense, but is probably at least worth reading.

Come across "Somatics" before. No idea if it is nonsense or not but their movements don't seem crazier than any other stretches/movements so worth a go. Thanks
 
As @User9609 says , a herniated disc could press on nerves that end elsewhere , known as lumber radiculopathy, an mri scan would confirm or rule this out, I started with the aching feeling in my hip , in fact the first time I went to the gp , I said , as daft as this sounds , I feel like ive got tooth ache in my hip.
I had left it a long time before visiting doctors, which led to
https://www.cyclechat.net/threads/there-is-light-at-the-end-of-the-tunnel.164232/
I am in no way suggesting this is what is wrong with you , but I would push for an mri scan to help find a cause
 

mjr

Comfy armchair to one person & a plank to the next
I would have seen a chiropractor first (to locate the source of the pain) rather than a physiotherapist who will try and give you exercises to heal an unknown problem.
Not widely available through the NHS, though: http://www.nhs.uk/chq/Pages/1098.aspx?CategoryID=68
 

ayceejay

Guru
Location
Rural Quebec
Just something to think about and not a diagnosis.
If you ride clipped in and walk in boots your gait is restricted when compared to walking bare foot. This means that some of your smaller muscles are not contributing and the larger ones take over. If you can stand upright with one foot on a brick both legs straight let the pelvis tilt so that your other foot is on the ground and weight is even on both legs. This stretch and attendant pain will demonstrate tightness and what happens when full movement is restricted.
 
I don't see how arthritis can be ruled out without an X-Ray.
Hopefully given your age its unlikely to be that, but I had extensive imaging work done on my hip - I was told that early onset hip arthritis doesn't always show on x-ray. For me I had dye injected into my hip - whilst having an MRI which revealed the source of the problem.My symptoms weren't similar to yours though.

The problem now with NHS physio (and it will get worse if you read the news this morning) - IMO I feel that physio is used as a buffer to stop you getting at the real treatment (physio is cheap) - NHS physio typically gives you a load of exercises and stretches - If you don't improve you are given even more. If you stop the exercises than that's used as a reason as to why you aren't getting better.

My condition didn't improve until I got to see a sports injury consultant. He then gave me the option of hip surgery, which I declined. Dry needling of the hamstrings eventually got me cycling again.
 
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